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Imagine trying to come up with the top ten things our planet should do to decrease vulnerabilities and threats. Looking at earth from 30,000 feet can make that seem easier to do. But if we zoom in to the details we could probably come up with hundreds of things to consider. The same is true with health information privacy and security. To come up with what we consider to be the top ten things to do to pass an Office for Civil Rights (OCR) audit and reduce risk of unauthorized access to your protected health information (PHI), we had to zoom out and look at what we have observed over the past several years from a very high level. Our top ten things to do are not listed in any particular order. Keep in mind that our top ten today will most likely change very soon and at least year to year. Here they are: