Hcispp Healthcare Information Security and Privacy Practitioner All-In-One Exam Guide Sean P. Murphy
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Contents
1. Cover
2. Title Page
3. Copyright Page
4. Dedication
5. About the Author
6. Contents at a Glance
7. Contents
8. Acknowledgments
9. Introduction
10. Chapter 1 Healthcare Industry
1. Patients
2. Providers
3. Healthcare Clearinghouse
4. Healthcare Organizational Behavior
5. Health Insurance
1. United States
2. Canada
3. United Kingdom
4. European Union
5. Japan
3. Stakeholders
4. Coding and Classification Systems and Standards
6. Workflow Management
1. Clinical Workflow
2. Business Process Reengineering (BPR)
3. Value Stream Mapping (VSM)
7. Regulatory Environment
1. Patient Rights
2. Patient Care and Safety
1. Record Retention
2. Destruction of Patient Health Information
3. Access Control
4. Authentication, Authorization, and Accounting
(AAA)
1. Vendors
2. Regulators
3. Other Third-Party Relationships
4. Administering Third Parties
12. Understand Foundational Health Data Management
13. Managing Information Flow and Lifecycle in Healthcare
Environments
1. Questions
2. Answers
17. References
11. Chapter 2 Information Governance in Healthcare
1. Security Governance
1. Board of Directors
2. Information Security Program
3. Information Security Steering Committee
4. Configuration Control Board
5. Information Management Council
6. Risk Management Steering Committee
7. Data Incident Response Team
2. Privacy Governance
1. Policies
2. Procedures
3. Notable Policies and Procedures
5. Sanction Policy
6. Configuration Management Plan
7. Code of Conduct or Ethics in a Healthcare Information
Environment
8. Chapter Review
1. Questions
2. Answers
9. References
12. Chapter 3 Information Technologies in Healthcare
4. Interoperability
5. Information Technologies
1. Phase 1: Create
2. Phase 2: Store
3. Phase 3: Use
4. Phase 4: Archive
5. Phase 5: Destroy
7. Third-Party Connectivity
8. Chapter Review
1. Questions
2. Answers
9. References
13. Chapter 4 Regulatory and Standards Environment
1. Treaties
2. Laws and Regulations
1. Privacy Frameworks
2. Security Frameworks
4. Chapter Review
1. Questions
2. Answers
5. References
1. Confidentiality
2. Integrity
3. Availability
4. Accountability
1. US Approach to Privacy
2. European Approach to Privacy
3. Consent
4. Choice
5. Limited Collection
6. Legitimate Purpose
7. Purpose Specification
8. Disclosure Limitation
9. Transfer to Third Parties (or Countries)
10. Transborder Concerns
11. Access Limitation
12. Accuracy
13. Completeness
14. Quality
15. Management
16. Privacy Officer
17. Supervisory Authority
18. Processing Authorization
19. Accountability
20. Training and Awareness
21. Openness and Transparency
22. Proportionality
23. Use and Disclosure
24. Access
25. Individual Participation
26. Notice
27. Events, Incidents, and Breaches
4. The Relationship Between Privacy and Security
1. Dependency
2. Integration
3. Ownership of Healthcare Information
1. Sensitivity Mitigation
2. Categories of Sensitive Data
6. Chapter Review
1. Questions
2. Answers
7. References
15. Chapter 6 Risk Management and Risk Assessment
1. Information Gathering
2. Risk Assessment Estimated Timeline
3. Gap Analysis
4. Mitigating Actions
5. Communications and Reporting
1. Administrative Controls
2. Physical Controls
3. Technical Controls
1. Questions
2. Answers
10. References
16. Chapter 7 Third-Party Risk Management
1. Outsourcing
2. Third-Party Risk in the Cloud
3. Third-Party Risk in Data Disposition
4. Third-Party Risk in Nonmedical Devices
1. Relationship Management
1. Organizational Standards
2. Triggers of a Third-Party Assessment
1. Law Enforcement
2. EU Data Authorities
3. Affected Individuals
4. Media
5. Public Relations
6. Health Information Exchanges
7. Organizational Breach Notification Rules
8. Organizational Information Dissemination Policies
and Standards
9. Risk Assessment Activities
10. Chain of Custody Principles
1. Questions
2. Answers
13. References
17. Appendix About the Online Content
1. System Requirements
2. Your Total Seminars Training Hub Account
1. Privacy Notice
3. Single User License Terms and Conditions
4. TotalTester Online
5. Technical Support
18. Glossary
19. Index
Guide
1. Cover
2. Title Page
3. HCISPP® HealthCare Information Security and Privacy
Practitioner All-in-One Exam Guide
Page List
1. i
2. ii
3. iii
4. iv
5. v
6. vi
7. vii
8. viii
9. ix
10. x
11. xi
12. xii
13. xiii
14. xiv
15. xv
16. xvi
17. xvii
18. xviii
19. xix
20. xx
21. xxi
22. xxii
23. xxiii
24. xxiv
25. 1
26. 2
27. 3
28. 4
29. 5
30. 6
31. 7
32. 8
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57. 33
58. 34
59. 35
60. 36
61. 37
62. 38
63. 39
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72. 48
73. 49
74. 50
75. 51
76. 52
77. 53
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79. 55
80. 56
81. 57
82. 58
83. 59
84. 60
85. 61
86. 62
87. 63
88. 64
89. 65
90. 66
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95. 71
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97. 73
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100. 76
101. 77
102. 78
103. 79
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101.
When these two noblemen, with their servants and some gentlemen, were
upon their road in Annandale, they lost their way; and it being late, the two
noblemen were obliged to shelter in a cottage in that country. The people
having heard somewhat of their errand in going up, were extremely kind to
them, wishing them heartily success. When they could not get their horses
under lock and key, or perhaps to any house, the noblemen appeared
concerned for them, lest they should be stolen, having heard Annandale
spoken of for stealing of horses; but the country people told them they were
in no hazard, there was no thieving among them since the field-preaching
came into that country, and talked of many other branches of reformation
wrought among them by Mr Welsh and other preachers. Wodrow, vol. i. p.
507.—Kirkton, from whom Wodrow has borrowed this pleasant little
anecdote, adds, “the poor country people talked to the noblemen’s great
admiration for the time, but it brought forth but small fruit.” Hist. p. 239.
At first the king would only permit Atholl and Perth to approach his
person—the others he refused to see, because they had left
Scotland in contempt of a proclamation; but their representation of
the mad projects going forward there, made him conclude that
certainly Lauderdale’s head was turned; yet neither would he allow
him to be blamed, or admit that he had done any thing detrimental
to his service. But as he professed his intention of setting the Duke
of Monmouth at the head of the Scottish government, he allowed
him to act as mediator upon this occasion, and they were at last
admitted into the royal presence; the more readily perhaps, as their
visit had begun to make a great noise and awakened the jealousy of
the English parliament now sitting;—who imagined they saw, in the
management of the sister kingdom, a specimen of what they
themselves might expect whenever circumtances would permit, and
anticipated their own subjection, should Charles establish a
despotism there, especially as the Duke of York, whose papistical
principles were now openly professed, strongly abetted the cause of
the Scottish Episcopal church—a church that gloried in being the
daughter of the church of Rome by true lineal descent in the
uninterrupted apostolical succession of her bishops,[102] and who
equalled her in the antichristian persecuting spirit of her priests.
102.
This was always strenuously contended for by the old non-jurants, who only
lately died out here; but is apparently reviving in the Puseyites.
Alarmed at the departure of so many influential personages for
London, and at receiving no reply to their former letter, the privy
council dispatched the Earl of Murray and Lord Collington to
counteract the efforts of their opponents, and carry another epistle
to his majesty, complaining of the conduct of those persons, “who,
instead of concurring with them, which as sheriffs, and enjoying
other responsible offices, they should have done, had, with much
noise and observation, gone to England without seeking their
license; but they, with humble confidence, expected that his majesty,
by his princely care and prudence, would discourage all such
endeavours as tended to enervate his royal authority and affront his
privy council; and they referred his majesty to their messengers, two
of their own number, men of known integrity and ability, who could
give him an exact account of what had passed, and resolve such
doubts as might occur to the royal mind, which could not be settled
so well by letters, and confute such unworthy mis-reports as were
raised by others who have choosed a time when his majesty was
likely to be engaged in a foreign war, and had assembled his
parliament of England.”
After these deputies had reached London, and the various
statements of the different parties had been laid before the king, a
message was received by the council from him, announcing “that he
had considered some representations made by some of his subjects
anent the late methods with the west country, with the answers
made thereunto and replies, which so fortified the representations,
that he resolved to hear and consider things fully, and, in the
meantime, commanded that the bond and law-burrows be
suspended till his further pleasure be sent, and that all the forces,
except his own guards, be immediately disbanded.” Astonished at
receiving such a command, when they expected to have got Cassilis
sent down prisoner as they had requested, they could not conceal
their disappointment and chagrin. In a reply which they transmitted
by Sir George Mackenzie, who was instantly sent off to aid in
advocating their cause, they say—“You know how much all were
inclined to give the council ready obedience till these noblemen
interested themselves in the phanatical quarrel; how ready all were
to concur in assisting his majesty both with their own tenants and
militia; and, which is very remarkable, how ready the gentry and
heritors in every shire were to rise, between sixty and sixteen,
which, in shewing how all ways were taken and owned for assisting
the royal authority, did strike a just terror in all those who were
refractory; whereas now, the numbers and humorousness of those
who are gone up has done all they could to loose all the foundations
of authority here to such a height, as will soon grow above
correction, if it be not speedily, vigorously, and openly adverted to by
his majesty.”
Charles himself seems to have been not a little perplexed at the
unexpected step of the Scottish nobles. What had been done in
Scotland was unauthorized by any law, and unjustifiable upon any
principle of good government, but it was agreeable to the despotic
propensities of the heartless sovereign; and he was constantly
wavering between the harsh measures most congenial to his
disposition, and the milder plans he was occasionally obliged to
adopt—sending orders one day to disband the troops and dismantle
the garrisons—the next, ordering new troops to be raised and other
garrisons to be planted, till Sir George Mackenzie arrived. Shortly
after his arrival, the king was prevailed upon to give a hearing to the
Duke of Hamilton and his friends, whose ranks were now much
thinned, both their patience and purses being nearly worn out by
their long detention. An account of the interview has been
preserved, written by one who was present, which, as it is the only
authentic document we have, and not being long, I the rather insert:
—
“Upon the 25th of May, the king commanded the Duke of
Hamilton, Lord Cochrane, Sir John Cochrane, and Lieutenant-General
Drummond, to attend upon him at four of the clock, when they
appeared. The king being accompanied by the Duke of York, Duke of
Monmouth, and the treasurer, desired to know what they had to say
—why they had come to him contrary to his proclamation? The Duke
of Hamilton spoke first and said, he humbly begged to know the
reason why he had got some marks of his majesty’s displeasure, and
that since he came here (to London) he had not the common
privilege of subjects, not being admitted to kiss his majesty’s hand.
The king replied, he would first know what were the things they had
to complain of? and he would take his own time to answer his first
request. The Duke said, the chief encouragement he had to come
and make known his oppression was that which his majesty said to
him when last here, which was, that when he was in any way
wronged he should come to himself and make it known; and that
now he could not but come since he and others were so much
wronged.
“And then there was an account given of the whole affair of the
bringing down of the Highlanders, of quartering, plundering our
lands, of having a bond offered which was both illegal and
impracticable, of being charged with law-burrows, of being
denounced thereupon, and of the proclamation forbidding us to
acquaint the king with our condition. All these were particularly
insisted upon at great length. To which the king returned, that these
were horrid things, and desired we might set them down in paper.
The treasurer said, that whatever was in these free-quarterings and
in the rest, they might have been prevented by taking of the bond,
which he conceived there was law for the imposing of, and might be
very well kept, for there were two alternatives in the bond, viz.
either to deliver them prisoners, or to put them from their land. To
which it was replied, there was no law obliging masters to
apprehend their tenants; and the furthest the act of parliament went
was, in the year 1670, to oblige masters for their families and
servants. 2dly, That masters could not be obliged to turn their
tenants out of their lands in regard that the punishment for going to
a conventicle was statute already to be a fine, much less in
proportion than the turning them out of their possessions; besides,
most part of the tenants have tacks by which, during their time, they
had good right to their possessions, and could not by their masters
be turned out for a crime that, by the law, was only finable, and had
no such certification as losing their possessions.
“The conference having been held two hours, there was a good
deal said to and fro, and the king fully and freely informed. The
conclusion of the debate was, the king told us he could not judge of
what we had said, unless we would give it under our hands, that he
might consult thereanent with his council, and know what they had
to say for themselves, and could advise him to. It was answered,
that we came to his majesty to give an information of what wrongs
and oppressions were done to the country, hoping his majesty would
examine and redress them, but not to give in any accusation against
the council, which we knew, by law, was very dangerous, unless his
majesty would indemnify for it, which the king refusing to do, they
told him they could insist no farther, but leave it to him to do as he
thought fit. The king offered to go out of the room, and the Duke of
Hamilton kneeling, begged the favour of his hand; but his majesty
declined it, and said he would consider upon and give an answer to
what had been said, and went away.[103]
103.
When the Duke of Hamilton got into his presence, the king kept his hands
behind his back, lest perchance the Duke should snatch a kiss of them! And
when the Duke came to make his complaint upon the bad government of
Scotland, the king answered him with taunts, and bid him help what was
amiss when he were king of Scotland; and this was all. Kirkton, p. 393.
108.
Referring to the popish plot which about this time agitated the English nation
and parliament.
They were detained at sea five days longer than had been
calculated upon; and when they arrived, Mr Williamson who should
have received them was absent. Johnstoun, who had the charge of
their maintenance when there, not knowing how he was to be
reimbursed, and not being able to find any body to take them off his
hands, nor seeing any prospect of the agent, set them ashore, and
left them to shift for themselves. The English, who sympathized
much with them when they learned the cause of their sufferings,
afforded them every assistance; and the greater part of them
returned safely home after an absence of nine months—several of
them to suffer new hardships from their relentless persecutors.
Neither rank nor age were any protection against the cruelty of
these men, who, careless about the mischief they inflicted, imposed
upon the young oaths which they could not be supposed to
understand, and ordered them to subscribe bonds they could never
fulfil. The son of Lord Semple, at this time a student in Glasgow
College, had a young man for his private tutor, of uncommon
abilities and excellent character, to whom he was much attached.
Him the council summoned to appear before them; but he, aware of
the consequences, did not comply, and his pupil withdrew with him.
They were both served with a charge of law-burrows. The young
lord’s mother, however, who was a papist, interfered on his behalf,
and represented that her son, through the neglect of those to whom
he was recommended, or the corruption of the place, had been
seduced and poisoned with bad principles; she therefore craved that
they would recommend such persons as would watch over his loyalty
and estate during his minority, and they appointed the Bishop of
Argyle to provide a governor to that lord. Mr Wylie went abroad and
remained at some of the foreign universities with several other
pupils.
Alexander Anderson, a youth not sixteen years of age, was treated
more harshly, because he would make no compliances. He was sent
to the plantations. Yet he left a testimony behind him, which
deserves to be remembered, dated Canongate tolbooth, December
10th, this year. In it he remarked—“That he is the youngest prisoner
in Scotland; and that the Lord had opened his eyes and revealed his
Son in his heart since he came under the cross; that though he had
much difficulty to part with his friends and relatives, yet he had now
found, that fellowship with Christ did much more than balance the
want of the company of dearest relations; that though he was so
very young as that he could not be admitted a witness among men,
yet he hopes Christ hath taken him to be a witness to his cause. He
adheres to the work of reformation from popery and prelacy to the
National and Solemn League and Covenants; and witnesses against
the pulling down of the government of Christ’s house, and setting up
lordly prelacy, and joining with them; and adduces a good many
places of Scripture which he conceives strike against this practice.
He makes an apology that he who is but a child should leave any
thing of this nature behind him; but says he was constrained to it, to
testify that God perfects strength out of the mouth of babes. He
regrets the indulgence as what upon both sides had been matter of
stumbling and offence among good people; and declares his fears
that a black, dreadful day is coming upon Scotland: that it is good to
seek the Lord and draw near to him. He leaves his commendation to
the cross of Christ, and blesses the Lord for carrying him through
temptations, and enabling him, one of the lambs of his flock, to
stand before great men and judges; and closes with good wishes to
all the friends of Christ.”
The Justiciary Court was this year engaged in equally cruel,
though, could we divest them of their horrors, we should say more
ludicrous transactions. “Eight or ten witches,” Lord Fountainhall tells
us, “were panelled, all of them, except one or two, poor miserable-
like women. Some of them were brought out of Sir Robert Hepburn
of Keith’s lands; others out of Ormiston, Crichton, and Pencaitland
parishes. The first of them were delated by those two who were
burnt in Salt-Preston in May 1678, and they divulged and named the
rest, as also put forth seven in the Lonehead of Leswade; and, if
they had been permitted, were ready to fyle by their delation sundry
gentlewomen and others of fashion; but the justices discharged
them, thinking it either the product of malice or melancholy, or the
devil’s deception, in representing such persons as present at their
field-meetings who were not there. Yet this was cried out on as a
prelimiting them from discovering those enemies of mankind.
However, they were permitted to name Mr Gideon Penman, who had
been minister at Crichton, but deprived for sundry acts of
immoralitie. Two or three of the witches constantly affirmed that he
was present at their meetings with the devil; and that when the devil
called for him, he asked, where is Mr Gideon, my chaplain? and that,
ordinarily, Mr Gideon was in the rear of all their dances, and beat up
those that were slow. He denied all, and was liberate upon
caution”—certainly the only way of disposing of this case in
consistency with common sense.
Yet were these poor unfortunates allowed to proceed with their
confessions, which were regularly registered against them. “They
declared the first thing the devil caused them do, was to renounce
their baptism; and by laying their hand on the top of their head, and
the other on the sole of their foot, to renounce all betwixt the two to
his service. But one being with child at the time, in her resignation,
excepted the child, at which the devil was very angry. That he
frequently kissed them, but his body was cold, and his breath was
like a damp air. That he cruelly beat them when they had done the
evil he had enjoined them—for he was a most wicked and barbarous
master. That sometimes he adventured to give them the
communion, or holy sacrament; the bread like wafers—the drink,
sometimes blood, and at other times black moss-water; and
preached most blasphemously. That sometimes he transformed
them into bees, ravens, and crows; and they flew to such and such
remote places. Their confessions,” his lordship gravely adds, “made
many intelligent, sober persons stumble much, what faith was to be
adhibite to them.” How any intelligent person could hesitate a
moment upon the subject, is strange; and it is humiliating and
lamentable to add, that by grave, intelligent judges “nine of these
women, upon their own confession (and so seemed very rational
and penitent) were sentenced to be strangled and then burnt,”
instead of being sent to some safe place of confinement to be dealt
gently with; and five of them were accordingly immolated between
Leith and Edinburgh, and other four burnt at Painston-moor, within
their own parish where they had lived.
A case came before the privy council, not long after, which it is
difficult to reconcile with the above, the proceedings were so
diametrically opposite. Cathrine Liddel brought a complaint against
Rutherford, baron-bailie, to Morrison of Prestongrange and David
Cowan in Tranent, for having seized her, an innocent woman,
defamed her as a witch, and detained her under restraint as a
prisoner, also that Cowan had pricked her with long pins, in sundry
places of her body, and bled and tortured her most cruelly. The bailie
pled that she had been denounced by other witches, laboured under
a mala fama, and therefore had been apprehended; and that she
and her son-in-law had consented to her being “searched” for the
vindication of her innocency. With regard to the pricker, he had
learned his trade from Kincaid, a famed pricker; he never exercised
his calling without the authority of a magistrate; his trade was not
condemned by any law, and all divines and lawyers, who have
written on witchcraft, acknowledge that there are such marks, and
therefore there may be an art for discerning them. But the
Chancellor remembered that he had formerly imprisoned the famous
Kincaid in Kinross, as a notorious cheat. The lords of the privy
council therefore first declared the woman innocent, and restored
her to her good name and fame, and ordered it to be publicly
intimated the next Sunday in her parish church; then reproved
Rutherford for his rashness, and forbade him in future to proceed in
such a manner, declaring that the use of torture by pricking or
otherwise was illegal; and, as a mark of their displeasure, ordered
the pricker to prison.
Considerable changes had taken place among the higher
authorities in Scotland this year. Since the appointment of Sir George
Mackenzie of Rosehaugh to be king’s advocate, Sir George
Mackenzie of Tarbet was appointed justice-general; Sir Thomas
Wallace of Craigie, lord justice-clerk; the Bishop of Galloway was
added to the committee for public affairs; Richard Maitland of Gogar,
Sir George Gordon of Haddo, and Drummond of Lundin, admitted
councillors; and the Marquis of Montrose made captain of the horse
guards.
BOOK XIII.
Public teachers and students required to take the oath of supremacy—A boy
imprisoned for refusing—Husbands punished for their wives’ contumacy—
Landlords for their tenants—Overtures of the council—Country put under
military law—Reprisals—Outrages of the commissioners of shires—Death of
Sharpe—Escape of Veitch—Murder of Inchdarnie.
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