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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Who are your customers? Check all that apply : Business associates (operates on behalf of/provides service to health care provider/health plan, e.g., an EHR vendor), General Public, Health plans or health care providers, Patients/Individuals/Consumers

What is your organization? : Developer working on homegrown apps within a health care setting

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Developers and HIPAA

Does HIPAA extend to untethered PHRs?

A software company (e.g. a startup) develops an untethered PHR that is offered directly to the patient (consumer). The patient then authorizes PHR to "request" and "pull" (on behalf of patient) all records from all portals offered by healthcare provider EHRs (e.g. by Epic (MyChart), Cerner,...etc). The PHR gets access to all portals using logon credentials provided by the patient (e.g. patient provides all usernames and ...more »

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Who are your customers? Check all that apply : Patients/Individuals/Consumers

What is your organization? : Your products send, receive, and/or view data/information to/from an EHR or related platform

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Developers and HIPAA

Notifications

A NYS licensed facility providing addiction treatment services has been advised that when a patient has been referred for treatment by another entity (hospital, family agency, courts, etc.) notice that the patient has presented for treatment may not be given to the referring agency without the written permission of the patient. No other PHI would be provided other than the notification.

Is this true?

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Who are your customers? Check all that apply : Patients/Individuals/Consumers

What is your organization? : Health care provider or health plan, Not for profit, Consumer advocacy organization

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Developers and HIPAA

PII and PHI

We make medical devices and sell to CEs through a independent sales team/resellers. Often times where there are some issues with software that runs on devices -- the reseller obtains the corresponding record from CE and uploads to our Customer Support portal. This ticket can contain medical health information. As a device manufacturer are we required to adhere to HIPAA? We may get a few hundred such tickets from different ...more »

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Who are your customers? Check all that apply : Business associates (operates on behalf of/provides service to health care provider/health plan, e.g., an EHR vendor)

What is your organization? : Other

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2 up votes
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Developers and HIPAA

Scanning and Penetration Testing

Do entities need to run internal and external vulnerability scanning be HIPAA compliant? Do entities have to run penetration tests to ensure compliance? Reading ยง164.312(e)(2)(i) it seems that 'security measures' could include these tests, but does not specify a requirement for it. Additionally, a risk analysis could identify that these services would help to reduce the risk, threats and vulnerabilities in-scope systems, ...more »

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Who are your customers? Check all that apply : Business associates (operates on behalf of/provides service to health care provider/health plan, e.g., an EHR vendor), Health plans or health care providers

What is your organization? : Attorney/other compliance consultant

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2 votes
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Developers and HIPAA

App Customization

A consumer focused app receives a request from one of its users, a hospital, for a customization of the product. The customization is created in response to the user request and treated the same as other requests. The app developer then makes it available to their entire user base, not just the requester, and no fee is paid. Does this make the app developer a business associate of the covered entity?

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Who are your customers? Check all that apply : Business associates (operates on behalf of/provides service to health care provider/health plan, e.g., an EHR vendor), Other, General Public, Patients/Individuals/Consumers

What is your organization? : Small company, Trade association

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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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Who are your customers? Check all that apply : General Public

What is your organization? : Other

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Developers and HIPAA

J. Mark Tuthill, Divison Head, Pathology Informatics

We have a question regarding a vendor that claims that they don't need a BAA as they are a "conduit" and are exception. Is there someone at the OCR that could help us adjudicate this problem?

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Who are your customers? Check all that apply : Business associates (operates on behalf of/provides service to health care provider/health plan, e.g., an EHR vendor), Patients/Individuals/Consumers

What is your organization? : Health care provider or health plan, ACO

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2 up votes
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Developers and HIPAA

When is PHI de-identified?

We have developed a platform to facilitate the scheduling of transport/rides for patients to provider appointments. The process works as follows. The provider logs into a secure site, to schedule a ride to an appointment for a patient. The platform, at the appropriate time, sends formation to a rider service provider (someone such as Lyft, Uber, etc..) to schedule the transport. The information provide the transport ...more »

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Who are your customers? Check all that apply : Business associates (operates on behalf of/provides service to health care provider/health plan, e.g., an EHR vendor), Health plans or health care providers

What is your organization? : Developer of Mhealth apps (not mobile medical apps), For profit, Attorney/other compliance consultant

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2 votes
2 up votes
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Developers and HIPAA

Does the name of a Health Insurance company constitute PHI?

Does having identifiable information of a person and the name of the health insurance company they are enrolled in (or name of other covered entity) constitute a PHI record? 1. Would a text message sent to an individual that includes the name of their health insurance company (but no other health information) be subject to HIPAA regulations? 2. Would a text message sent to an individual that includes the name of their ...more »

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Who are your customers? Check all that apply : Health plans or health care providers

What is your organization? : Not for profit

Voting

2 votes
2 up votes
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Developers and HIPAA

What does "on behalf of a covered entity mean"

What triggers acting "on behalf of a covered entity", A, or B, or other? A. A covered entity uses your app (you are not paid or have signed a BA; they just go online and use it). B. Getting hired by them. We have an app that patients and providers use for chronic disease management. Does not integrate with EHR. Patients enter their progress and providers review it and can message back and forth. We think we are not ...more »

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Who are your customers? Check all that apply : Other

What is your organization? : Developer of Mhealth apps (not mobile medical apps), Small company

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2 votes
2 up votes
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Developers and HIPAA

Providers feed PHI to your system, does this mean you are a BA?

You have an app to manage chronic care that is primarily driven by the patient and requires patient persmission to share any data, but where providers can enter some data, such as messages, or some information related to the patient's medication. The system is offered independently from a covered entity. Just because providers enter some PHI in the system, are you seen as a BA covered, or you are not a BA as long as ...more »

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Who are your customers? Check all that apply : Other

What is your organization? : Developer of Mhealth apps (not mobile medical apps), Small company

Voting

2 votes
2 up votes
0 down votes