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CRISC Practice Question: A healthcare organization operates a legacy…
A healthcare organization operates a legacy electronic health record (EHR) system that is manually monitored for access anomalies by a small IT team. The organization is planning to migrate to a new cloud-based EHR with integrated logging and monitoring. However, due to budget constraints, the migration will take two years. In the interim, the risk manager wants to improve monitoring for unauthorized access to patient data. The current manual process involves weekly log reviews, but recent audits have identified instances of delayed detection (up to two weeks) and missed incidents. The IT team can dedicate only 10 additional hours per week for monitoring. What is the best approach to enhance monitoring during the transition period?
Answer choices
Why each option matters
Answer the question above first, then reveal the full breakdown to understand why each option is right or wrong.
Correct answer & explanation
✓
Use a phased risk-based approach, prioritizing monitoring of high-risk areas such as privileged accounts and sensitive patient data.
A phased approach focusing on high-risk areas (e.g., privileged accounts, sensitive data) optimizes limited resources. Full automation (Option B) is too costly; outsourcing (Option A) may have data privacy issues; accepting the state (Option D) is irresponsible given audit findings.
Answer analysis
Option-by-option breakdown
For each option: why learners choose it and why it is or isn't the right answer here.
- ✗
Outsource the monitoring to a third-party managed security service provider.
Why it's wrong here
Healthcare data privacy regulations may restrict outsourcing; also costly.
- ✗
Implement a full automation suite for access monitoring immediately.
Why it's wrong here
Too expensive and complex for interim period; budget constraints are a key factor.
- ✓
Use a phased risk-based approach, prioritizing monitoring of high-risk areas such as privileged accounts and sensitive patient data.
Why this is correct
Targets the highest risks with limited resources; feasible and effective.
- ✗
Accept the current monitoring state as adequate given the upcoming migration.
Why it's wrong here
Audit findings show clear deficiencies; acceptance is not a valid option.
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Written by Johnson Ajibi, MSc IT Security
Senior Network & Security Engineer · founder of Courseiva
This CRISC practice question is part of Courseiva's free ISACA certification practice question bank. Courseiva provides original exam-style practice questions with explanations, topic-based practice, mock exams, readiness tracking, and study analytics to help learners prepare for the CRISC exam.