Description

This curriculum spans the equivalent of a multi-workshop program used in healthcare organisations to align cybersecurity governance, risk management, and compliance with ISO 27799, covering the depth and specificity of an internal capability-building initiative for securing clinical systems, managing third-party risks, and integrating security into patient care workflows.

Module 1: Establishing Governance Frameworks Aligned with ISO 27799

Selecting an appropriate governance model (e.g., COBIT, NIST CSF) to complement ISO 27799 controls in a healthcare context
Defining roles and responsibilities for data stewards, clinical system owners, and IT security leads
Integrating medical records governance with enterprise information security governance
Establishing a healthcare-specific risk appetite statement approved by clinical and executive leadership
Mapping regulatory obligations (HIPAA, GDPR, PIPEDA) to ISO 27799 control objectives
Designing escalation paths for security incidents involving patient safety or clinical operations
Developing governance documentation requirements for audit readiness across hybrid cloud and on-premise systems
Implementing a governance review cadence that aligns with clinical system upgrade cycles

Module 2: Risk Assessment and Management in Clinical Environments

Conducting threat modeling for connected medical devices with limited patching capabilities
Assessing risks introduced by third-party clinical applications with access to EHRs
Quantifying risk exposure for legacy systems supporting critical care pathways
Performing risk assessments that include clinical workflow disruption as a key impact factor
Documenting residual risks for systems where full remediation would impact patient care delivery
Integrating risk treatment plans with change management for clinical IT deployments
Using risk scoring models that account for both data confidentiality and system availability in emergency care
Reviewing risk register updates with clinical safety committees quarterly

Module 3: Access Control for Clinical and Administrative Roles

Designing role-based access control (RBAC) structures that reflect dynamic clinical team compositions
Implementing just-in-time access for temporary staff and locum physicians
Enforcing separation of duties between clinical documentation and billing functions
Managing access reviews for hybrid roles (e.g., physician-researchers with dual data access needs)
Configuring emergency override access with automated logging and audit trails
Integrating smart card authentication with single sign-on across clinical workstations
Handling access revocation for offboarded staff with active patient follow-up responsibilities
Applying context-aware access policies based on location, device, and time for remote access

Module 4: Securing Electronic Health Record (EHR) Systems

Configuring audit logging to capture all access and modifications to patient records
Implementing data masking for non-clinical staff viewing EHR interfaces
Enforcing encryption of EHR data at rest and in transit across distributed data centers
Validating vendor security controls during EHR module upgrades and patches
Establishing secure interfaces between EHR and laboratory or radiology information systems
Monitoring for anomalous query patterns indicating potential data exfiltration
Coordinating EHR downtime procedures with clinical continuity plans
Applying segmentation to isolate EHR application, database, and interface servers

Module 5: Third-Party and Vendor Risk Management

Conducting security assessments of cloud-based telehealth platform providers
Negotiating BAAs (Business Associate Agreements) with enforceable security clauses
Validating penetration test results from medical device manufacturers
Monitoring compliance of SaaS providers with ISO 27799 control objectives
Managing access provisioning for vendor support personnel using jump servers
Requiring evidence of secure software development lifecycle (SDLC) for clinical applications
Establishing incident notification timelines for third-party data breaches
Performing on-site assessments of data center providers hosting patient data

Module 6: Incident Response and Breach Management in Healthcare

Activating incident response protocols that include clinical leadership for care-impacting events
Preserving forensic evidence from medical devices without disrupting patient monitoring
Coordinating breach notifications with legal, compliance, and public relations teams
Classifying incidents based on patient harm potential, not just data exposure
Conducting tabletop exercises involving clinical, IT, and executive staff
Integrating SIEM alerts with clinical operations centers during ransomware events
Documenting root cause analysis for security events affecting medication administration systems
Reporting breaches to regulators within mandated timeframes across multiple jurisdictions

Module 7: Data Protection and Privacy Engineering

Implementing de-identification techniques for research datasets compliant with HIPAA Safe Harbor
Designing data retention policies that align with clinical, legal, and research requirements
Encrypting portable media used for patient data transfer between facilities
Applying data loss prevention (DLP) rules to outbound email containing clinical information
Validating anonymization methods for AI/ML training datasets
Managing patient data subject access requests (DSARs) through automated workflows
Enforcing data residency requirements for cross-border health information exchange
Implementing secure print release for sensitive patient reports in shared environments

Module 8: Security in Medical Device and IoT Environments

Creating network segmentation strategies for infusion pumps, MRI machines, and monitoring systems
Establishing patch management processes for devices with FDA-cleared configurations
Conducting vulnerability assessments without disrupting device functionality
Integrating device inventory with asset management systems for security tracking
Enforcing secure configuration baselines for new device procurement
Monitoring network traffic for unauthorized communication from medical IoT devices
Coordinating security updates with clinical engineering and vendor service agreements
Implementing zero trust principles for devices with static IP and legacy protocols

Module 9: Audit, Compliance, and Continuous Monitoring

Preparing for unannounced regulatory audits by maintaining real-time compliance dashboards
Mapping internal audit findings to ISO 27799 control objectives and sub-clauses
Configuring continuous controls monitoring for access review deadlines and policy exceptions
Generating automated reports for board-level cybersecurity governance committees
Validating control effectiveness through independent penetration testing annually
Integrating compliance data from cloud environments into centralized audit repositories
Responding to auditor requests for evidence without disrupting clinical operations
Updating control documentation following changes in clinical IT infrastructure

Module 10: Strategic Alignment and Executive Oversight

Translating cybersecurity risks into financial and operational impact for executive briefings
Aligning cybersecurity investments with clinical digital transformation roadmaps
Establishing key performance indicators (KPIs) for security programs tied to patient safety
Reporting cyber risk exposure to the board using heat maps and scenario analysis
Integrating cybersecurity into enterprise risk management (ERM) frameworks
Securing budget approval for security initiatives by demonstrating risk reduction per control dollar
Coordinating cybersecurity strategy with mergers, acquisitions, and hospital affiliations
Ensuring succession planning for chief information security officer (CISO) roles in healthcare settings