Below are the administrative and physical safeguards as outlined in the Federal Register. These requirements are items that must generally be addressed internally, even if you are outsourcing your email.
| Standard: ADMINISTRATIVE SAFEGUARDS | Sections | Implementation Specification | Required or Addressable |
| Security Management Process | 164.308(a)(1) | Risk Analysis | R |
| Risk Management | R | ||
| Sanction Policy | R | ||
| Information System Activity Review | R | ||
| Assigned Security Responsibility | 164.308(a)(2) | R | |
| Workforce Security | 164.308(a)(3) | Authorization and/or Supervision | A |
| Workforce Clearance Procedures | R | ||
| Termination Procedures | A | ||
| Information Access Management | 164.308(a)(4) | Isolating Health Care Clearinghouse Function | R |
| Access Authorization | A | ||
| Access Establishment and Modification | A | ||
| Security Awareness and Training | 164.310(a)(5) | Security Reminders | A |
| Protection from Malicious Software | A | ||
| Log-in Monitoring | A | ||
| Password Management | A | ||
| Security Incident Procedures | 164.308(a)(6) | Response and Reporting | R |
| Contingency Plan | 164.308(a)(7) | Data Backup Plan | R |
| Disaster Recovery Plan | R | ||
| Emergency Mode Operation Plan | R | ||
| Testing and Revision Procedure | A | ||
| Applications and Data Criticality Analysis | A | ||
| Evaluation | 164.308(a)(8) | R | |
| Business Associates Contracts and Other Arrangement. | 164.308(b)(1) | Written Contract or Other Arrangement | R |
| Standard: PHYSICAL SAFEGUARDS | Sections | Implementation Specification | Required or Addressable |
| Facility Access Controls | 164.310(a)(1) | Contingency Operations | A |
| Facility Security Plan | A | ||
| Access Control and Validation Procedures | A | ||
| Maintenance Records | A | ||
| Audit Controls | 164.312(b) | R | |
| Integrity | 164.312(c)(1) | Mechanism to Authenticate EPHI | A |
| Workstation Use | 164.310(b) | R | |
| Workstation Security | 164.310(c) | R | |
| Device and Media Controls | 164.310(d) | Disposal | R |
| Media Re-use | R | ||
| Accountability | A | ||
| Data Backup and Storage | A |
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