1. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 REGISTRAR/COORDINATOR SECURITY GUIDE NAPHSIS Security Committee Chair: Sue Bordeaux (OK) Members: Donna Calabrese (KS) Peter Carucci (NY) Chuck Hardester (member) Mark Kassouf (OH) Lonzo Kerr (TX) Doug Leach (AZ) Janet Rainey (VA) Gary Thompson (WV) NAPHSIS Staff Support: Garland Land, Jan Markowitz

2. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Specials Thanks Chuck Hardester, NAPHSIS member and former State Registrar, Pennsylvania

3. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Why do we need them? Prevention of Identity Theft & Fraud Economic National Security Confidential / Medical Information

4. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Why, cont’d. Integrity of the Systems of Vital Statistics in the United States Protection of the prima facie value of vital records Protection of the assets that support the system

5. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Guidelines Heightened sense of security Each state doing “their own thing”

6. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 What is Security? Much more than a fuzzy blanket. Like life, not that deep but plenty wide. Not all state systems work the same. Local offices vs central registration Records held locally vs centrally We may not have complete control

7. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Common Ground Physical safety Hardcopy, electronic data, our staffs, our customers, our equipment, our security paper Confidentiality Record integrity Standardized filing, creation of delayeds, home births, corrections and amendments, access issues

8. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Guidelines -Foundation Model Act and Regulations NAPHSIS Motion 2006-01 To promote an awareness and commitment to national security through the intelligence reform & terrorism act regulations and create a deterrent to identity theft and fraud

9. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Current Draft Began as a checklist In question format – a “tickler list”

10. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Broad Main Topics Security Coordinator Guidelines Physical Plant Security Security Paper, Records/Data, & Money Vendors Personnel Delayed Birth Registration Out of Institution Births Training

11. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 R – E – L – A - X Take a deep cleansing breath

12. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Physical Plant Security Access Control Devices Who has keys? Where are they? Badges, passcards, other access devices General Access Questions Who has access? Staff Safety Are your counter staff safe?

13. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 Cont’d. Surveillance Who does your security? Procedures in place to report intruders? Fire, Smoke, Water, Alarms and Notification Systems Are the systems in place? Do they have regular maintenance? Are there emergency drills? Disaster Preparedness Do you have a comprehensive disaster plan? Are records backed up off-site?

14. The NAPHSIS/NCHS Collaboration Past Successes and Future Challenges Salt Lake City, UT June 3 rd – 7 th, 2007 The End of the Beginning Help the Security Committee move forward. From a tickler to minimum standards and best practices. SueB@health.ok.gov