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ISC2 HCISPP Exam Syllabus Topics:

TopicDetails

Healthcare Industry (12%)

Understand the Healthcare Environment Components- Types of Organizations in the Healthcare Sector (e.g., providers, pharma, payers)
- Health Insurance (e.g., claims processing, payment models, health exchanges, clearing houses)
- Coding (e.g., Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT), International Classification of Diseases (ICD) 10)
- Revenue Cycle (i.e., billing, payment, reimbursement)
- Workflow Management
- Regulatory Environment
- Public Health Reporting
- Clinical Research (e.g., processes)
- Healthcare Records Management
Understand Third-Party Relationships- Vendors
- Business Partners
- Regulators
- Other Third-Party Relationships
Understand Foundational Health Data Management Concepts- Information Flow and Life Cycle in the Healthcare Environments
- Health Data Characterization (e.g., classification, taxonomy, analytics)
- Data Interoperability and Exchange (e.g., Health Level 7 (HL7), International Health Exchange (IHE), Digital Imaging and Communications in Medicine (DICOM))
- Legal Medical Records

Information Governance in Healthcare (5%)

Understand Information Governance Frameworks- Security Governance (e.g., charters, roles, responsibilities)
- Privacy Governance (e.g., charters, roles, responsibilities)
Identify Information Governance Roles and Responsibilities
Align Information Security and Privacy Policies, Standards and Procedures- Policies
- Standards
- Processes and Procedures
Understand and Comply with Code of Conduct/Ethics in a Healthcare Information Environment- Organizational Code of Ethics
- (ISC)² Code of Ethics

Information Technologies in Healthcare (8%)

Understand the Impact of Healthcare Information Technologies on Privacy and Security- Increased Exposure Affecting Confidentiality, Integrity and Availability (e.g., threat landscape)
- Oversight and Regulatory Challenges
- Interoperability
- Information Technologies
Understand Data Life Cycle Management (e.g., create, store, use, share, archive, destroy)
Understand Third-Party Connectivity- Trust Models for Third-Party Interconnections
- Technical Standards (e.g., physical, logical, network connectivity)
- Connection Agreements (e.g., Memorandum of Understanding (MOU), Interconnection Security Agreements (ISAs))

Regulatory and Standards Environment (15%)

Identify Regulatory Requirements- Legal Issues that Pertain to Information Security and Privacy for Healthcare Organizations
- Data Breach Regulations
- Protected Personal and Health Information (e.g., Personally Identifiable Information (PII), Personal Health Information (PHI))
- Jurisdiction Implications
- Data Subjects
- Research
Recognize Regulations and Controls of Various Countries- Treaties
- Laws and Regulations (e.g., European Union (EU) Data Protection Directive, Health Insurance Portability and Accountability Act /Health Information Technology for Economic and Clinical Health (HIPAA/HITECH), General Data Protection Regulation (GDPR), Personal Information Protection and Electronic Documents Act (PIPEDA))
Understand Compliance Frameworks- Privacy Frameworks (e.g., Organization for Economic Cooperation and Development (OECD) Privacy principles, Asia-Pacific Economic Cooperation (APEC), Generally Accepted Privacy Principles (GAPP))
- Security Frameworks (e.g., International Organization for Standardization (ISO), National Institute of Standards and Technology (NIST), Common Criteria (CC))

Privacy and Security in Healthcare (25%)

Understand Security Objectives/Attributes- Confidentiality
- Integrity
- Availability
Understand General Security Definitions and Concepts- Identity and Access Management (IAM)
- Data Encryption
- Training and Awareness
- Logging, Monitoring and Auditing
- Vulnerability Management
- Segregation of Duties
- Least Privilege (Need to Know)
- Business Continuity (BC)
- Disaster Recovery (DR)
- System Backup and Recovery
Understand General Privacy Definitions and Concepts- Consent/Choice
- Limited Collection/Legitimate Purpose/Purpose Specification
- Disclosure Limitation/Transfer to Third-Parties/ Trans-border Concerns
- Access Limitation
- Accuracy, Completeness and Quality
- Management, Designation of Privacy Officer, Supervisor Re-authority, Processing Authorization and Accountability
- Training and Awareness
- Transparency and Openness (e.g., notice of privacy practices)
- Proportionality, Use and Disclosure, and Use Limitation
- Access and Individual Participation
- Notice and Purpose Specification
- Events, Incidents and Breaches
Understand the Relationship Between Privacy and Security- Dependency
- Integration
Understand Sensitive Data and Handling- Sensitivity Mitigation (e.g., de-identification, anonymization)
- Categories of Sensitive Data (e.g., behavioral health)

Risk Management and Risk Assessment (20%)

Understand Enterprise Risk Management- Information Asset Identification
- Asset Valuation
- Exposure
- Likelihood
- Impact
- Threats
- Vulnerability
- Risk
- Controls
- Residual Risk
- Acceptance
Understand Information Risk Management Framework (RMF) (e.g., International Organization for Standardization (ISO), National Institute of Standards and Technology (NIST))
Understand Risk Management Process- Definition
- Approach (e.g., qualitative, quantitative)
- Intent
- Life Cycle/Continuous Monitoring
- Tools/Resources/Techniques
- Desired Outcomes
- Role of Internal and External Audit/Assessment
Identify Control Assessment Procedures Utilizing Organization Risk Frameworks
Participate in Risk Assessment Consistent with the Role in Organization- Information Gathering
- Risk Assessment Estimated Timeline
- Gap Analysis
Understand Risk Response (e.g., corrective action plan)- Mitigating Actions
- Avoidance
- Transfer
- Acceptance
- Communications and Reporting
Utilize Controls to Remediate Risk (e.g., preventative, detective, corrective)- Administrative
- Physical
- Technical
Participate in Continuous Monitoring

Third-Party Risk Management (15%)

Understand the Definition of Third-Parties in Healthcare Context
Maintain a List of Third-Party Organizations- Third-Party Role/Relationship with the Organization
- Health Information Use (e.g., processing, storage, transmission)
Apply Management Standards and Practices for Engaging Third-Parties- Relationship Management
Determine When a Third-Party Assessment Is Required- Organizational Standards
- Triggers of a Third-Party Assessment
Support Third-Party Assessments and Audits- Information Asset Protection Controls
- Compliance with Information Asset Protection Controls
- Communication of Results
Participate in Third-Party Remediation Efforts- Risk Management Activities
- Risk Treatment Identification
- Corrective Action Plans
- Compliance Activities Documentation
Respond to Notifications of Security/Privacy Events- Internal Processes for Incident Response
- Relationship Between Organization and Third-Party Incident Response
- Breach Recognition, Notification and Initial Response
Respond to Third-Party Requests Regarding Privacy/Security Events- Organizational Breach Notification Rules
- Organizational Information Dissemination Policies and Standards
- Risk Assessment Activities
- Chain of Custody Principles
Promote Awareness of Third-Party Requirements- Information Flow Mapping and Scope
- Data Sensitivity and Classification
- Privacy and Security Requirements
- Risks Associated with Third-Parties

Reference: https://www.isc2.org/Certifications/HCISPP

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