Developers and HIPAA

How granular should logs be in saving access-to-PHI events?

As a software developer in the role of business associate I have read about what needs to be captured and stored by software that handles PHI for a covered entity. To be a good vendor, we want to provide our customer the requisite log data about user credentialing (adds, permissions, changes, disables, deletes), and about PHI activity within our software product. We currently log all changes to PHI made by our product.... more »

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Developers and HIPAA

What part of the environment has to be compliant?

Does the entire environment need to be HIPAA compliant, or is it possible that the solution could fall into an exception to HIPAA, or can they use an API to store certain kinds of data? If you’re building modern technologies, you’re relying on a lot of third party (likely API) based services; mostly cloud based services. So which aspects of those need to be compliant?

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5 votes
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Developers and HIPAA

Text messaging and HIPAA

There is currently a lack of clarity about whether patient consent to communicate via (unencrypted) SMS is adequate to protect covered entities from HIPAA concerns. HHS (and medical research) has released data supported use of non-encrypted SMS, given its high accessibility to patients and its efficacy in achieving behavior change (e.g. medication compliance, smoking cessation). Many covered entitites feel that this... more »

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23 votes
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Developers and HIPAA

Logging Activity within an Application

In order to be HIPAA compliant, should all activity that occurs with in an app be logged, or should activity that exceeds the normal threshold be logged? For instance, users that access information in the application routinely during the course of their work day will evince a regular level of activity. The activity will indicate routine access of sensitive information. Should the log contain all of the users activity,... more »

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Developers and HIPAA

'Medical Info' field in attendance mobile app

We are working on a mobile app that tracks attendance for fitness instructors/martial arts schools. Instructors can create classes and save their students in them. Part of the data entered for a student includes a field called Med Info, which would be along the sorts "Has asthma" or "Allergic to peanuts" just to give general examples. This is done so instructors can be prepared and aware of any health conditions with... more »

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Developers and HIPAA

Is my App following acceptable security protocol through HIPPA?

I email addresses of the users of the app, which are all doctors not patients, for authentication purposes. The application uses SSL encryption for transmission of data between a user's phone and the backend servers. The data is not currently encrypted on the server, but will become encrypted in a future version. Security around the data is restricted such that a user can only access their own data and is not accessible... more »

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Developers and HIPAA

EHR software partners uses third party API

Our EHR solution is partnering with another health related software company with a cloud based API product to provide additional solutions for providers. This is a seamless connection. Some PHI would be stored on the API cloud based system while our EHR would also store PHI either on the client server or the cloud. I have several questions. I am assuming that the business associate between our clients/providers... more »

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Developers and HIPAA

Are We a Covered Entity?

A business associate provides no medical advice, medical services, medical devices, etc. But it talks to patients of the covered entity. Those patients tell the business associate what prescriptions they have for prescription drugs and when they must be refilled. The business associate faxes the refill request to the pharmacy. Does that make the business associate a covered entity?

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Developers and HIPAA

How to handle old emails

I'm a web designer and have a client who has recently become hipaa compliant concerning his handling of email. He needed me to search his old emails from about 6 years ago for a certain file. Though he no longer uses that email address, the emails were still in webhosts database, and they were never hipaa compliant. He was wondering if he should just delete those old emails, since they are not hipaa compliant we thought... more »

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Developers and HIPAA

Data Recording

I am a student creating an app for school project. I was wondering if I have to be HIPAA compliant. I am creating an app, where diabetics can store their glucose and calculate insulin dosage. None of the information will be sent to hospitals or physicians. How would HIPAA work in this case? Thank you ahead.

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3 votes
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Developers and HIPAA

Audits

With random audits becoming a feature of HIPAA enforcement, small companies and Business Associates should ensure that information sought by OCR is readily available. This will allow OCR to make assessments quickly and efficiently. Making this process efficient also limits the disruptive impact audits can have on emerging companies. Similar to the practice of the FCC, can OCR provide guidance for Business Associates regarding... more »

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5 votes
6 up votes
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Developers and HIPAA

Provider suggested use of an App - there is a breach

A provider or a wellness management company, which are both subject to HIPAA because they collect and house PHI. If that provider or wellness provider suggest to a patient that they use an app (the app was not developed for them and there has been no communication with the app company that the providers are going to use the app) to gather health data to share with them and the app company suffers a breach of information.... more »

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Developers and HIPAA

HIPAA E-Signature Requirements

We are a small organization starting up a tele-health initiative. We would like to deliver a copy of our Notice of Privacy Practices electronically and have patients acknowledge receipt via check box prior to completing our online intake forms. This method is used for acceptance when one downloads software online. We are having a difficult time understanding the requirements for this. Can it be a check box and/or typed... more »

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