Escolar Documentos
Profissional Documentos
Cultura Documentos
10 Steps To Hipaa Security
Enviado por
eleseDescrição original:
Título original
Direitos autorais
Formatos disponíveis
Compartilhar este documento
Compartilhar ou incorporar documento
Você considera este documento útil?
Este conteúdo é inapropriado?
Denunciar este documentoDireitos autorais:
Formatos disponíveis
10 Steps To Hipaa Security
Enviado por
eleseDireitos autorais:
Formatos disponíveis
34%03
4/
()0!!
3%#52)49
#/-0,)!.#%
0ROTECTING YOUR PATIENTS HEALTH
INFORMATION IS MORE DIFlCULT
AND MORE IMPORTANT THAN EVER
4HE AUTHORS STRATEGY WILL HELP
YOU MEET THIS MONTHS DEADLINE
$AVID # +IBBE -$ -"!
4HE lNAL RULE ADOPTING ()0!! STANDARDS FOR THE SECURITY OF ELECTRONIC HEALTH INFORMATION WAS PUBLISHED IN THE &EDER
AL 2EGISTER ON &EB ;AND GOES INTO EFFECT !PRIL = 4HIS lNAL RULE SPECIlES A SERIES OF ADMINISTRATIVE
TECHNICAL AND PHYSICAL SECURITY PROCEDURES FOR COVERED ENTITIES TO USE TO ASSURE THE CONlDENTIALITY OF ELECTRONIC PROTECTED
HEALTH INFORMATION 4HE STANDARDS ARE DELINEATED INTO EITHER REQUIRED OR ADDRESSABLE IMPLEMENTATION SPECIlCATIONS
n 3TATEMENT ON THE #ENTERS FOR -EDICARE -EDICAID 3ERVICES 7EB SITE
REGARDING THE (EALTH )NSURANCE 0ORTABILITY AND !CCOUNTABILITY !CT
!
S FAMILY PHYSICIAN $AN "REWER -$ ONCE WROTE AND THE COSTS OR HASSLES ASSOCIATED WITH INADEQUATE
ON AN E
MAIL DISCUSSION LIST h) BELIEVE ) WOULD PROTECTION THAN YOU REALIZE
RATHER EAT LIVE COCKROACHES THAN LEARN ABOUT #ONSIDER THESE EXAMPLES
()0!! SECURITYv .OTHING IT SEEMS COULD s (AVE YOU EVER BEEN THE VICTIM OF A COMPUTER VIRUS
BE MORE BORING AND LESS RELATED TO THE PRACTICE OF FAMILY OR DO YOU KNOW SOMEONE WHO HAS
MEDICINE THAN COMPUTER SECURITY s !RE YOU CONCERNED ABOUT WHAT WOULD HAPPEN IF
"UT DONT BE FOOLED INTO COMPLACENCY 9OU AND YOUR THE COMPUTER HARD DISK STORING YOUR PATIENTS MEDICAL
) , , 5 3 4 2 !4 ) / . " 9 * / ( . 5 % , ! . $
PATIENTS ARE PROBABLY MORE FAMILIAR WITH SECURITY RISKS INFORMATION FAILED
$R +IBBE IS DIRECTOR OF THE !!&0S #ENTER FOR (EALTH )NFORMATION 4ECHNOLOGY #(I4 (E THANKS 3TEVEN % 7ALDREN -$ #(I4S ASSISTANT DIRECTOR FOR HIS
ASSISTANCE ON THIS ARTICLE #ONmICTS OF INTEREST NONE REPORTED
!PRIL N WWWAAFPORG FPM N & ! - ) , 9 0 2 ! # 4 ) # % - ! . ! ' % - % . 4 N
$OWNLOADED FROM THE &AMILY 0RACTICE -ANAGEMENT 7EB SITE AT WWWAAFPORGFPM #OPYRIGHT ¥ 2005 !MERICAN !CADEMY OF
&AMILY 0HYSICIANS &OR THE PRIVATE NONCOMMERCIAL USE OF ONE INDIVIDUAL USER OF THE 7EB SITE !LL OTHER RIGHTS RESERVED
30%%$"!2 s $O YOU WORRY THAT SOMEONE MIGHT EAVES +%9 0/).43
DROP ON YOUR WIRELESS COMMUNICATIONS
s 7ERE YOU CONCERNED WHEN A MAJOR PHAR s 0RACTICES WILL NEED TO ENSURE THAT THEIR CURRENT
°° MACEUTICAL COMPANY UNINTENTIONALLY DISTRIBUT COMPUTER SECURITY COMPLIES WITH THE ()0!!
ED THE E MAIL ADDRESSES OF HUNDREDS OF PATIENTS
9OU ARE PROBABLY MORE STANDARDS THAT TAKE EFFECT !PRIL
TAKING AN ANTIDEPRESSANT MEDICATION
FAMILIAR WITH SECURITY s 0HYSICIANS SHOULD TAKE RESPONSIBILITY FOR UNDER
)N ADDITION TO HELPING RAISE YOUR AWARE
RISKS THAN YOU THINK STANDING HOW HEALTH INFORMATION TECHNOLOGY IS
NESS OF WHATS AT STAKE THIS ARTICLE WILL MAKE
USED IN THEIR PRACTICE
COMPUTER SECURITY MORE UNDERSTANDABLE AND
RELEVANT TO YOUR PRACTICE AND PUT YOU ON s "Y TAKING A PROACTIVE APPROACH TO YOUR COMPUTER
THE PATH TOWARD COMPLYING WITH THE ()0!! SECURITY NOW YOU WILL BE ABLE TO DETECT AND
°° SECURITY STANDARDS PREVENT TROUBLE LATER
!FTER READING THROUGH THESE STEPS
4O LEARN WHETHER YOUR s 4HERE IS NO ONE SIZE lTS ALL APPROACH FOR
YOU SHOULD BE ABLE TO COMPARE YOUR OFlCES
COMPUTER SECURITY COMPUTER SECURITY
CURRENT COMPUTER SECURITY OR LACK THEREOF
MEETS ()0!! REQUIRE
WITH THAT REQUIRED BY ()0!! 4HIS TYPE OF
MENT YOU SHOULD PER
COMPARISON IS KNOWN AS A hGAP ANALYSISv AND WARE AND NETWORKS TO EXCHANGE DIGITIZED
FORM A hGAP ANALYSISv
IS AN IMPORTANT COMPONENT OF MEETING THE DATA CREATES NEW VULNERABILITIES )T ALSO
OF YOUR CURRENT SETUP
()0!! REQUIREMENTS REVEALS NEW DIMENSIONS TO OLD RISKS -UCH
!LSO BE AWARE THAT ()0!! SECURITY COM OF THE PROBLEM WITH COMPUTER SECURITY IS OF
PLIANCE IS LIKE A CLINICAL ENCOUNTER )F ITS NOT OUR OWN MAKING THE RESULT OF OUR LOVE OF
DOCUMENTED THEN IT DIDNT HAPPEN 4HERE CONVENIENCE AND OUR DRIVE TO BE MORE EFl
°° FORE DOCUMENT EVERYTHING AND MAKE IT PART CIENT #OMPUTERS AUTOMATE ROUTINE MUN
OF A SECURITY MANUAL DANE TASKS "Y STORING COMPACTED BITE SIZED
!S YOU MOVE TOWARD
INFORMATION INSIDE MACHINES WE ARE ABLE TO
()0!! COMPLIANCE
IT IS IMPORTANT TO
5NDERSTAND WHY COMPUTER SECURITY COLLECT DATA MORE EASILY AND CUT DOWN ON
IS IMPORTANT )F YOU NEED A SIMPLE ANSWER STORAGE COSTS
DOCUMENT THE ENTIRE
TO THE QUESTION h7HY IS COMPUTER SECURITY "UT COMPUTER STORAGE DEVICES CAN BE
PROCESS
NECESSARY AND IMPORTANT v THE ANSWER IS BROKEN OR DAMAGED AND THE INFORMATION
hBECAUSE EVERYONE CARES ABOUT THE PRIVACY IN THEM CAN BE ERASED OR CORRUPTED EXPOS
AND INTEGRITY OF THEIR HEALTH INFORMATIONv ING THE DATA TO UNEXPECTED CHANGE OR LOSS
)N MOST CASES THE POINT OF COMPUTER SECURI )T IS POSSIBLE TO STEAL THOUSANDS OF MEDICAL
°° TY IS TO PREVENT PERSONAL HEALTH INFORMATION RECORDS BY DOWNLOADING THEM ONTO A SMALL
FROM FALLING INTO THE WRONG HANDS OR BEING STORAGE DEVICE WHICH CAN EASILY BE HIDDEN
4HE GOAL OF COMPUTER
INADVERTENTLY ALTERED OR DESTROYED IN A POCKET
SECURITY IN MOST CASES
4HE ()0!! SECURITY STANDARDS APPLY TO 3IMILARLY WE lND NETWORKS OF COMPUTERS
IS TO PREVENT PERSONAL
PROTECTED HEALTH INFORMATION 0() THAT IS WONDERFULLY CONVENIENT FOR SENDING MES
HEALTH INFORMATION
EITHER STORED OR TRANSMITTED ELECTRONICALLY SAGES ACROSS ANY DISTANCE AT ALMOST THE SPEED
FROM BEING STOLEN
0() IS HEALTH INFORMATION IN ANY FORM THAT OF LIGHT 7E DELIGHT IN E MAIL lLE DOWNLOADS
ALTERED OR DESTROYED
PERSONALLY IDENTIlES A PATIENT &OR MORE ON AND INSTANT MESSAGING "UT THE )NTERNET HAS
0() SEE AN EARLIER SECURITY ARTICLE ) WROTE NO BORDERS OR NATURAL BOUNDARIES MAKING IT
FOR &0- h! 0ROBLEM /RIENTED !PPROACH EASY FOR ATTACKERS TO STRIKE FROM A DISTANCE
TO THE ()0!! 3ECURITY 3TANDARDS v *ULY AND TO HIDE THEIR WHEREABOUTS !NY TIME WE
!UGUST PAGE CONNECT OUR COMPUTERS TO THE )NTERNET WE
4HESE SECURITY STANDARDS WILL APPLY TO INSTANTLY BECOME VULNERABLE TO NEW KINDS OF
YOU ON !PRIL IF ANY OF THESE SITUATIONS ATTACKS SUCH AS VIRUSES AND WORMS THAT CAN
EXIST IN YOUR PRACTICE LITERALLY GET INSIDE OUR COMPUTERS AND ALTER
s 9OU USE COMPUTERS IN THE OFlCE TO DESTROY OR RELEASE CONlDENTIAL INFORMATION
STORE AND MANAGE ADMINISTRATIVE OR CLINICAL /NE PROBLEM MERITS SPECIAL MENTION
INFORMATION #OMPUTERS HAVE MADE THE ISSUE OF IDENTITY
s 9OU HAVE A COMPUTER OR NETWORK MUCH MORE PROBLEMATIC 0EOPLE HAVE ALWAYS
CONNECTED TO THE )NTERNET BEEN ABLE TO USE SOMEONE ELSES IDENTITY FOR
s 9OU USE E MAIL OR OTHER FORMS OF CRIMINAL PURPOSES BUT THE PROBLEM IS EXAC
ELECTRONIC MESSAGING INSIDE AND OUTSIDE ERBATED WHEN WE CANT USE A PERSONS FACE
THE PRACTICE SIGNATURE OR OTHER PHYSICAL MEANS TO CONlRM
4HE WIDESPREAD USE OF COMPUTERS SOFT THEIR IDENTITY (OW DO YOU KNOW THE PERSON
N & ! - ) , 9 0 2 ! # 4 ) # % - ! . ! ' % - % . 4 N WWWAAFPORG FPM N !PRIL
( ) 0! ! 3 % # 5 2 ) 4 9 # / - 0 , ) ! . # %
SENDING YOU E MAIL IS TRULY THE PERSON HE OR A COMPUTER OR MONITOR AND SEE WHATS ON THE 30%%$"!2
SHE CLAIMS TO BE (OW DO YOU KNOW THE PER SCREEN $O YOU WANT EVERYONE IN THE OFlCE
SON WHOSE NAME IS ATTACHED TO AN ELECTRONIC INCLUDING PATIENTS FAMILY MEMBERS OR YOUR
HEALTH RECORD %(2 ENTRY REALLY MADE IT CLEANING CREW TO BE ABLE SEE WHAT IS DIS °°
)TS DIFlCULT (ACKERS USE COMPUTER VIRUSES PLAYED ON A COMPUTER SCREEN /F COURSE NOT
)N ADDITION TO PROTECT
TO GET INTO E MAIL PROGRAMS AND PROPAGATE "UT YOU PROBABLY WORK IN A BUSY SOMETIMES
ING IMPORTANT DATA
THEIR NASTINESS BY SENDING NEW E MAILS THAT HECTIC ENVIRONMENT THAT MAKES IT DIFlCULT
COMPUTER SECURITY IS
APPEAR TO COME FROM A FRIEND !S THE PUBLIC TO CLOSELY MONITOR THE mOW OF PEOPLE AND
ALSO NEEDED TO PROTECT
DOES MORE ONLINE SHOPPING IDENTITY THEFT INFORMATION AT ALL TIMES
YOU AND YOUR PRACTICE
USING COMPUTERS HAS BECOME A COMMON WAY 4HIS MEANS TWO THINGS &IRST YOU
FROM THE RISK OF LEGAL
FOR CRIMINALS TO STEAL MONEY AND GOODS SHOULD CAREFULLY CONSIDER THE LOCATION AND
LIABILITY
4HE BOTTOM LINE IS THIS #OMPUTER SECU DESIGN OF DISPLAY DEVICES IN YOUR OFlCE
RITY IS A REQUIREMENT FOR ANY SOUND BUSINESS $ONT PLACE MONITORS IN BUSY CORRIDORS AND
INCLUDING YOUR MEDICAL PRACTICE #OMPUTER ENSURE THAT THE DISPLAY IMAGE HAS A SEC
SECURITY IS NEEDED TO PROTECT THE PRIVACY OF OND TIME OUT FEATURE 3ECOND EMPLOYEES
THOSE WHOSE INFORMATION YOU STORE AND MAN AND STAFF MUST HAVE A HEIGHTENED AWARENESS °°
AGE )T IS ALSO NEEDED TO PROTECT YOU AND YOUR REGARDING ACCESS TO COMPUTERS MONITORS
-OST COMPUTER SECU
PRACTICE FROM THE RISK OF PENALTY AND LEGAL PRINTERS FAX MACHINES AND OTHER DISPLAY
RITY BREACHES OCCUR
LIABILITY IF PRIVATE INFORMATION IS USED OR DEVICES 4HEY SHOULD STRIVE TO AVOID CREAT
WHEN INSIDERS EXERCISE
RELEASED BY YOUR PRACTICE ING INSECURE SITUATIONS
BAD JUDGMENT OR FAIL
9OU HAVE TWO CHOICES %ITHER DELAY LEARN 0ASSWORD MANAGEMENT IS ANOTHER AREA
TO FOLLOW ESTABLISHED
ING ABOUT COMPUTER SECURITY AND RISK PLAYING THAT REQUIRES STAFF TO BE SECURITY CONSCIOUS
PROTOCOLS
CATCH UP WHEN AN ATTACK OR ACCIDENT CAUSES 0ASSWORDS AND )$S ALLOW COMPUTERS TO
HARM TO A PATIENT OR YOUR PRACTICE OR BE CONTROL ACCESS TO PERSONAL HEALTH INFORMA
PROACTIVE AND BEGIN TO INSTALL PROTECTIONS TION BASED ON A PERSONS ROLE AUTHORITY OR
THAT WILL ALLOW YOU TO DETECT AND PREVENT NEED TO KNOW 4HEY IDENTIFY OR AUTHENTICATE
TROUBLE DOWN THE ROAD A COMPUTER USER VIA A SECRET PASSWORD °°
/BVIOUSLY PASSWORDS SHOULD BE KEPT SECRET
-AKE CERTAIN YOUR COLLEAGUES AND TO AVOID UNAUTHORIZED ACCESS TO OR MANIPU
-ONITORS SHOULD NOT
BE PLACED IN HIGH
STAFF TAKE SECURITY AS SERIOUSLY AS YOU DO LATION OF PROTECTED INFORMATION "UT PASS
TRAFlC AREAS AND
4HE ()0!! SECURITY STANDARDS REQUIRE YOUR WORDS ARE CLUMSY TO USE AND DIFlCULT TO
TIME OUT FEATURES
PRACTICE TO HAVE WRITTEN SECURITY POLICIES REMEMBER ESPECIALLY AS THEY BECOME MORE
SHOULD BE USED
AND PROCEDURES INCLUDING THOSE THAT COVER COMPLICATED THUS INCREASING THEIR SECRECY
PERSONNEL TRAINING AND SANCTIONS FOR SECURITY )TS TEMPTING FOR USERS IN SMALL OFlCES TO
POLICY VIOLATIONS 9OUR OFlCE STAFF AND COL SHARE PASSWORDS OR KEEP THEM WRITTEN ON A
LEAGUES MUST TRULY UNDERSTAND BASIC SECU PIECE OF PAPER TUCKED INTO THE TOP DRAWER °°
RITY LOGIC AND TAKE THEIR ROLE IN PROTECTING NEXT TO THE COMPUTER STATION )VE EVEN
#OMPUTER PASSWORDS
SHOULD NEVER BE
SHARED OR KEPT NEAR
9OUR COMPUTER SECURITY IS ONLY AS GOOD AS THE COMPUTER EVEN IN
SMALL OFlCES
THE WEAKEST HUMAN LINK IN YOUR OFlCE
PATIENTS PRIVACY VERY VERY SERIOUSLY -OST FOUND PASSWORDS ON STICKY NOTES ATTACHED
SECURITY BREECHES OCCUR WHEN INSIDERS n PEO TO COMPUTER MONITORS
PLE WORKING FOR THE ORGANIZATION n EXERCISE 4HESE ACTIONS COMPLETELY UNDERMINE THE
FAULTY JUDGMENT OR FAIL TO FOLLOW PROTOCOLS IN SECURITY SYSTEM 7HY PAY FOR A SOFTWARE
WHICH THEYVE BEEN TRAINED SYSTEM THAT USES PASSWORDS IF YOU DONT TAKE
#ONSIDER TWO HIGHLY PEOPLE DEPENDENT THE PROTECTION THEY PROVIDE SERIOUSLY
AREAS OF COMPUTER SECURITY PHYSICAL ACCESS 3O WHILE IT DOES MAKE SENSE TO WORRY
AND PASSWORD MANAGEMENT ABOUT HACKERS AND INTRUSIONS FROM OUTSIDE
0HYSICAL ACCESS TO COMPUTERS AND SOFTWARE YOUR OFlCE WALLS REMEMBER THAT YOUR
IS A FOUNDATION OF COMPUTER SECURITY 0HYSI CO WORKERS POSE THE MOST LIKELY SECURITY
CAL ACCESS MEANS THAT SOMEONE CAN APPROACH RISK 9OUR COMPUTER SECURITY IS ONLY AS
!PRIL N WWWAAFPORG FPM N & ! - ) , 9 0 2 ! # 4 ) # % - ! . ! ' % - % . 4 N
30%%$"!2 GOOD AS THE WEAKEST HUMAN LINK IN AND PROCEDURES ON THIS ANALYSIS WHICH MUST
YOUR OFlCE BE SPECIlC TO YOUR PRACTICE 3ECOND ITS THE
ONLY REASONABLE WAY TO ASSESS YOUR RISK OF
°°
#ATALOG ALL THE INFORMATION SYSTEM SECURITY BREECHES IN YOUR CURRENT SYSTEMS
COMPONENTS THAT INTERACT WITH PROTECTED AND PROTOCOLS &INALLY THIS EXERCISE CAN BE
()0!! REQUIREMENTS
HEALTH INFORMATION IN YOUR OFlCE 4O VALUABLE IN THE ACQUISITION AND USE OF %(2
INCLUDE A DETAILED
ASSESS YOUR OFlCES CURRENT SECURITY RISK SYSTEMS IF YOUR PRACTICE IS MOVING IN THAT
DESCRIPTION OF HOW
YOU HAVE TO KNOW IN DETAIL THE CAPABILI DIRECTION
YOUR HARDWARE SOFT
TIES AND WEAKNESSES OF YOUR INFORMATION 4HE ()0!! SECURITY STANDARDS REQUIRE
WARE AND NETWORK
SYSTEMS .O TWO MEDICAL PRACTICES HAVE YOUR PRACTICE TO APPOINT SOMEONE AS THE
COMPONENTS COLLECT
EXACTLY THE SAME INFORMATION SYSTEM COM SECURITY MANAGER SO YOU MIGHT WANT TO
ACCESS STORE AND
PONENTS NOR DO THEY MANAGE THE mOW OF ASSIGN THESE TASKS TO THAT PERSON (OWEVER
TRANSMIT PATIENT
INFORMATION PRECISELY THE SAME WAY 3OME ) CANT STRESS ENOUGH THE NEED FOR PHYSICIANS
HEALTH INFORMATION
PRACTICES STILL MANAGE MOST INFORMATION ON TO TAKE RESPONSIBILITY FOR UNDERSTANDING HOW
PAPER AND HAVE A SINGLE COMPUTER FOR BILLING HEALTH INFORMATION TECHNOLOGY IS USED IN
AND ACCOUNTING PURPOSES (OWEVER MOST THEIR PRACTICE ESPECIALLY SMALL AND INDEPEN
PRACTICES EVEN SMALL ONES HAVE COMPLICATED DENTLY OWNED ONES
INFORMATION TECHNOLOGY ENVIRONMENTS THAT
°°
4HE ()0!! SECURITY
INCLUDE MULTIPLE COMPONENTS 4HESE MIGHT 0REPARE FOR DISASTER BEFORE IT OCCURS
INCLUDE THE FOLLOWING !N IMPORTANT ASPECT OF COMPUTER SECURITY
STANDARDS ALSO REQUIRE
s (ARDWARE n #OMPUTER WORKSTATIONS INVOLVES PROTECTING ELECTRONIC DATA FROM LOSS
YOUR PRACTICE TO
IN THE FRONT OFlCE TABLET COMPUTERS IN THE OR CORRUPTION n THAT IS ENSURING ITS INTEGRITY
APPOINT A SECURITY
CLINICAL AREAS PRINTERS IN THE BACK OFlCE !LTHOUGH THERE ARE MANY WAYS DATA INTEG
MANAGER
SERVER IN THE COMPUTER CLOSET PERSONAL DIGI RITY CAN BE AFFECTED THE MOST COMMON IS
TAL ASSISTANTS SCANNING DEVICES AND MODEMS LOSS OF DATA FROM SOME SORT OF EMERGENCY OR
USED TO CONNECT TO THE )NTERNET DISASTER INCLUDING HUMAN ERROR MECHANICAL
s 3OFTWARE n /PERATING SYSTEMS BILLING HARD DISK FAILURE EQUIPMENT DAMAGE DUE TO
°° SOFTWARE PRACTICE MANAGEMENT SOFTWARE mOODING OR COMPUTER VIRUS INFECTION
BROWSERS E MAIL CLIENT SOFTWARE %(2 SOFT ! SOLID COMPUTER SYSTEM CONTINGENCY
%VEN IF SOMEONE ELSE IS
WARE AND DATABASE AND OFlCE PRODUCTIVITY PLAN IS COMPOSED OF A NUMBER OF STEPS
NAMED AS THE SECURITY
SOFTWARE INCLUDING PERFORMING BACKUPS PREPARING FOR
MANAGER PHYSICIANS
s .ETWORK COMPONENTS n 2OUTERS AND CONTINUED OPERATIONS IN AN EMERGENCY AND
NEED TO UNDERSTAND
HUBS DEDICATED PHONE OR CABLE LINES WIRE RECOVERING FROM A DISASTER
COMPLETELY HOW HEALTH
LESS SYSTEMS lREWALL SOFTWARE AND lREWALL 4HE MOST IMPORTANT PART OF A CONTIN
INFORMATION TECHNOL
HARDWARE GENCY PLAN IS HAVING A BACKUP SYSTEM !
OGY IS USED IN THEIR
9OU SHOULD MAKE A DETAILED LIST OF ALL OF BACKUP SYSTEM IS A COMBINATION OF HARDWARE
PRACTICES
THE COMPONENTS THAT PLAY A ROLE IN EITHER AND SOFTWARE THAT LETS YOU RETRIEVE EXACT COP
4HE MOST IMPORTANT PART OF A CONTINGENCY PLAN
°°
4HE MOST IMPORTANT
IS HAVING A BACKUP SYSTEM
PART OF PREPARING FOR
A DISASTER IS HAVING
STORING PATIENT HEALTH INFORMATION OR TRANS
IES OF INFORMATION IF THE ORIGINALS BECOME
A BACKUP SYSTEM IN
MITTING IT WITHIN THE PRACTICE OR TO OUTSIDE LOST OR DAMAGED 4HERE ARE SEVERAL KINDS OF
PLACE
SETTINGS 9OU THEN NEED TO CREATE EITHER A mOW COMMONLY USED BACKUP SYSTEMS INCLUDING
DIAGRAM OR A DETAILED DESCRIPTION OF HOW THIS THOSE THAT STORE DATA TO TAPES COMPACT DISCS
COLLECTION OF HARDWARE SOFTWARE AND NETWORK OR OFF
SITE DEVICES 4HE EQUIPMENT AND SER
COMPONENTS COLLECTS ACCESSES STORES AND VICE CAN COST FROM HUNDREDS TO THOUSANDS OF
TRANSMITS PATIENT HEALTH INFORMATION DOLLARS AND THE BEST METHOD FOR YOUR PRAC
4HIS DETAILED EXAMINATION OF YOUR ENTIRE TICE CAN ONLY BE DETERMINED AFTER YOU KNOW
SYSTEM IS AN IMPORTANT STEP FOR THREE REA
HOW MUCH DATA NEEDS TO BE BACKED UP 9OUR
SONS &IRST ITS REQUIRED ()0!! REQUIRES CHOICE ALSO WILL BE INmUENCED BY COST CONVE
YOU TO CARRY OUT SUCH A RISK ANALYSIS AND NIENCE AND EASE OF USE
BASE YOUR NEW COMPUTER SECURITY POLICIES !T A MINIMUM YOUR PRACTICES BACKUP
N & ! - ) , 9 0 2 ! # 4 ) # % - ! . ! ' % - % . 4 N WWWAAFPORG FPM N !PRIL
( ) 0! ! 3 % # 5 2 ) 4 9 # / - 0 , ) ! . # %
SYSTEM SHOULD STORE ALL OF THE CRITICAL DATA AND 7EB BROWSING )N TERMS OF RISK TO YOUR 30%%$"!2
NEEDED TO RUN THE PRACTICE IN THE EVENT OF A COMPUTERS DATA CONNECTING TO THE )NTERNET
DISASTER 0RACTICES SHOULD CONDUCT AN ANALY IS THE MOST DANGEROUS ACTIVITY IN WHICH YOU
SIS TO IDENTIFY THESE CRITICAL DATA CAN ENGAGE °°
-ALICIOUS SOFTWARE SOMETIMES CALLED
-AKE SURE YOUR NETWORK AND COM MALWARE HAS BECOME A FAMILIAR FORM OF
)F YOUR COMPUTER IS
ATTACHED TO A NETWORK
MUNICATIONS SAFEGUARDS ARE INTACT AND COMPUTER ATTACK 6IRUSES WORMS AND h4RO
YOU NEED TO MAKE SURE
ROBUST )T IS INCREASINGLY DIFlCULT TO lND A JAN HORSESv ARE AMONG THE MOST COMMON
THAT NETWORK IS PRO
COMPUTER THAT IS NOT ATTACHED TO SOME SORT FORMS OF MALWARE THAT YOUR COMPUTER SECU
TECTED BY A lREWALL
OF NETWORK -OST COMPUTERS IN YOUR PRACTICE RITY MUST PROTECT AGAINST
4HERE IS NO SINGLE SOLUTION TO THE PROBLEM OF
°°
COMPUTER VIRUSES 6IGILANCE IS ESSENTIAL
&IREWALLS ARE HARDWARE
AND SOFTWARE DEVICES
THAT PROTECT AN ORGANI
ARE CONNECTED TO THE )NTERNET A PARTICULAR 6IRUSES CAN ATTACH THEMSELVES TO E
MAILS
ZATIONS NETWORK FROM
KIND OF PUBLIC NETWORK THAT HAS ITS SPECIAL PROGRAM lLES AND DATA lLES 4HEY CAN
UNAUTHORIZED USERS
RISKS !LTHOUGH NETWORK SECURITY IS A COM
INFECT ALL YOUR HARD DISKS AND CHANGE OR
PLEX SUBDOMAIN OF COMPUTER SECURITY THE ERASE DATA WHILE SPREADING TO mOPPY DISKS
BASIC THREATS AND PROTECTIVE DEVICES ARE NOT AND E
MAILS TO INFECT OTHER MACHINES
DIFlCULT TO UNDERSTAND 7ORMS ARE SELF
REPLICATING PROGRAMS THAT
.ETWORKS WORK BY ROUTING PACKETS OF ATTACK NETWORKED COMPUTERS 4HE NOW °°
INFORMATION AMONG AND BETWEEN USERS AT INFAMOUS .IMDA VIRUS WAS A WORM SPREAD
%VEN IF YOU ARE IN A
VARIOUS COMPUTERS 'ENERALLY NETWORKS USE VIA E
MAIL ATTACHMENTS NAMED 2%!$-%
SOLO PRACTICE AND DONT
DEVICES KNOWN AS ROUTERS TO SEND THE PACKETS %8% )T AFFECTED A WIDE VARIETY OF OPERATING
REQUIRE A NETWORK lRE
TO CORRECT ADDRESSES 4HEREFORE NETWORKS SYSTEMS INCLUDING SEVERAL VERSIONS OF
WALL YOU MOST LIKELY
NEED TO DEFEND THEMSELVES AGAINST ATTACKS 7INDOWS .IMDA WAS RESPONSIBLE FOR TENS
STILL NEED TO INSTALL
FROM UNAUTHORIZED USERS AND FROM INlLTRA
OF MILLIONS OF hDENIAL OF SERVICEv EVENTS
ANTI
VIRUS SOFTWARE
TION OF UNAUTHORIZED INFORMATION PACKETS THROUGHOUT THE )NTERNET IN LARGE PART
THROUGH THE ROUTERS BECAUSE IT WAS ABLE TO ATTACK KEY 7EB
&IREWALLS ARE HARDWARE AND SOFTWARE SERVERS THAT DIRECT TRAFlC ACROSS THE )NTERNET
DEVICES THAT PROTECT AN ORGANIZATIONS NET
)T IS ESTIMATED THAT WORMS LIKE THE .IMDA
WORK FROM INTRUDERS SUCH AS HACKERS OR COST 53 COMPANIES BILLIONS OF DOLLARS EACH °°
DATA THIEVES 4HINK OF lREWALLS AS SENTRIES YEAR IN REPAIRS AND LOST PRODUCTIVITY
!NTI
VIRUS SOFTWARE
AT THE BOUNDARIES OF PRIVATE NETWORKS AND 4HE SOLUTION TO MALWARE IS INSTALLING AND
NEEDS TO BE UPDATED
THE PUBLIC NETWORKS THEY ARE CONNECTED TO UPDATING ANTI
VIRUS SOFTWARE AVAILABLE FROM
FREQUENTLY
4HEY CHECK CREDENTIALS PERMIT PASSAGE OF SPECIALIZED SOFTWARE COMPANIES ON ALL OF
AUTHORIZED PARTIES AND COMMUNICATIONS YOUR COMPUTERS !NTI
VIRUS SOFTWARE WORKS
AND KEEP A RECORD OF WHAT CROSSES THE BY SCANNING DIGITAL DATA SUCH AS INCOMING
BOUNDARY &IREWALLS DENY ACCESS TO UNAU
E
MAILS lLES HARD DISKS AND #$S AND THEN
THORIZED USERS AND APPLICATIONS AND THEY AUTOMATICALLY DELETING OR ISOLATING VIRUSES
CREATE AUDIT TRAILS OR LOGS THAT IDENTIFY WHO !NTI
VIRUS SOFTWARE PROGRAMS ARE GREAT AT
ACCESSED THE NETWORK AND WHEN &IREWALLS DETECTING KNOWN VIRUSES BUT NOT SO GOOD AT
MAY ALSO ISSUE ALARMS WHEN ABNORMAL ACTIV
DETECTING NEW ONES .EW MALWARE APPEARS
ITY OCCURS SUCH AS A REPEATED UNSUCCESSFUL ALL THE TIME SO ANTI
VIRUS SOFTWARE NEEDS TO
ATTEMPT TO ENTER THE NETWORK BE UPDATED FREQUENTLY
6IRUSES ESPECIALLY E
MAIL WORMS ARE THE
"E CERTAIN THAT YOU HAVE ANTI
VIRUS PRICE WE PAY FOR UNIVERSAL CONNECTIVITY AND
SOFTWARE AND KEEP IT UP TO DATE %VEN IF COMMUNICATIONS OVER OPEN NETWORKS ESPE
YOU ARE IN SOLO PRACTICE AND USE ONLY ONE CIALLY OVER THE )NTERNET 4HERE IS NO SINGLE
LAPTOP COMPUTER FOR ALL YOUR DATA CAPTURE SOLUTION TO THE PROBLEM OF COMPUTER VIRUSES
STORAGE AND TRANSMISSION n AND THEREFORE AND THE PROBLEM SEEMS TO BE GETTING WORSE
MAY NOT REQUIRE A NETWORK lREWALL n YOU AS MORE INFORMATION IS DELIVERED OVER THE
PROBABLY CONNECT TO THE )NTERNET FOR E
MAIL )NTERNET ALL THE TIME 6IGILANCE IS ESSENTIAL
!PRIL N WWWAAFPORG FPM N & ! - ) , 9 0 2 ! # 4 ) # % - ! . ! ' % - % . 4 N
30%%$"!2 5NDERSTAND WHAT ENCRYPTION WILL MON -ANY PATIENTS ENJOY DIRECT ONLINE
DO AND WHEN IT IS NECESSARY #ONTRARY TO COMMUNICATIONS WITH THEIR PHYSICIANS VIA E
WHAT MANY PEOPLE ARE SAYING THE ()0!! MAIL 4HE PROBLEM OF COURSE IS THAT E
MAIL
°° SECURITY STANDARDS DO NOT REQUIRE E
MAILS IS THE DIGITAL EQUIVALENT OF A POSTCARD !NY
OR ANY OTHER TRANSMISSION FROM A DOCTORS ONE HANDLING THE MESSAGE CAN EASILY READ ITS
4HE ()0!! STANDARDS
OFlCE TO BE ENCRYPTED 4HE STANDARDS DO CONTENTS )T DOESNT EVEN HAVE AN ENVELOPE
DO NOT REQUIRE E
MAILS
REQUIRE YOUR PRACTICE TO ASSESS WHETHER ITS !ND E
MAILS ARE SUSCEPTIBLE TO FORGERY (OW
TO BE ENCRYPTED
UNENCRYPTED TRANSMISSIONS OF HEALTH INFOR
DO YOU KNOW FOR SURE THAT THE PERSON LISTED
MATION ARE AT RISK OF BEING ACCESSED BY IN THE hFROMv lELD OF AN E
MAIL IS THE PERSON
UNAUTHORIZED ENTITIES )F THEY ARE YOU WHO ACTUALLY MAILED THE MESSAGE
SHOULD CONSIDER SOME FORM OF ENCRYPTION 4HE PROBLEM WITH ENCRYPTING E
MAIL IS
°° 4HE BASIC IDEA BEHIND CRYPTOGRAPHY THAT BOTH PARTIES OF THE E
MAIL EXCHANGE
OF WHICH ELECTRONIC DATA ENCRYPTION IS A NEED TO BE USING COMPATIBLE E
MAIL ENCRYP
(OWEVER THE STAN
BRANCH IS THAT A GROUP NEEDS TO KEEP A TION PRODUCTS 4HIS IS CLUMSY AND SO FAR
DARDS DO REQUIRE YOU
MESSAGE SECRET FROM EVERYONE ELSE AND RARELY USED -ORE COMMONLY ENCRYPTED
TO ASSESS WHETHER YOUR
THEREFORE ENCRYPTS IT %NCRYPTION IS THE E
MAIL MESSAGE EXCHANGES OCCUR WHEN BOTH
PRACTICES UNENCRYPTED
TRANSFORMATION OF A MESSAGE FROM PLAIN PARTIES AGREE TO USE A SECURE SERVER OR POR
TRANSMISSIONS OF
TEXT INTO NONSENSICAL CIPHER TEXT BEFORE TAL SYSTEM THAT REQUIRES BOTH PARTIES TO USE
HEALTH INFORMATION
THE MESSAGE IS SENT !NYONE WHO STEALS PASSWORDS AND )$S TO LOG ON 4HE !!&0 HAS
ARE AT RISK
THE CIPHER TEXT MESSAGE WILL NOT BE ABLE TO A PARTNERSHIP WITH -EDFUSION THAT PERMITS
UNDERSTAND IT /NLY THOSE WHO HAVE THE !!&0 MEMBERS FREE USE OF SUCH A SECURE
CODE USED TO ENCRYPT THE MESSAGE CAN CON
PORTAL SYSTEM FOR MESSAGING WITH PATIENTS
VERT IT BACK FROM CIPHER TO PLAIN TEXT AND &OR MORE INFORMATION SEE HTTPWWWAAFP
°° REVEAL ITS MEANING ORGXXML
&OR SEVERAL REASONS ENCRYPTION IS GENER
%NCRYPTING E
MAIL CAN
BE TRICKY BECAUSE BOTH
ALLY NOT EMPLOYED FOR INFORMATION STORED ON #ONSIDER CHAINS OF TRUST AND YOUR
A COMPUTERS HARD DISK OR TRANSFERRED WITHIN BUSINESS RELATIONSHIPS 9OUR PRACTICE
PARTIES OF THE E
MAIL
AN OFlCES LOCAL AREA NETWORK &IRST THE RISK SHARES SECURITY CONCERNS WITH ANY BUSINESSES
EXCHANGE NEED TO
OF DISCLOSURE TO UNAUTHORIZED PARTIES IS SMALL THAT ARE INVOLVED IN THE ELECTRONIC TRANSMIS
BE USING COMPATIBLE
IN THE CLOSED ENVIRONMENT 3ECOND ENCRYPT
SION OF YOUR PATIENTS INFORMATION )N EFFECT
ENCRYPTION PRODUCTS
ING DATA IS COSTLY 4HIRD ENCRYPTION GENERAL
THE SECURITY CAPABILITY OF INSURANCE COM
LY SLOWS DOWN THE MOVEMENT OF INFORMATION PANIES TRANSCRIPTION AND BILLING SERVICES
WITHIN SOFTWARE APPLICATIONS AND DATABASES HOSPITALS LABS AND )NTERNET SERVICE PROVIDERS
(ERE IS A LIST OF ELECTRONIC DATA TRANSFERS IS YOUR CONCERN
°° AND COMMUNICATIONS COMMONLY USED IN h#HAIN OF TRUSTv IS A CONCEPT USED IN THE
A MEDICAL OFlCE THAT COULD BE CONSIDERED COMPUTER SECURITY lELD TO DESCRIBE THE CON
4HE ()0!! STANDARDS
FOR ENCRYPTION TRACTUAL AGREEMENTS MADE BETWEEN PARTIES TO
REQUIRE YOUR PRACTICE
s 0ATIENT BILLING AND ADMINISTRATIVE ASSURE THAT THE CONlDENTIAL INFORMATION THEY
TO OBTAIN ASSURANCES
INFORMATION EXCHANGED WITH PAYERS AND SHARE REMAINS SECURE THROUGHOUT ITS JOURNEY
FROM BUSINESS ASSOCI
HEALTH PLANS 4HERE IS NO STANDARD SET OF OBLIGATIONS FOR
ATES THAT THEY WILL
s 5TILIZATION AND CASE MANAGEMENT DATA CHAIN
OF
TRUST AGREEMENTS (OWEVER SUCH
SECURE THE ELECTRONIC
INCLUDING AUTHORIZATIONS AND REFERRALS THAT AGREEMENTS OBLIGATE BOTH PARTIES TO ADOPT A
HEALTH INFORMATION
ARE EXCHANGED WITH PAYERS HOSPITALS AND FORM OF STRONG AUTHENTICATION SUCH THAT DATA
THEY CREATE MAINTAIN
UTILIZATION MANAGEMENT ORGANIZATIONS TRANSMISSIONS ARE ATTRIBUTABLE AND NONDENI
OR TRANSMIT ON BEHALF
s 0ATIENT HEALTH INFORMATION GATHERED ABLE /THERWISE ONE PARTY OR THE OTHER
OF YOUR PRACTICE
FROM OR DISPLAYED ON A 7EB SITE OR PORTAL COULD CLAIM NOT TO HAVE RECEIVED AN IMPOR
s ,AB AND OTHER CLINICAL DATA ELECTRONI
TANT PIECE OF INFORMATION SENT ELECTRONICALLY
CALLY SENT TO AND RECEIVED FROM OUTSIDE LABS 4HE ()0!! SECURITY STANDARDS REQUIRE
s 7ORD
PROCESSING lLES USED IN TRANSCRIP
YOUR PRACTICE TO OBTAIN ASSURANCES FROM
TION AND OTHER KINDS OF PATIENT REPORTS THAT BUSINESS ASSOCIATES THAT THEY WILL IMPLEMENT
ARE TRANSFERRED ELECTRONICALLY THE NECESSARY SAFEGUARDS TO PROTECT
s %
MAILS BETWEEN PHYSICIANS AND THE CONlDENTIALITY INTEGRITY AND AVAILABILITY
PATIENTS AND BETWEEN ATTENDING AND REFER
OF THE ELECTRONIC HEALTH INFORMATION THEY
RING PHYSICIANS AND THEIR OFlCES CREATE MAINTAIN OR TRANSMIT ON BEHALF
%NCRYPTION OF E
MAIL MESSAGES MERITS OF THE PRACTICE
SPECIAL ATTENTION BECAUSE E
MAIL IS SO COM
4HE IMPORTANT ISSUE HERE IS TO hKNOW THY
N & ! - ) , 9 0 2 ! # 4 ) # % - ! . ! ' % - % . 4 N WWWAAFPORG FPM N !PRIL
( ) 0! ! 3 % # 5 2 ) 4 9 # / - 0 , ) ! . # %
BUSINESS PARTNERv %VERY ENTITY WITH WHICH WORK MORE CLOSELY WITH THE VENDOR TO ENSURE 30%%$"!2
YOU SHARE INFORMATION ELECTRONICALLY IS AN THAT ALL THE FACETS OF YOUR COMPUTER SYSTEM
EXTENSION OF YOUR PRACTICE WHETHER YOU SATISFY YOUR PRACTICES ()0!! SECURITY PLAN
WANT THEM TO BE OR NOT 3OME %(2 VENDORS WILL EVEN HELP YOU DO A °°
GAP ANALYSIS AS PART OF THEIR PURCHASE
$EMAND THAT YOUR VENDORS FULLY PROGRAM "UT BECAUSE MOST %(2 VENDORS
4HE INTEGRATION
OFFERED BY SOME %(2S
UNDERSTAND THE ()0!! SECURITY STAN DONT INSTALL THE HARDWARE AND NETWORKING
CAN SIMPLIFY YOUR
DARDS !S YOU BECOME BETTER INFORMED COMPONENTS YOUR CHOICE OF A LOCAL CONTRAC
PRACTICES EFFORT TO
ABOUT COMPUTER SECURITY AND THE ()0!! TOR FOR THESE SERVICES SHOULD BE MADE WITH
COMPLY WITH THE ()0!!
SECURITY STANDARDS YOU WILL REALIZE THE ()0!! IN MIND "E CERTAIN THAT YOUR LOCAL
SECURITY STANDARDS
EXTENT TO WHICH COMPLIANCE MAKES YOU CONTRACTOR IS FULLY AWARE OF THE ()0!!
DEPENDENT ON HARDWARE SOFTWARE NETWORK SECURITY STANDARDS AND IS WILLING TO ASSIST
AND OTHER INFORMATION TECHNOLOGY )4 YOU BEFORE YOU PROCEED
VENDORS 4HEIR PRODUCTS AND SERVICES
WHETHER OUT OF THE BOX COMPUTER HARDWARE 3TART WITH A PLAN n AND THE END n °°
OR HANDS ON IN THE OFlCE )4 SERVICES WILL IN MIND -Y HOPE IS THAT AFTER READING TO
3OME %(2 VENDORS
ENABLE YOU TO MEET MANY OF THE SECURITY THIS POINT YOU HAVE A MUCH BETTER IDEA OF
WILL HELP YOU DO A GAP
STANDARDS n OR NOT THE BREADTH AND SCOPE OF THE ()0!! SECU
ANALYSIS
! GOOD EXAMPLE IS THE REQUIREMENT FOR RITY STANDARDS AND THAT YOU ARE BETTER PRE
AUDIT CONTROLS !UDIT CONTROLS THAT PERMIT PARED TO TACKLE THE TASK OF ASSESSING YOUR
YOU TO RECORD AND EXAMINE ACTIVITY IN INFOR PRACTICES CURRENT STATE OF COMPUTER SECURITY
MATION SYSTEMS CAN REQUIRE A COMBINATION 4HERE ARE SOME EXCELLENT TOOLS THAT CAN ASSIST
OF HARDWARE SOFTWARE NETWORK AND PROCE YOU IN PERFORMING A GAP ANALYSIS FOR THIS °°
DURAL MECHANISMS TO ACT IN CONCERT )F THESE PURPOSE WITHOUT HAVING TO HIRE A CONSULTANT
)F YOU ARE THINKING
COMPONENTS HAVE BEEN PURCHASED FROM SEPA /NE PLACE TO START IS THE .EEDS !SSESSMENT
ABOUT CONVERTING TO
RATE VENDORS IT MIGHT BE NECESSARY TO COOR PAGE ON THE #(I4 7EB SITE AVAILABLE AT
AN %(2 BE SURE THAT
DINATE THEIR SETUP AND CONlGURATION TO MEET HTTPWWWCENTERFORHITORGXXML
YOUR HARDWARE AND
THE AUDIT CONTROL REQUIREMENT OF THE ()0!! 2EMEMBER THAT THERE IS NO COOKBOOK
NETWORKING CONTRACTOR
SECURITY STANDARDS 7HO WILL PERFORM THIS OR ONE SIZE lTS ALL APPROACH FOR COMPUTER
IS AWARE OF THE ()0!!
COORDINATION IN YOUR OFlCE SECURITY 7HAT COUNTS IS BEING hREASONABLE
STANDARDS BEFORE
PROCEEDING
)T MIGHT BE A FORTUNATE COINCIDENCE THAT THE
()0!! SECURITY STANDARDS HAVE BEEN MANDATED JUST
°°
AS MANY FAMILY PHYSICIANS ARE ACQUIRING %(2S
4HERE IS NO ONE
SIZE
lTS
ALL PLAN FOR COM
PUTER SECURITY
)T MIGHT BE A FORTUNATE COINCIDENCE THAT AND APPROPRIATEv WHEN MATCHING SECURITY
THE ()0!! SECURITY STANDARDS HAVE BEEN MEASURES WITH THE LEVEL OF RISK THAT PERTAINS
MANDATED JUST AS MANY FAMILY PHYSICIANS TO YOUR SITUATION 4HESE STEPS SHOULD
ARE ACQUIRING %(2S FOR THEIR PRACTICES HELP YOU RECOGNIZE A NUMBER OF PLACES
-ANY ARE CHOOSING INTEGRATED %(2 SYSTEMS WHERE YOUR ORGANIZATIONS COMPUTER SECURITY
n THAT IS PRODUCTS THAT INCLUDE BILLING COULD BE IMPROVED AND WHERE SOME DElCIEN
SCHEDULING AND CLINICAL INFORMATION SOFT
CIES MIGHT BE EASILY ADDRESSED
WARE FROM THE SAME VENDOR 4HIS INTEGRATION
CAN GREATLY SIMPLIFY MEETING THE ()0!! 3END COMMENTS TO FPMEDIT AAFPORG
SECURITY CHALLENGE n IF YOU SELECT THE RIGHT
%(2 VENDOR 4O SEE %(2 REVIEWS BY YOUR
COLLEAGUES CHECK OUT THE !!&0S #ENTER
FOR (EALTH )NFORMATION 4ECHNOLOGY #(I4 !VAILABLE AT HTTPWWWCMSHHSGOVHIPAA
7EB SITE AT HTTPWWWCENTERFORHITORG HIPAAREGULATIONSSECURITYDEFAULTASP !CCESSED
XXML -ARCH
! SINGLE
VENDOR SOLUTION FOR SMALL AND /(ARROW 2 *R 0ROZAC MAKER REVEALS PATIENT
MEDIUM MEDICAL PRACTICES ALLOWS YOU TO E
MAIL ADDRESSES 7ASHINGTON 0OST *ULY %
!PRIL N WWWAAFPORG FPM N & ! - ) , 9 0 2 ! # 4 ) # % - ! . ! ' % - % . 4 N
Você também pode gostar
- The Yellow House: A Memoir (2019 National Book Award Winner)No EverandThe Yellow House: A Memoir (2019 National Book Award Winner)Nota: 4 de 5 estrelas4/5 (98)
- The Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good LifeNo EverandThe Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good LifeNota: 4 de 5 estrelas4/5 (5794)
- The Little Book of Hygge: Danish Secrets to Happy LivingNo EverandThe Little Book of Hygge: Danish Secrets to Happy LivingNota: 3.5 de 5 estrelas3.5/5 (400)
- Elon Musk: Tesla, SpaceX, and the Quest for a Fantastic FutureNo EverandElon Musk: Tesla, SpaceX, and the Quest for a Fantastic FutureNota: 4.5 de 5 estrelas4.5/5 (474)
- A Heartbreaking Work Of Staggering Genius: A Memoir Based on a True StoryNo EverandA Heartbreaking Work Of Staggering Genius: A Memoir Based on a True StoryNota: 3.5 de 5 estrelas3.5/5 (231)
- Hidden Figures: The American Dream and the Untold Story of the Black Women Mathematicians Who Helped Win the Space RaceNo EverandHidden Figures: The American Dream and the Untold Story of the Black Women Mathematicians Who Helped Win the Space RaceNota: 4 de 5 estrelas4/5 (895)
- Team of Rivals: The Political Genius of Abraham LincolnNo EverandTeam of Rivals: The Political Genius of Abraham LincolnNota: 4.5 de 5 estrelas4.5/5 (234)
- Never Split the Difference: Negotiating As If Your Life Depended On ItNo EverandNever Split the Difference: Negotiating As If Your Life Depended On ItNota: 4.5 de 5 estrelas4.5/5 (838)
- The Emperor of All Maladies: A Biography of CancerNo EverandThe Emperor of All Maladies: A Biography of CancerNota: 4.5 de 5 estrelas4.5/5 (271)
- Devil in the Grove: Thurgood Marshall, the Groveland Boys, and the Dawn of a New AmericaNo EverandDevil in the Grove: Thurgood Marshall, the Groveland Boys, and the Dawn of a New AmericaNota: 4.5 de 5 estrelas4.5/5 (266)
- The Unwinding: An Inner History of the New AmericaNo EverandThe Unwinding: An Inner History of the New AmericaNota: 4 de 5 estrelas4/5 (45)
- The Hard Thing About Hard Things: Building a Business When There Are No Easy AnswersNo EverandThe Hard Thing About Hard Things: Building a Business When There Are No Easy AnswersNota: 4.5 de 5 estrelas4.5/5 (345)
- The World Is Flat 3.0: A Brief History of the Twenty-first CenturyNo EverandThe World Is Flat 3.0: A Brief History of the Twenty-first CenturyNota: 3.5 de 5 estrelas3.5/5 (2259)
- The Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You AreNo EverandThe Gifts of Imperfection: Let Go of Who You Think You're Supposed to Be and Embrace Who You AreNota: 4 de 5 estrelas4/5 (1090)
- The Sympathizer: A Novel (Pulitzer Prize for Fiction)No EverandThe Sympathizer: A Novel (Pulitzer Prize for Fiction)Nota: 4.5 de 5 estrelas4.5/5 (121)
- 441 1105 1 PBDocumento6 páginas441 1105 1 PBblackraidenAinda não há avaliações
- BIM Applications of Rule-Based Checking in ConstruDocumento9 páginasBIM Applications of Rule-Based Checking in ConstrumounirAinda não há avaliações
- Principles of Clinical Chemistry AutomationDocumento25 páginasPrinciples of Clinical Chemistry AutomationChristine Rodriguez-Guerrero50% (2)
- Innovation and TechnologyDocumento8 páginasInnovation and TechnologyMuthomi DenisAinda não há avaliações
- Guide: Overclocking FX-8350 To 4.8GHz On Crosshair V Formula-ZDocumento7 páginasGuide: Overclocking FX-8350 To 4.8GHz On Crosshair V Formula-ZBobapatatasAinda não há avaliações
- Flygt 2620 EnglishDocumento2 páginasFlygt 2620 Englishedwin martinezAinda não há avaliações
- CRM in Russia and U.S. - Case Study From American Financial Service IndustryDocumento40 páginasCRM in Russia and U.S. - Case Study From American Financial Service IndustryebabjiAinda não há avaliações
- Amber Heard - Twitter BotScores Machine Learning Analysis ReportDocumento7 páginasAmber Heard - Twitter BotScores Machine Learning Analysis ReportC TaftAinda não há avaliações
- AN296220 Bootstrap SupplyDocumento4 páginasAN296220 Bootstrap Supplya9841140155Ainda não há avaliações
- TI RTOS Workshop Installation Guide Rev4.00Documento12 páginasTI RTOS Workshop Installation Guide Rev4.00asdfAinda não há avaliações
- Tnms SNMP Nbi - Operation GuideDocumento90 páginasTnms SNMP Nbi - Operation GuideAdrian FlorensaAinda não há avaliações
- MAC Service ManualDocumento51 páginasMAC Service ManualMirwansyah Tanjung100% (2)
- IBM PowerVM Disk-Tape VirtualizationDocumento23 páginasIBM PowerVM Disk-Tape VirtualizationliuylAinda não há avaliações
- Trade Agreements in Microsoft Dynamics AX 2012Documento24 páginasTrade Agreements in Microsoft Dynamics AX 2012Muawad OrabiAinda não há avaliações
- STC Report2Documento26 páginasSTC Report2atharv joshiAinda não há avaliações
- (Eth Deep Dive) Ethereum & Smart Contracts - Enabling A Decentralized Future-Blockchain-BerkeleyDocumento66 páginas(Eth Deep Dive) Ethereum & Smart Contracts - Enabling A Decentralized Future-Blockchain-Berkeleykevin3210Ainda não há avaliações
- 16 - CommunicationDocumento89 páginas16 - CommunicationKamran KhursheedAinda não há avaliações
- Peterbilt Conventional Trucks Operators Manual After 1 07 SupplementalDocumento20 páginasPeterbilt Conventional Trucks Operators Manual After 1 07 Supplementalmichael100% (44)
- Unit 4 5 MCQ PPT CombinedDocumento252 páginasUnit 4 5 MCQ PPT CombinedSyed ZubairAinda não há avaliações
- 45CMV Series Manual en v1.1Documento77 páginas45CMV Series Manual en v1.1Kamran CarayevAinda não há avaliações
- Network Lab MCQDocumento7 páginasNetwork Lab MCQ5006 AbineshAinda não há avaliações
- ReadmeDocumento26 páginasReadmepaquito sempaiAinda não há avaliações
- Custom YTD, PTD in Essbase FormulaDocumento11 páginasCustom YTD, PTD in Essbase Formulaegie72Ainda não há avaliações
- Manual MCD SIMIT Model For CylinderPositioning V1 0 0Documento20 páginasManual MCD SIMIT Model For CylinderPositioning V1 0 0PiraiyoneAinda não há avaliações
- Sm-A405fn SVC Manual PDFDocumento116 páginasSm-A405fn SVC Manual PDFBojanAinda não há avaliações
- Security Specialization Sample Exam - ENDocumento8 páginasSecurity Specialization Sample Exam - ENbloodscreamAinda não há avaliações
- 6AG12266DA325XB0 Datasheet enDocumento2 páginas6AG12266DA325XB0 Datasheet ensandeshAinda não há avaliações
- LTX 2022 News enDocumento31 páginasLTX 2022 News enMariusAinda não há avaliações
- Test Chapter 13Documento14 páginasTest Chapter 13Rildo Reis TanAinda não há avaliações
- Introduction To ProgrammingDocumento20 páginasIntroduction To ProgrammingJohnBenedictRazAinda não há avaliações
