Guide for Mapping Types of Information and Information Systems to Security Categories, Volume 2: Appendices
APPENDIX D: IMPACT DETERMINATION FOR MISSION-BASED > D.14 Health > D.14.4

D.14.4 Health Care Delivery Services Information Type Health Care Delivery Services provides and supports the delivery of health care to its beneficiaries. This includes assessing health status; planning health services; ensuring quality of services and continuity of care; and managing clinical information and documentation. The recommended provisional security categorization for health care delivery services information is as follows: Security Category = {(confidentiality, Low), (integrity, High), (availability, Low)} The confidentiality impact level is the effect of unauthorized disclosure of health care delivery services on the ability of responsible agencies to provide and support the delivery of health care to its beneficiaries will have only a limited adverse effect on agency operations, assets, or individuals. Special Factors Affecting Confidentiality Impact Determination: Some information associated with health care involves confidential patient information subject to the Privacy Act and to HIPAA. The Privacy Act Information provisional impact levels are documented in the Personal Identity and Authentication information type. Other information (e.g., information proprietary to hospitals, pharmaceutical companies, insurers, and care givers) must be protected under rules governing proprietary information and procurement management. In some cases, unauthorized disclosure of this information such as privacy-protected medical records can have serious consequences for agency operations. In such cases, the confidentiality impact level may be moderate. Recommended Confidentiality Impact Level: The provisional confidentiality impact level recommended for disclosure of health care delivery services information is low. not on the time required to detect the modification or destruction of information. Many activities associated with health care delivery services are not time critical and the adverse effects of unauthorized modification or destruction of health care information on agency mission functions and/or public confidence in the agency will be limited. However, the consequences of unauthorized modification or destruction of health care information may result in incorrect, inappropriate, or excessively delayed treatment of patients. In these cases, serious adverse effects can include legal actions and danger to human life. Unauthorized modification or destruction of information affecting external communications that contain health care information (e.g., web pages, electronic mail) may adversely affect operations and public confidence in the agency and the agency mission. Recommended Integrity Impact Level: Because of the potential for the loss of human life, the provisional integrity impact level recommended for health care delivery services information is high. mission, not on the time required to re-establish Health Care Administration information. Except for cases of emergency actions necessary to correct urgent threats to patient health, health care processes are usually tolerant of reasonable delays. Special Factors Affecting Availability Impact Determination: Some health care delivery services information is time-critical and is dependent on the severity of the health threat(s) and the rapidity with which the threat is spreading/ growing. Delays in the communication of specific situations may be life threatening. This can result in assignment of a moderate or high impact level to such information. Recommended Availability Impact Level: The provisional availability impact level recommended for health care delivery services information is low.