🏥HIPAA 164.308(a)(6)Rule: HIPAA-308-006critical

Security Incident Procedures

Description

Identify and respond to suspected or known security incidents; mitigate harmful effects; document incidents and outcomes.

⚠️ Risk Impact

Healthcare incidents have unique characteristics: ePHI breach notification timelines (60 days to patients, 60 days to HHS for breaches affecting 500+), media notification for large breaches. Generic IR plans miss these requirements.

🔍 How EchelonGraph Detects This

HIPAA-308-006Automated scanner rule

EchelonGraph's Tier 1 Cloud Scanner automatically checks for this condition across all connected cloud accounts. Violations are flagged as critical-severity findings with remediation guidance.

🔧 Remediation

Document HIPAA-specific IR playbook. Quarterly tabletops. 60-day notification timeline tracking. Breach risk assessment template (4-factor test). HHS Breach Notification Tool integration.

💀 Real-World Attack Scenario

A healthcare provider detected a breach on Day 1; conducted internal investigation for 75 days before notifying patients. HHS treated this as a separate violation (untimely notification) on top of the breach itself. Total penalty: $1.85M (breach) + $400K (notification delay).

💰 Cost of Non-Compliance

Untimely notification: separate HIPAA violation, $100K-$1.5M penalty. Healthcare ransomware: avg $10.93M total cost.

📋 Audit Questions

  • 1.HIPAA-specific IR playbook?
  • 2.60-day notification timeline tracking?
  • 3.Breach risk assessment (4-factor) template?
  • 4.Last incident timeline from detection to notification?

🎯 MITRE ATT&CK Mapping

T1486 — Data Encrypted for Impact

⚡ Common Pitfalls

  • Generic IR plan that doesn't address HIPAA notification timelines
  • Internal investigation that exceeds 60 days without filing
  • Missing 4-factor breach risk assessment (acquisition/use, identification, etc.)

📈 Business Value

HIPAA-specific IR prevents the double-penalty of breach + notification failure.

⏱️ Effort Estimate

Manual

60-120 hours playbook authoring + quarterly tabletops

With EchelonGraph

EchelonGraph maintains live HIPAA-aware IR runbooks

🔗 Cross-Framework References

SOC2-CC7.4NIST-IR-4

Automate HIPAA 164.308(a)(6) compliance

EchelonGraph continuously monitors this control across all your cloud accounts.

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