I just heard that a practice in our area had a ransomware attack. Based upon their investigation their manager stated that the hacker did not get access to the PHI data and therefore did not need to report to patients or the Dept. of HHS. I question their judgement since I'm not certain if they can tell even tell if the only thing the hacker did was lock them out access to their patient PHI and didn't also create an ...more »
Developers and HIPAA
Data masking or controlled access provides a means for patients to control disclosure of select information within the EHR. http://www.nature.com/gim/journal/v10/n7/pdf/gim200876a.pdf Can patients request that access to sensitive data be controlled? Can patients request that only certain people can access their PHI? Can they request an audit of how their data has been shared by a covered entity? If so, do (or should) ...more »
When implementing external services with clients (such as exposing an API to external clients), are there any HIPAA rules/regulations around testing the implementation in a non-prod environment before going live in production? Are there any concerns with PHI or security with testing an implementation (of say an API with an external client) directly in a production environment?
Is Skype or any other video chat app HIPAA-compliant? Which video chat apps can currently be used for telehealth treatment activities involving general physicians or involving mental health professionals?
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?
From Kevin Wiggins, Saul Ewing: If a CE puts PHI on the Cloud and later terminates that Cloud as a service provider, there is inevitably some data remanence, thus leaving PHI on the Cloud. NIST Special Publication 800-80 addresses this by suggesting CEs use crypto-erase. What if the CE previously sent unencrypted PHI to the Cloud? Is it as simple as extending the protections of the contract to the information and ...more »
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 »
Is a BA Contract required between a BA providing PHI to another BA of a CE? (for example, a CE requests their EHR vendor to send PHI to a data analytics firm OR a CE requests a data analytics firm to send PHI to another vendor doing work on the CE's behalf)?
We are a small startup team that is distributed nationwide. To date everyone has used their own personal computers to login into work email, etc. Is it a requirement that we purchase and make all of our employees use only their work computers for development and access to our db? It's understood that we need a robust password policies and defined lists of who has access to any sensitive data where ever they may be.
I'm wondering if Verizon Home Phone connect with a analog phone hooked up to is violates HIPAA in any way. I'm more concerned about cellular technology VS POTS. There is no data transmission only voice.
If a company has a business associate agreement (BAA) with an electronic medical record (EMR) vendor, does that company also have to sign a BAA with each health care provider or provider group using that EMR in addition to their existing BAA with the vendor?
Can a provider, or business associate acting on behalf of a provider, send an unencrypted text or email to a patient if the initial message does not contain protected health information and the patient requested the communication? If so, can the patient give the provider consent to use a third-party mailing service, even if the provider (or business associate of the provider) does not have a business associate agreement ...more »
What kind of limitations on role-based access does an EHR have to provide in order to comply with the “minimum necessary” standard? For example, if an employee only needs demographic or scheduling information to fulfill their job, does the EHR have to include mechanisms to prevent that employee from accessing other clinical information, or is having audit capability (combined with staff training and written policies) ...more »
Does HIPAA have any restrictions on offshore development and/or customer support functions if the parent company is based in U.S. and/or if the foreign entity is owned and/or controlled by an entity based in U.S.?
The scenario is this: A private health clinic (PHC) signs up online to use a web-based EHR application to create patient charts, schedule patients, provide a patient portal, etc. - classic practice management tasks. The EHR vendor has a BAA with a company which hosts its web application and the encrypted database. My question is, what happens to the PHC's electronically stored ePHI if the PHC's account is cancelled and/or ...more »