title: Analysis of information security management systems at 5 domestic hospitals with more than 500 beds.
abstract: OBJECTIVE
  The information security management systems (ISMS) of 5 hospitals with more than 500 beds were evaluated with regards to the level of information security, management, and physical and technical aspects so that we might make recommendations on information security and security countermeasures which meet both international standards and the needs of individual hospitals.
  
  
  METHODS
  The ISMS check-list derived from international/domestic standards was distributed to each hospital to complete and the staff of each hospital was interviewed. Information Security Indicator and Information Security Values were used to estimate the present security levels and evaluate the application of each hospital's current system.
  
  
  RESULTS
  With regard to the moderate clause of the ISMS, the hospitals were determined to be in compliance. The most vulnerable clause was asset management, in particular, information asset classification guidelines. The clauses of information security incident management and business continuity management were deemed necessary for the establishment of successful ISMS.
  
  
  CONCLUSIONS
  The level of current ISMS in the hospitals evaluated was determined to be insufficient. Establishment of adequate ISMS is necessary to ensure patient privacy and the safe use of medical records for various purposes. Implementation of ISMS which meet international standards with a long-term and comprehensive perspective is of prime importance. To reflect the requirements of the varied interests of medical staff, consumers, and institutions, the establishment of political support is essential to create suitable hospital ISMS.
authors.affiliation: Department of Pediatrics, College of Medicine, Dankook University, Cheonan, Korea.
authors.forename: Woo-Sung
authors.initials: WS
authors.lastname: Park
authors.forename: Sun-Won
authors.initials: SW
authors.lastname: Seo
authors.forename: Seung-Sik
authors.initials: SS
authors.lastname: Son
authors.forename: Mee-Jeong
authors.initials: MJ
authors.lastname: Lee
authors.forename: Shin-Hyo
authors.initials: SH
authors.lastname: Kim
authors.forename: Eun-Mi
authors.initials: EM
authors.lastname: Choi
authors.forename: Ji-Eon
authors.initials: JE
authors.lastname: Bang
authors.forename: Yea-Eun
authors.initials: YE
authors.lastname: Kim
authors.forename: Ok-Nam
authors.initials: ON
authors.lastname: Kim