Title: Information Security Policy
Subject: Information Security
Policy No: ISO:2013:02
Issuing Authority: Senior Vice President for Information Resources and Technology and Chief Information Officer
Responsible Officer: Director of Information Security
Date Adopted: 09/01/2013
Last Revision: 0802/2106/20192020
Last Review: 08/21/2019
Information security is the protection of information from threats to ensure business continuity, minimize risks, and maximize university opportunities.
The Information Security Office (ISO) will manage the information security program at Rowan University and is responsible for developing strategies for managing the processes, tools, and policies necessary to prevent, detect, document and counter threats to information.
The information security program will be advised by the Information Technology Security Board (ITSB) which serves as the advisory board for information security governance at the university. The ITSB represents and advocates for the interest of the Rowan Community during decisions that impact information security at the University.
Information security requires a combination of policies and standards to manage information resources throughout its lifecycle.
Policy Development: Policies and standards are crucial to establishing, maintaining and monitoring proper information security practice and define responsibilities, shape processes and allow for oversight of critical information-related operations. At a minimum, the Information Security policies developed and enforced should include:
Business Continuity Management
Electronic Media Disposal
Incident Management Policy
Mobile Computing and Removable Media
Physical Security for IT Network Resources
Privileged Account Management
Security Awareness and Training
Security Incident Management
Transmission of Sensitive Information
Workstation Use and Security
Policy Approval - The Information Security Office will follow the documented process for creating, reviewing and updating policies with final approval from the ITSB
Policy Exceptions - While exceptions to an information security policy or standard may weaken the protection of University information resources, they are occasionally necessary and standard procedures and documents should be in place to manage the exception as well as review the need for the exception periodically.
Policy Sanctions - The ISO is responsible for coordinating and enforcing sanctions against Rowan Community members who fail to comply with the University’s information security policies.
The Information Security Office (ISO) will develop and maintain an information security risk management program to frame, assess, analyze, respond, and monitor risk. Guidance for this program will be based on the NIST 800-37 framework and security regulations such as HIPAA, PCI-DSS, FERPA, GLBA etc. Specific requirements under this program will include:
Risk Analysis - In accordance with the Security Risk Analysis requirement under the Security Management Process of the HIPAA Security Rule (§164.308(a)(1)(ii)(A), Rowan University must conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of Electronic Protected Health Information (EPHI) held by the University via its role as a covered entity for Rowan Medicine. Based on guidance from Health and Human Service’s (HHS) Office of Civil Rights (OCR), the risk analysis must at a minimum include the following nine elements:
Scope of the Analysis
Identification and Documentation of Potential Threats and Vulnerabilities
Assessment of Current Security Measures
Determination of the Likelihood of Threat Occurrence
Determination of the Potential Impact of Threat Occurrence
Determination of the Level of Risk
Periodic Review and Updates to the Risk Assessment
Risk Management Program - In accordance with the Risk Management requirement under the Security Management Process of the HIPAA Security Rule (§164.308(a)(1)(ii)(B), Rowan University must implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level. Accordingly, Rowan University should:
Ensure a thorough review of the risk analysis results are performed, and associated risk management plans are documented in the university risk register.
Appropriate risk owners and key stakeholders are involved in this process in order to ensure adequate prioritization of risk and implementation of security measures to reduce those risks identified are addressed within an established timeline.
Roles and Responsibilities - In addition to knowing the classification of each piece of University information to which they have access as either “Sensitive Information” or “Public Information,” users must be aware of whether, with respect to that information, they serve as an Owner/Steward, a Custodian, a Consumer/User or a User Manager as described within this Policy.
Data Steward or Owner - is accountable for data assets from a business perspective and is the university employee responsible for the approval of the creation of a collection of information or data or the primary user of that information or data. For example, the Registrar is the Steward for much of the University’s student information. The Vice President for Human Resources is the Steward for much of the University’s employee information.
Data Custodian - is accountable for data assets from a technical perspective and is the university employee responsible for the processing and storage of information or data on behalf of the Steward or Owner of that information or data.
Consumer or User - A Consumer/User is any person authorized to read, enter, copy, query, download, or update information.
User Managers - A User Manager is any University administrator, faculty member, or staff member who supervises or sponsors consumer/users or who handles University business unit administrative responsibilities. User Managers are responsible for overseeing their Consumer/Users’ access to Sensitive Information, including:
Reviewing and approving all requests for access authorizations and ensuring it accurately reflect each Consumer/User’s role and required access.
Ensuring that the approved procedures are followed for employee suspensions, terminations, and transfers, and that appropriate measures are taken to revoke access privileges.
Revoking access privileges from students, vendors, consultants, and others when access is no longer necessary or appropriate.
Providing the opportunity for training needed to properly use computer systems.
Reporting promptly to the Director of Information Security any potential or actual unauthorized access of University Sensitive Information in accordance with the University’s Protocol for Responding to Security Breaches of Certain Identifying Information.
Initiating appropriate actions when Information Security Incidents are identified in accordance with the Incident Management Policy.
Ensuring that any Information Security requirements are followed for any acquisitions, transfers, and surplus of equipment that processes or stores electronic information, including but not limited to computers, servers, smartphones, mobile devices, fax machines, and copiers.
Information Security Office - The Director of Information Security overseeing the staff of the Information Security Office is responsible for:
Developing an Information Security Strategy approved by the Chief Information Officer and the Information Technology Security Board (ITSB).
Developing and maintaining the University Information Security Program to provide University services for:
Security Governance and Oversight
Information Security Policies, Procedures, and Standards
Network Security Protection and Monitoring
Endpoint Security Protection and Monitoring
Information Security Incident Management
Annual Security Risk Assessments
Information Security Consulting
Information Security Awareness
Information Security Design and Architecture
Technology Risk Management
Third Party Security Reviews
Serving as the University Security Officer for HIPAA, FERBA, GLBA, and PCI.
Serving as the University Security Liaison to all Local, State, and Federal Government Agencies and Law Enforcement.