Google Workspace Enterprise Plus: Healthcare Implementation Guide
By Gil Vidals, , HIPAA Blog, Resources

Google Workspace Enterprise Plus offers a comprehensive suite of tools tailored for enterprise environments, including advanced features that are critical for healthcare organizations to achieve and maintain HIPAA compliance. Implementing these tools effectively requires a strategic approach, especially when safeguarding Protected Health Information (PHI). This guide will explore key features and configurations for healthcare organizations using Google Workspace Enterprise Plus.

Data Loss Prevention (DLP) for PHI

Overview of DLP in Healthcare
Data Loss Prevention (DLP) is a critical feature that helps healthcare organizations prevent unauthorized access to or sharing of PHI. With DLP rules, administrators can create specific policies to detect, monitor, and block sensitive information.

Steps to Configure DLP

  1. Identify PHI Data Patterns
    Use pre-configured data identifiers for HIPAA-related data (e.g., Social Security Numbers, medical record numbers) available in Google Workspace. Customize these patterns to match your specific data protection needs.
  2. Define Policies and Actions
  • Create policies to scan email communications, Drive documents, and shared links.
  • Set actions to quarantine, block, or notify users attempting to share PHI externally.

3. Audit and Test Policies
Utilize the Google Workspace admin console to simulate DLP policies before enforcement. Review logs for any false positives or missed incidents to fine-tune your rules.

Advanced Security Controls

The Importance of Advanced Security in Healthcare
Healthcare organizations face constant cyber threats. Google Workspace Enterprise Plus includes enhanced security controls like Security Center, which provides a unified dashboard for threat insights.

Key Security Configurations

  • Enhanced Malware Protection: Enable sandboxing for attachments in Gmail to detect and neutralize malicious files.
  • Email Spoofing Protection: Set up DMARC, DKIM, and SPF records to secure email communication.
  • Account Protection: Activate suspicious login alerts and enforce two-step verification for all users.

Security Center Utilization
Use the Security Center to monitor real-time threats, manage alerts, and prioritize actions. Security Health Analytics helps to identify potential misconfigurations in your environment, ensuring adherence to compliance standards.

Vault Retention Policies

Retention Policies for Compliance
Google Vault enables organizations to retain, hold, and search data to meet compliance requirements. For healthcare entities, retention of emails and files containing PHI is often mandated by law.

Steps to Implement Vault Retention

  1. Define Retention Rules
  • Set default retention policies for Gmail and Drive.
  • Customize rules to retain PHI-related data for at least six years, aligning with HIPAA requirements.

2. Data Holds for Legal and Compliance Needs
Place a hold on data relevant to compliance investigations or litigation. Holds override default retention rules, ensuring no critical data is deleted prematurely.

3. Audit Trail
Regularly review Vault logs to maintain an audit trail, documenting actions for compliance reviews.

Context-Aware Access

Why Context-Aware Access Matters
Context-aware access allows organizations to enforce access controls based on user identity and context, such as location or device. This is crucial for preventing unauthorized access to PHI.

How to Configure Context-Aware Access

  1. Set Context Rules
    Use the Google Admin console to define rules based on user location, IP address, device security status, or operating system.
  2. Implement Zero Trust Principles
    Require verification for users accessing PHI from untrusted locations. Enforce strict device policies, such as mandating endpoint encryption.
  3. Monitor and Adjust
    Review access logs to identify patterns and refine access controls to mitigate risks.

Security Key Enforcement

Role of Security Keys in Healthcare
Security keys, like YubiKey, provide an additional layer of protection against phishing and unauthorized access by requiring hardware-based authentication.

Steps to Enforce Security Key Usage

  1. Mandate Two-Factor Authentication (2FA)
    Configure security keys as the only acceptable second factor for users handling PHI.
  2. Enroll and Distribute Keys
    Use the Google Admin console to manage security key distribution and enforce enrollment for new users.
  3. Regularly Audit 2FA Compliance
    Generate compliance reports to identify users not adhering to security key policies and take corrective actions.

Third-Party App Management

Mitigating Risks from Third-Party Apps
Unauthorized third-party apps can introduce vulnerabilities, compromising PHI security. Google Workspace Enterprise Plus includes tools to manage and restrict app access.

Configuration Steps

  1. Review App Access
    Utilize the OAuth app whitelisting feature to review and whitelist only trusted applications.
  2. Set Access Permissions
    Define granular permissions for each app based on its intended use and data access requirements.
  3. Monitor App Usage
    Use API Activity Reports in the Admin console to track third-party app interactions with your organization’s data.

Compliance Reporting

Maintaining Transparency and Accountability
Regular compliance reporting is a cornerstone of HIPAA adherence. Google Workspace provides built-in reporting tools to track security and compliance metrics.

How to Generate Reports

  1. Access Audit Logs
    Review logs for Drive, Gmail, and Admin console activities. Focus on actions involving PHI.
  2. Generate and Share Reports
    Export audit logs to demonstrate compliance during external audits or internal reviews.
  3. Automate Alerts
    Configure alerts for specific activities, such as data breaches or policy violations, ensuring swift responses.

Conclusion

Google Workspace Enterprise Plus is a powerful tool for healthcare organizations aiming to secure PHI while maintaining compliance with HIPAA. By leveraging advanced features like DLP, context-aware access, and Vault retention policies, administrators can build a robust and compliant IT environment. Regular audits, policy updates, and employee training further solidify the organization’s commitment to protecting sensitive health data.

HIPAA Vault’s expertise in cloud compliance and security can support your healthcare organization in implementing Google Workspace solutions effectively. Contact us to learn how we can assist in creating a secure, scalable, and HIPAA-compliant environment tailored to your needs.