Security Management Process¶
Last 1 Enterprises LLC / LastVet Safeguard category: Administrative HIPAA Security Rule citation: 45 CFR §164.308(a)(1) Status: Scaffold (Bucket 1c). Not approved for enforcement until Ryan review.
Document metadata¶
| Field | Value |
|---|---|
| Policy owner | TODO (Ryan) |
| Version | 0.1-scaffold |
| Effective date | TODO (Ryan) |
| Review cadence | Annual (TODO: Ryan confirm) |
| Approver | TODO (Ryan) |
| Last reviewed | 2026-08-26 (scaffold only) |
1. Purpose¶
Establish ongoing security management processes including risk analysis, risk management, sanction policy, and information system activity review.
2. Scope¶
All LastVet ePHI systems, workforce, and contractors with access to Last 1 Enterprises HIPAA-covered activities.
3. Policy statements¶
- LastVet shall maintain a risk analysis document updated when material changes occur to assets or data flows (
HIPAA_RISK_ANALYSIS.md). - LastVet shall implement risk management measures to reduce identified risks to reasonable and appropriate levels.
- LastVet shall apply sanctions against workforce members who fail to comply with security policies. TODO (Ryan): define sanction tiers and HR process.
- LastVet shall review information system activity (logs, audit records, access reports) on a defined cadence. TODO (Ryan): review frequency and responsible role.
4. Roles and responsibilities¶
| Role | Responsibility |
|---|---|
| Security Officer (Ryan) | TODO (Ryan): assign formal Security Rule responsible person per §164.308(a)(2) |
| Workforce members | TODO (Ryan): acknowledge policy when hired / annually |
| Contractors / BAs | TODO (Ryan): flow-down via BAA and agreements |
5. LastVet-specific context (from existing docs)¶
Risk analysis scaffold exists (Bucket 1b). POSTURE.md documents threat model, RLS gaps, and log aggregation (Loki audit tier). Pentest completed; retest planned after RLS batch 2.
6. Related documents¶
../HIPAA_ARCHITECTURE.md— asset inventory and data flows (Bucket 1a)../HIPAA_RISK_ANALYSIS.md— risk register (Bucket 1b)../../security/POSTURE.md— canonical security posture../../../last.vet-api/docs/security/SECURITY_POSTURE_DATABASE_ACCESS.md
7. Ryan TODO (substantive content deferred)¶
- Define sanction policy workflow and documentation storage.
- Define information system activity review checklist (Loki, Postgres, consent_audit_log, UptimeRobot).
- Link risk register treatment decisions to Muster tracker items.