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Building an Organizational Security and Data Protection Program: A Standards-Based Guide and Approach

By Jim Venuto | Published: 09/17/2023

Table of Contents

  1. Introduction
  2. Project Planning
  3. Risk Assessment
  4. Security Policy
  5. Access Control Measures
  6. Data Encryption
  7. Network Security
  8. Employee Training
  9. Incident Response Preparation
  10. Security Monitoring
  11. Business Continuity
  12. Third-Party Risk Management
  13. External Audits
  14. Continual Improvement
  15. Staying Current on Security Trends
  16. Conclusion
  17. References

1. Introduction

This guide assists executive security leadership in developing a security and data protection program for organizations with enterprise architecture ranging from on-premises to hybrid cloud. This guide aligns with compliance frameworks, including ISO standards, HIPAA, ITAR, FedRAMP High, SOC2, PCI-DSS, and global privacy regulations. It covers essential components such as risk assessment, policy development, and incident response and provides practical tools like cost estimates, a team charter, and a RACI chart for implementation.

2. Project Planning

Objective

To develop an overarching master project plan that serves as the initial framework for the organization’s security and data protection program. This master plan will provide high-level estimates for budget, outline the preliminary team charter, introduce a RACI chart for role clarification, and offer an initial resource allocation strategy. It will also touch upon stakeholder communication, compliance frameworks, and technology stack alignment. Recognizing the complexity and multifaceted nature of the program, detailed subsidiary plans will be developed to elaborate on HR management, resource allocation, communication, budget, scope, and schedule, in alignment with PMP v7 guidelines.

Timeline

18-24 months

Budget

Total Estimated Budget: $2,000,000 – $2,500,000

Team Charter

The team will consist of experts in information security, risk management, compliance, and business continuity. The charter will outline roles, responsibilities, and the decision-making process.

RACI Chart

Task/RoleResponsibleAccountableConsultedInformed
Risk AssessmentRisk ManagerCISOLegalCEO
Security PolicyPolicy TeamCISOLegalCOO
Access ControlAccess TeamCISOITCFO
Data EncryptionCrypto TeamCISOITCOO
Network SecurityNetwork TeamCISOITCOO
Employee TrainingHRCISOLegalAll Staff
Incident ResponseIR TeamCISOLegalCEO
Security MonitoringSOC TeamCISOITCOO
Business ContinuityBC TeamCISOLegalCEO
Third-Party Risk ManagementProcurementCISOLegalCFO
External AuditsAudit TeamCISOLegalCEO
Continual ImprovementCI TeamCISOITCOO
Staying CurrentResearch TeamCISOITCOO
This RACI Chart outlines the roles and responsibilities for key tasks within the security and data protection program. It serves as an initial guide and will be further detailed in the subsidiary plans. ‘R’ denotes the party Responsible for executing the task, ‘A’ indicates the party Accountable for its completion, ‘C’ identifies those who should be Consulted, and ‘I’ lists those who should be Informed.”

Resource Allocation

A detailed resource allocation plan will be developed, outlining the human, technological, and financial resources needed for each component of the program.

Stakeholder Communication

A communication plan will be developed to keep stakeholders informed and engaged throughout the program’s implementation.

Compliance Frameworks

HIPAA, ITAR, FedRAMP High, SOC2, PCI-DSS, and global privacy regulations.

Technology Stack

Hybrid cloud environment with 200 on-prem databases, Red Hat OpenShift, and SaaS, PaaS, and IaaS services running on AWS, GCP, Azure.

3. Risk Assessment

Inputs

Threat intelligence reports, previous audit findings, system architecture diagrams, and compliance requirements.

Processes

Utilize automated scanning tools and manual assessments to identify vulnerabilities. Conduct interviews with key personnel to understand the current risk landscape. Align findings with HIPAA, ITAR, FedRAMP High, and other compliance frameworks.

Outputs

A comprehensive risk assessment report that categorizes risks by severity, likelihood, and impact. This report will serve as the foundation for all subsequent security measures.

4. Security Policy

Inputs

Existing organizational policies, compliance requirements, and stakeholder input.

Processes

Drafting, reviewing, and finalizing the security policy document. This involves multiple rounds of internal reviews and legal consultations to ensure alignment with compliance frameworks.

Outputs

A finalized security policy document endorsed by leadership, which will be disseminated across the organization.

5. Access Control Measures

Inputs

User roles, system architecture, and data classification schema.

Processes

Implement role-based access controls, least privilege principles, and multi-factor authentication mechanisms. Validate these controls through periodic testing.

Outputs

A secure access control framework that minimizes unauthorized access and logs all access-related activities.

6. Data Encryption

Inputs

Data inventory, data classification levels, and technology stack.

Processes

Selection and implementation of encryption algorithms and key management systems. Regular audits to ensure encryption at rest, in transit, and in use.

Outputs

Encrypted data stores and a comprehensive key management policy.

7. Network Security

Inputs

Network architecture diagrams, firewall rules, and vulnerability assessment reports.

Processes

Network segmentation, firewall configuration, and continuous monitoring for unauthorized activities.

Outputs

A hardened network infrastructure with minimized vulnerabilities and a set of firewall rules.

8. Employee Training

Inputs

Employee roles, previous security incidents, and common threat vectors.

Processes

Develop and deliver training modules on phishing, social engineering, and secure password practices. Conduct simulated tests to measure effectiveness.

Outputs

Trained employees who are aware of their role in maintaining organizational security, and metrics on training effectiveness.

9. Incident Response Preparation

Inputs

Previous incident reports, current threat landscape, and organizational structure.

Processes

Develop incident response procedures, assign roles and responsibilities, and conduct regular drills to validate the plan.

Outputs

A thoroughly-tested incident response plan and a trained incident response team.

10. Security Monitoring

Inputs

Network logs, application logs, and system logs.

Processes

Utilize SIEM solutions to aggregate logs, set up alerts for abnormal activities, and conduct behavior analysis.

Outputs

Real-time monitoring dashboard, incident alerts, and periodic security reports.

11. Business Continuity

Inputs

Business process mapping, critical asset inventory, and risk assessment reports.

Processes

Develop and test a business continuity plan that includes data backups, alternative processing sites, and communication protocols.

Outputs

A validated business continuity plan and recovery time objectives (RTOs) and recovery point objectives (RPOs) for critical business processes.

12. Third-Party Risk Management

Inputs

Vendor contracts, service level agreements, and compliance requirements.

Processes

Conduct security audits and assessments of third-party vendors. Establish metrics for measuring vendor compliance.

Outputs

A vendor risk assessment report and a set of action items for non-compliant vendors.

13. External Audits

Inputs

All security policies, procedures, and compliance documentation.

Processes

Engage external auditors to validate the effectiveness of the security program. Address any non-compliance issues identified.

Outputs

External audit reports and a list of remediation actions for any identified gaps.

14. Continual Improvement

Inputs

Previous audit findings, current metrics, and stakeholder feedback.

Processes

Periodic internal audits and risk assessments to identify areas for improvement. Update policies and procedures based on findings.

Outputs

A list of improvements implemented, updated policies, and new security metrics.

15. Staying Current on Security Trends

Inputs

Industry reports, threat intelligence, and emerging technologies.

Processes

Attend security conferences, webinars, and workshops. Review and assess the applicability of new technologies and practices.

Outputs

A report summarizing key takeaways from conferences and recommendations for adopting new technologies or practices.

16. Conclusion

This security and data protection program is designed as a practical guide for CISOs in organizations with all combination of enterprise architectures. Aligned with ISO standards and multiple compliance frameworks, the plan outlines key components such as cost estimates, a team charter, and a RACI chart to clarify roles and responsibilities. It also includes metrics for each program element and a stakeholder communication strategy to foster transparency and governance across the organization

17. References

  1. https://www.databreachtoday.com/building-an-organizational-security-and-data-protection-guide-and-approach-a-14552
  2. https://www.ninjaone.com/blogposts/data-protection-plan-guide-8-steps-for-creation
  3. https://hrpp.berkeley.edu/sites/default/files/DataSecurity.pdf
  4. https://www.fortinet.com/content/dam/fortinet/assets/whitepaper/like-we-mean-it-it-security-policy-best-practices-guide.pdf
  5. https://resmo.com/blog/9-access-control-best-practices/
  6. https://www.dell.com/support/kbdoc/000177033
  7. https://www.iso.org/isoiec-27001-information-security.html
  8. https://www.hhs.gov/hipaa/for-professionals/security/laws-regulations/index.html
  9. https://www.securiti.ai/itar-compliance/itar-regulations-employees
  10. https://info.spirion.com/blog/ten-steps-effective-data-protection-program
  11. https://nvlpubs.nist.gov/nistpubs/Legacy/SP/nistspecialpublication800-122.pdf
  12. https://www.esecurityplanet.com/network-security/it-security-policy-importance-best-practices/
  13. https://www.pdpc.gov.sg/-/media/Files/PDPC/PDF-Files/Resource-for-Organisation/PIMS-Guide-072016.pdf
  14. https://www.cpomagazine.com/cyber-security/iso-standards-for-information-and-data-protection/
  15. https://www.hhs.gov/hipaa/for-professionals/security/guidance/index.html
  16. https://www.virtru.com/blog/itar-compliance-checklist-for-data-protection/
  17. https://insights.sei.cmu.edu/insider-threat/2017/12/building-a-successful-data-protection-program.html
  18. https://www.techtarget.com/searchsecurity/definition/data-security
  19. https://www.techtarget.com/searchsecurity/tip/5-IT-security-policy-best-practices
  20. https://www.mastercard.us/en-us/merchants/safety-security/security-recommendations/site-data-protection-certification.html
  21. https://isms.online/iso-27701-privacy-information-management/
  22. https://www.hhs.gov/hipaa/for-professionals/guidance/index.html
  23. https://www.techtarget.com/searchcompliance/tip/Steps-for-building-a-privacy-program-plus-checklist
  24. https://www.cmu.edu/iso/governance/guidelines/data-protection.html
  25. https://www.bmc.com/blogs/security-policy-best-practices/