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Posts Tagged ‘hipaa’

How do I send HIPAA-compliant lab results via email?

Friday, May 5th, 2017

A question about HIPAA-compliant transactional email from Ask Erik:

As a non-technical member of the founding team of a Health Care Startup I have a question about HIPAA-compliant email as we begin to send out lab test results to individuals and the health care providers we partner with:

“Does one dedicated email address for results distribution that is HIPAA-compliant and secure make us in compliance. ”

We have team members who communicate with our DDS clinics but they don’t distribute test results. Only I will do that through a dedicated email address.   What do we have to do to be compliant from day one of distributing test results as part of our service to our customers (primarily dentists and oral surgeons)?

I was told by the service provider of our website and email hosting services that if we made the one email address a Business Premium account using the Microsoft Secure Server, that all the other regular email addresses would be covered as well. Is this true?

Thank you for the forum to ask real life scenario questions.

Lab results to email

Hello,

There are many aspects to your question.  Lets address each one in turn:

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If my web site is very simple, do I have to worry about HIPAA compliance?

Friday, March 24th, 2017

We received this questions via Ask Erik from a Physicians’ Association:

“Our company website does not contain any patient information. As a healthcare group, do we need to worry about HIPAA compliance for our site? It contains forms, news and some company polices and procedures but no patient information whatsoever. Thank you.”

Thank you for your question! Here, we delve into how you can answer this for your site.

 

When does a web site need HIPAA compliance

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Why Are Hackers Targeting Your Medical Records?

Thursday, March 2nd, 2017

Theft of Medical records is booming. Over the past few years, large scale breaches have become more common and increasingly severe. Last year in June, a hacker named thedarkoverlord was selling 650,000 US healthcare records as part of a long-running crime spree. The collection was listed on a deep web marketplace called the Real Deal for over $700,000 worth of Bitcoin.

A cancer treatment provider called 21st Century Oncology had 2.2 million patients records compromised in late 2015. The stolen data included patient names, the names of their doctors, social security numbers, insurance information, diagnoses and treatments. The company was required to notify all of the affected patients and they have also offered free credit protection for one year as partial compensation. 

This is just the tip of the iceberg. According to Bitglass, 113 million Americans were affected by healthcare data breaches in 2015. This is almost 10 times more than the previous year. The IDC’s Health Insights group predicted that one in three patients would be the victim of a breach in 2016. This trend is likely to continue or even intensify over the coming years.

Theft of Medical Records

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Is sharing my patient list with a marketing company OK under HIPAA?

Saturday, February 11th, 2017

We received this questions via Ask Erik from the head of a Dental Practice (who wished to remain anonymous):

“I want to create a Refer-a-Friend program, for a dental practice, that will be managed by a third party marketing agency.  The third party needs only my patient names and address to do an on-going e-mail campaign, no PHI will be given to the third party — just name and e-mail address.

Because I am ‘Marketing” to my own list, and I am NOT marketing any third party products, and I am not receiving any third party payment for anything:

* Am I in any HIPAA danger? (No PHI is ever exchanged, and I am NOT marketing anyone else’s product.)

* Because my PHI is de-identified from the associated names and e-mail addresses, is it OK for me to hand over my patient mail list to my marketing agency (being very careful of course to include NO PHI)?

* Does HIPAA specifically prevent me from marketing my own products to my patient list? I know that marketing other people’s products to my list will require prior consent. But, marketing my own Refer-a-Friend program… how is that a violation?

NOTE: PHI is defined as: “(A) is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse; and (B) relates to the past, present, or future physical or mental health or condition of any individual, the provision of health care to an individual, or the past, present, or future payment for the provision of health care to an individual.”

So, is a mail list of my patients’ names and e-mail addresses considered to be PHI (if it contains no associated PHI as defined above)? The definition above would say NO. The definition above states that it is ONLY the health information about a patient — NOT the patient’s name and e-mail addresses themselves.

Also, on the mail list for the Refer-a-Friend marketing program, there will be names other than patients, probably about 5% are not patients. Does this influence the phi/non-phi question?

This is a very important distinction. Having clarity on this question could free up a lot of us to proceed with e-mail marketing.

If a mailing list, for a dentist, that contains 95% patients and 5% non-patients, and NO health information (just names and addresses)… is it considered PHI?”

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Am I at HIPAA-risk if a patient replies to my secure email message?

Tuesday, January 31st, 2017

Here is a question from “Ask Erik:”

Dear Dr. Kangas,  When I write an email to a patient from my LuxSci account, it is encrypted and therefore HIPPA compliant.  When they write me back from their regular email address (it’s often hard to get them to sign up at LuxSci), they are putting [PHI /Medical Information] out without security, but that is not my HIPPA violation as I understand it because patients are not required to keep their PHI secure.  Yet often a patient replying to my email simply hits ‘reply’ and my email is attached to their reply, putting my original email in an insecure from on the Internet.  Does that become therefore a HIPPA violation of mine, especially if I continue to allow this without telling the patient to stop doing this?

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