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Secure Texting Apps for Healthcare: Are They Safe?

LuxSci Secure Texting Apps for Healthcare

As today’s healthcare patients demand more personalized and efficient care, secure communication tools have become a requirement for modern multi-touch engagement. With increasingly tech-savvy patients and customers, today’s providers, payers and suppliers are turning to secure texting apps for healthcare to open up new communications channels, enhance engagement, and improve overall health outcomes.

Sounds great, right? Well, secure text must not only be efficient, but also secure and compliant with strict regulations, including HIPAA (Health Insurance Portability and Accountability Act).

In this blog post, we’ll explore how secure texting can make healthcare more efficient, adding a new and commonly used channel to better connect with your patients and customers—and we’ll provide some useful tips for companies looking to bring secure text into their healthcare engagement strategies.

The Value of Secure Texting Apps for Healthcare

Healthcare providers, payers and suppliers often face the challenge of quickly sharing critical information with patients and customers, all while maintaining data privacy and securing protected health information (PHI). Traditional texting and SMS methods are inherently insecure, leaving sensitive health information vulnerable to breaches. Text messages have a number of widely known security vulnerabilities, including issues with confidentiality, only optional encryption, and inadequate authentication.

In healthcare, a data breach isn’t just a technical issue—it can lead to severe consequences, including legal penalties and the loss of patient trust, as well as harming your brand and future business. Secure texting ensures compliance with HIPAA regulations, protecting patient data and safeguarding healthcare organizations and companies from fines.

HIPAA Compliance Considerations for Secure Texting

One of the key concerns when implementing secure texting in healthcare is HIPAA compliance. HIPAA mandates strict guidelines for the handling, transmission, and storage of Protected Health Information (PHI). Any communication containing PHI must be encrypted, auditable, and only accessible by authorized users. Here are some HIPAA compliance factors to consider:

  • End-to-End Encryption: Ensure that your secure texting app offers end-to-end encryption. This means that the email service provider (ESP) encrypts and transmits data using the TLS security protocol, securely stores data at rest, and data is never kept on a recipient’s device, preventing interception and access by unauthorized parties.
  • Audit Controls: HIPAA requires organizations to maintain an audit trail of all communications. Your secure texting solution should provide a record of when messages are sent, delivered, and read, as well as details on who accessed the information.
  • Access Controls: Only authorized personnel should have access to sensitive patient data or PHI. Secure texting apps for healthcare should offer user authentication features such as PINs, biometrics, or two-factor authentication to ensure the identity of the user. The safest approach is to not include PHI in your text message at all, but rather direct users to a secure communications platform via text message.
  • Remote Wipe Functionality: In the event that a device is lost or stolen, healthcare providers must be able to remotely wipe PHI from the device to prevent unauthorized access, if needed.

Tips for Implementing Secure Texting in Healthcare

If you’re a healthcare organization considering secure texting apps, here are some practical tips to ensure a smooth implementation:

  1. Choose the Right Platform: Not all secure texting apps are created equal. Look for platforms that are specifically designed for healthcare, as they are more likely to include features designed for HIPAA compliance. LuxSci Secure Text, for example, is built for healthcare environments, with encryption, audit trails, and other compliance tools integrated into the solution.
  2. Train Your Staff: Technology is only as secure as the people using it. Ensure that all staff members who will use the secure texting app are trained on best practices for handling PHI and following compliance protocols. Regular training sessions and refresher courses are a must to keep everyone up to date with the latest rules and regulations.
  3. Encourage Patient and Customer Adoption: Secure texting is a powerful tool for patient and customer engagement. Inform patients about the benefits of secure messaging and how it protects their privacy. Offer your patients and customers—especially those less likely to respond to other channels—the option to receive text messages as part of a multi-channel or omnichannel engagement approach.
  4. Integrate with Existing Systems: A seamless workflow is crucial for the success of any new technology. Ensure that your secure texting solution can integrate with your existing Electronic Health Records (EHR) system, CDP platform, and other healthcare engagement channels and portals, so communication between providers, payers, suppliers and patients is not siloed.
  5. Monitor and Review: After implementing secure texting, regularly review its usage and ensure compliance protocols are being followed. Monitor audit logs and address any potential security concerns promptly. Continuous improvement is key to maintaining both security and efficiency.

Improving Personalization and Engagement with Secure Texting

Beyond compliance and data protection, secure texting apps for healthcare can significantly enhance patient engagement and improve the overall healthcare experience. In fact, personalized, timely communication has been shown to improve health outcomes and boost patient satisfaction. Here’s how:

  • Appointment Reminders and Care Management: Send patients personalized appointment reminders, medication prompts, or follow-up instructions, reducing no-shows and improving adherence to treatment plans. For instance, sending a patient a personalized text reminder for their diabetes check-up or alerting them to the results of medical tests can improve and accelerate care management.
  • Product Offers, Renewals and Upgrades: Secure messaging enables healthcare providers and suppliers to reach out to patients and customers to remind them about a prescription renewal, to upgrade or offer a new product, or to drive plan renewals and new services.
  • Patient Education: Use secure texting to alert patients that new educational materials, such as care instructions, post-surgery protocols, or health tips tailored to the patient’s specific condition, are available. This not only empowers patients with more information but improves outcomes with better adherence to treatment plans and ongong care needs.

How LuxSci’s Secure Text Works

LuxSci Secure Text transmits its data with TLS protection, stores its information with 256-bit AES, and data is never kept on the recipient’s device. Recipients use password-based authentication to access the information and messages are securely stored in LuxSci’s databases and dedicated secure infrastructure.

LuxSci’s Secure Text does not require the sender to install or use any new applications. Leveraging LuxSci’s SecureLine encryption service, the sender:

  1. Writes their message in either LuxSci’s WebMail email app or their preferred email program, including Google Workspace or Microsoft 365.
  2. In the address field, the sender enters a special email address that is based the recipient’s phone number. For example, an address of 2114367789@secure.text would send the message to a US recipient whose number is 211-436-7789. Once the sender is finished, they hit the send button.
  3. The recipient will receive a normal SMS that tells them a secure message is waiting for them. The message contains a link, which opens up their phone’s web browser:
  • If they have recently viewed another Secure Text message, the new message will immediately be displayed.
  • If the recipient has used Secure Text to view messages at an earlier date, they will need to enter their password before they can view the message.
  • If this is the recipient’s first Secure Text message, they will need to set up a password before they can view the message.

With LuxSci, you do not include PHI in your text messages, helping to ensure the privacy and protection of patient and customer data at all times, and eliminating the inherent security risks of text and SMS messages.

Learn More About Secure Texting Apps for Healthcare

Today’s secure texting solutions are expanding the ways healthcare organizations communicate with patients and customers. With the right solution, you can ensure compliance with regulations like HIPAA, while enhancing personalization, engagement, and health outcomes. Secure texting can improve the end-to-end healthcare journey and create a more efficient, patient-centered healthcare experience.

Are you ready to improve your patient engagement with secure text, while maintaining HIPAA compliance and securing PHI data?

Contact us today to learn more about secure texting apps, healthcare-specific use cases, and how you can implement new secure communication channels to achieve better outcomes and grow your business.

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Why is High Email Deliverability Essential for Healthcare Companies?

With email communication playing a critical role in the customer engagement strategies of virtually every organization, high email deliverability rates are vital to success across all industries. In the healthcare sector, however, the stakes can be far higher. An undelivered email isn’t merely an inconvenience or a lost sales opportunity; it could mean a missed appointment, a delay in a prescription refill, or a failure to get a patient critical healthcare information. Or worse, the email could end up in the hands of an unintended recipient, including bad actors and cybercriminals.  

With this in mind, this post details why high email deliverability is essential for healthcare companies, as well as how your organization benefits from reliable and rapid email delivery. 

Speed and Efficiency

The primary reason that high email deliverability is crucially important to healthcare organizations is to best guarantee essential communications that directly impact an individual’s healthcare journey reach them promptly. These transactional emails can include appointment reminders, prescription renewals, product order confirmations, test results, explanation of benefits notices, payment reminders, and invoices. Administrative notifications related to software or systems that a patient might use, such as a password reset for an online portal, also fall under the category of transactional emails.

When transactional emails are delayed or fail to reach people altogether, they can compromise a patient’s ability to access care, adhere to treatment plans, stay informed on key facets of their healthcare journey, and, ultimately, achieve optimal health outcomes. 

When a patient fails to receive an expected email, such as a prescription confirmation, for example, it can leave them feeling confused and unsure of what to do next. For individuals who are sick, elderly, or managing chronic conditions, this can cause unnecessary stress, anxiety, and even compromise adherence to care plans.

In contrast, high email delivery rates create the opposite effect, helping patients get the communications and information they need. This increases their trust in your company and gives them a firmer sense of control over their healthcare journey. 

Compliance with HIPAA Regulations 

While the above point stresses the importance of reliable email delivery for the patient’s and customer’s benefit, healthcare companies also have a vested interest in ensuring communications reach the intended recipient for regulatory and patient privacy reasons.  

To comply with the Health Insurance Portability and Accountability Act (HIPAA), emails that contain sensitive patient data, i.e., electronic protected health information (ePHI), must be securely delivered to the intended recipient. If, on the other hand, a communication containing ePHI fails to reach the intended recipient patient, that represents a failure in secure communications and a potential HIPAA violation for your organization. 

After all, where did the patient’s data go? Was it delivered to the wrong person? Was it blocked by a spam filter and is left sitting unencrypted on a server somewhere?

If you can’t answer these questions, you could be exposed to a data breach, and it could result in a HIPAA violation, meaning your organization incurrs the associated consequences, including financial penalties and reputational damage. Conversely, deploying a fully HIPAA compliant email solution, such as LuxSci, supported by a dedicated infrastructure and designed for high email delivery enables your organization to include patient data in communications with confidence and ensure you messages land in the recipient’s inbox.  

Greater Levels of Personalization and Engagement

Finally, high email deliverability rates are essential for healthcare organizations because they help drive greater levels of engagement with patients and customers. Higher email deliverability means better inbox placement, leading to more emails being opened, more links being clicked, and more conversions for your communications and campaigns.

In the case of healthcare retailers, for example, this equates to converting more prospects into customers and, consequently, maximizing the ROI of email marketing campaigns, in some cases with up to 80% better results.  

While healthcare marketers, understandably, focus most of their efforts on crafting attention-grabbing headlines, personalizing the message content, and the email’s design elements, these factors are rendered irrelevant if the message fails to reach the recipient in the first place! When you take this into account, high email deliverability is a crucial component in optimizing the ROI of email communications and campaigns, and an all too often overlooked component at that. 

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  • Powerful strategies for increasing your company’s email deliverability rates. 
  • How small increases in email deliverability can have considerable effects on your marketing ROI 

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What is a HIPAA Email API?

A HIPAA email API is a programming interface that allows healthcare applications to send secure emails containing protected health information while maintaining compliance with HIPAA regulations. These APIs provide developers with tools to integrate encrypted email functionality into healthcare software systems while automatically handling security requirements, audit logging, and PHI protection measures. Healthcare software development increasingly requires email capabilities for patient notifications, care coordination, and administrative communications. Standard email APIs lack the security controls and compliance features necessary for healthcare applications that handle sensitive patient data.

Technical Architecture and Security Framework

REST and SOAP protocols provide the foundation for most HIPAA email APIs, enabling healthcare applications to integrate email functionality through standard web service interfaces. These protocols support secure authentication and encrypted data transmission while maintaining compatibility with diverse healthcare technology environments. Message queuing systems help manage email delivery during high-volume periods while maintaining security controls throughout the transmission process. Healthcare applications can submit emails to secure queues where they receive encryption and compliance validation before delivery to recipients. Error handling mechanisms ensure that failed email transmissions do not compromise PHI security or leave sensitive data exposed in log files. HIPAA email APIs must provide detailed error information to developers while protecting patient information from unauthorized disclosure.

Authentication and Authorization Protocols

API key management provides secure access control for healthcare applications using email services. These keys must include appropriate permissions and expiration policies that prevent unauthorized access while enabling legitimate healthcare communications, allowing healthcare applications to authenticate users and obtain appropriate permissions for sending emails on their behalf. These protocols help ensure that only authorized personnel can trigger email communications containing PHI.

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  3. Basic Authentication – Straightforward, widely supported. Good for internal systems and quick testing.

For those who want the tightest possible control over API sessions—including HMAC signatures and session revocation—LuxSci Secure authentication remains the best option for customers.

Message Formatting, Template Management, and Security

MIME and S/MIME encoding support enables healthcare applications to send rich-text emails with attachments while maintaining encryption and security controls. These capabilities allow inclusion of medical images, test results, and formatted reports within compliant email communications. Template engines help healthcare developers create standardized email formats that include dynamic patient data while preventing inappropriate PHI disclosure. These systems can validate content against organizational policies before message transmission. Attachment handling procedures ensure that medical documents and images receive appropriate encryption and access controls when included in email communications. HIPAA email APIs must provide secure upload and transmission capabilities for healthcare file attachments.

Delivery Tracking and Status Reporting

Real-time delivery status updates help healthcare applications track email transmission progress and identify potential delivery issues. These status reports must provide actionable information without exposing PHI to unauthorized systems or personnel. Read receipt capabilities enable healthcare applications to confirm that recipients have accessed important medical communications. These features help care coordination while maintaining appropriate privacy protections for patient email interactions. Bounce management systems handle failed email deliveries appropriately while protecting PHI from exposure through error messages or automated responses. Healthcare applications need visibility into delivery problems without compromising patient privacy.

Compliance Logging and Audit Features

Automated audit trails capture detailed information about all email activities initiated through HIPAA email APIs. These logs must include sender identification, recipient information, transmission timestamps, and delivery status while protecting actual message content from unauthorized access. Compliance reporting features help healthcare organizations track their email usage patterns and identify potential policy violations. These reports can highlight unusual sending volumes, unauthorized recipient addresses, or messages that might violate PHI handling policies. Data retention controls ensure that API logs and message metadata comply with healthcare record-keeping requirements while managing storage costs and system performance. Healthcare organizations can configure retention periods based on their regulatory and operational needs.

Integration Patterns for Healthcare Applications

Electronic health record system (EHR), customer data platform (CDP), and Revenue Capture Management (RCM) platform integrations can enable automatic email messages and notifications to be sent based on clinical events like lab result availability or appointment scheduling changes. These integrations must respect minimum necessary standards while providing timely patient communications. Workflow automation allows healthcare applications to trigger email sequences based on patient care milestones or administrative requirements, tailoring communications based on user actions taken with each email. For example, healthcare organizations might send automated email reminders about upcoming appointments or medication refills. Batch processing capabilities enable healthcare organizations to send large volumes of patient communications efficiently while maintaining security controls and HIPAA compliance. These features support activities like appointment reminders, wellness newsletters, or billing notifications that affect many patients simultaneously.

Performance Optimization and Scalability

Rate limiting controls help healthcare organizations manage email volumes while preventing abuse or accidental bulk sending that might violate patient communication policies and damage your IP reputation. These controls can be customized based on organizational needs and user roles. Caching mechanisms improve API performance by storing frequently used templates and configuration data while maintaining appropriate security controls. These optimizations help reduce response times for healthcare applications without compromising PHI protection. Load balancing systems ensure reliable email delivery during peak usage periods when healthcare organizations send high volumes of patient communications. These systems must maintain security controls while distributing processing loads across multiple servers.

Testing and Development Support

Sandbox environments enable healthcare developers to test email functionality without exposing real patient data or sending communications to actual patients. These testing systems provide realistic API responses while using protected data that supports thorough integration testing. Documentation and code samples help healthcare development teams implement HIPAA email API functionality correctly while understanding security requirements and compliance obligations. These resources should include examples for common healthcare use cases and integration scenarios.

Finally, support services provide healthcare developers with technical assistance and compliance guidance during implementation and ongoing operations. API providers should offer expertise in both technical integration and healthcare regulatory requirements to ensure successful deployments.

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The session is packed with actionable insights to help you safely navigate the world of HIPAA compliant email marketing, including:

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What Is a HIPAA Compliant Email API?

HIPAA compliant email API enables healthcare applications to send automated emails containing protected health information through secure programming interfaces that meet HIPAA Security Rule requirements. These APIs provide encryption, access controls, and audit logging capabilities while allowing developers to integrate email functionality into healthcare software without compromising patient privacy or regulatory compliance. Healthcare software applications increasingly need automated email capabilities for appointment reminders, test results, billing notifications, and care coordination communications. Standard email APIs lack the security features and compliance controls necessary for transmitting PHI, requiring specialized solutions designed for healthcare use cases.

API Authentication and Access Controls

HIPAA compliant email APIs implement robust authentication mechanisms that verify the identity of applications and users before allowing access to email services. These systems typically use API keys, OAuth tokens, or digital certificates to establish secure communication channels between healthcare applications and email services. Role-based access controls allow healthcare organizations to limit API functionality based on user privileges and business needs. Appointment scheduling systems might have permission to send calendar reminders while being restricted from accessing patient medical records or billing information. Rate limiting and usage tracking help prevent unauthorized bulk email sending and detect potential security threats. API providers monitor usage patterns and can automatically restrict access when they detect unusual activity that might indicate compromised credentials or malicious use.

Message Encryption and Security Features

Email messages sent through HIPAA compliant APIs receive automatic encryption during transmission and storage. These systems typically support multiple encryption standards including TLS for transport security and end-to-end encryption for message content protection. Message validation features help ensure that emails containing PHI meet compliance requirements before transmission. APIs can check for proper authorization, validate recipient addresses, and verify that message content follows organizational policies for PHI disclosure.

Secure message delivery tracking provides confirmation when recipients receive and access encrypted emails. This audit trail helps healthcare organizations demonstrate compliance with HIPAA requirements and provides documentation for potential breach investigations or regulatory audits.

Integration with Healthcare Workflows

HIPAA compliant email APIs connect seamlessly with electronic health record systems, practice management platforms, and other healthcare applications. These integrations enable automated patient communications that trigger based on clinical events, scheduling changes, or administrative milestones. Template management systems allow healthcare organizations to create standardized email formats that ensure consistent messaging while maintaining compliance controls. Templates can include dynamic content from patient records while preventing unauthorized PHI disclosure through automated formatting rules. Event-driven messaging capabilities enable real-time communications based on healthcare system activities. Laboratory systems can automatically send encrypted test results to ordering physicians immediately after completion, improving care coordination and reducing manual data entry requirements.

Audit Logging and Compliance Tracking

HIPAA compliant email APIs maintain detailed logs of all messaging activities including sender identification, recipient information, message content summaries, and delivery status. These logs provide the documentation necessary for compliance audits and breach investigations. Automated compliance reporting features help healthcare organizations track email usage patterns and identify potential policy violations. Reports can highlight unusual sending volumes, unauthorized recipient addresses, or messages that might contain inappropriate PHI disclosures.

Data retention policies ensure that API logs and message archives meet HIPAA requirements while managing storage costs and system performance. Healthcare organizations can configure retention periods based on their compliance needs and operational requirements.

Developer Tools and Documentation

API documentation provides healthcare software developers with detailed technical specifications, code samples, and integration guides for implementing HIPAA compliant email functionality. These resources help development teams understand security requirements and implement proper PHI handling procedures. Software development kits (SDKs) simplify API integration by providing pre-built libraries for common programming languages and frameworks. These tools handle encryption, authentication, and compliance features automatically, reducing the risk of implementation errors that could compromise PHI security. Testing environments allow developers to validate their integrations without exposing real patient data. Sandbox systems provide realistic API responses while using synthetic data that enables thorough testing of email functionality and error handling procedures.

Scalability and Performance Considerations

HIPAA compliant email APIs must handle varying message volumes without compromising security or compliance controls. Healthcare organizations experience different email patterns based on patient schedules, clinical activities, and administrative cycles that require flexible capacity management. Load balancing and redundancy features ensure reliable email delivery even during peak usage periods or system maintenance activities. API providers typically maintain multiple data centers and failover systems that prevent service disruptions from affecting patient communications.

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What Is HIPAA Email Archiving Compliance?

HIPAA email archiving compliance involves the policies, procedures, and technology controls that healthcare organizations implement to ensure archived email communications meet regulatory requirements for PHI protection, record retention, and audit support. Compliant archiving systems must preserve email integrity, maintain security protections, provide controlled access, and support legal discovery while demonstrating adherence to Privacy and Security Rule obligations. Healthcare organizations face increasing pressure to demonstrate comprehensive compliance with email archiving requirements as regulatory enforcement intensifies. Understanding specific compliance elements helps organizations develop archiving strategies that meet regulatory expectations while supporting operational efficiency and cost management.

Regulatory Requirements of HIPAA Email Archiving Compliance

Privacy Rule compliance requires healthcare organizations to maintain archived emails in ways that support patient rights including access, amendment, and accounting of disclosures. Archived communications that contain PHI must remain accessible to fulfill these patient rights throughout required retention periods. Security Rule adherence mandates that archived emails receive the same protections as active communications including access controls, audit logging, and encryption measures. Healthcare organizations cannot reduce security standards for archived PHI simply because communications are no longer actively used. Breach notification obligations extend to archived email systems, requiring healthcare organizations to monitor archived communications for unauthorized access and report incidents that meet breach criteria. All archiving systems must include security monitoring and incident detection capabilities.

Documentation of HIPAA Email Archiving Compliance

Written procedures must govern HIPAA email archiving compliance operations, including capture methods, retention schedules, access controls, and disposal processes. These procedures should align with broader organizational policies while addressing the unique aspects of archived communication management. Training documentation demonstrates that personnel responsible for archiving operations understand their compliance obligations and know how to properly handle archived communications containing PHI. This training should cover both system operations and regulatory requirements. Risk assessment integration ensures that email archiving practices are evaluated as part of broader organizational risk management programs. These assessments should identify potential vulnerabilities in archiving systems and document mitigation strategies.

Access Control Implementation

User authentication systems verify the identity of individuals requesting access to archived emails before granting permissions to view PHI. These systems should integrate with organizational identity management platforms while providing additional security for archived communications. Authorization procedures define who can access different types of archived emails and under what circumstances. Healthcare organizations should implement role-based access that limits archived PHI exposure to personnel with legitimate business needs. Activity monitoring tracks all access to archived emails including search queries, document retrieval, and export activities.

Data Integrity and Preservation Standards

Immutable storage protections prevent archived emails from being altered or deleted inappropriately, ensuring that communications remain authentic and complete throughout their retention periods. These protections support legal discovery requirements and regulatory audit activities. Chain of custody documentation tracks archived emails from initial capture through disposal, providing evidence that communications have not been tampered with or lost. This documentation helps establish the reliability of archived communications for HIPAA email archiving compliance. Version control systems maintain records of any authorized changes to archived email metadata or indexing information while preserving original message content. These systems help distinguish between legitimate administrative updates and unauthorized modifications.

Audit Support and Reporting Capabilities

Compliance reporting features provide regular summaries of archiving activities including capture rates, storage utilization, access patterns, and retention compliance. These reports help healthcare organizations demonstrate ongoing compliance while identifying potential issues. Audit trail generation creates detailed logs of all archiving system activities including user access, search queries, data exports, and administrative actions. These trails must be preserved and protected to support regulatory reviews and internal compliance assessments. Discovery support tools enable healthcare organizations to efficiently locate and produce archived emails during legal proceedings or regulatory investigations. These tools should provide precise search capabilities while maintaining audit trails of discovery activities.

Technology and Infrastructure Compliance

Encryption requirements ensure that archived emails containing PHI receive appropriate protection during storage and transmission. Healthcare organizations must evaluate their archiving systems to confirm that encryption meets current regulatory standards and organizational risk tolerance. Backup and recovery procedures maintain additional copies of archived emails while preserving security protections and access controls. These procedures should include regular testing to ensure that archived communications can be restored without compromising compliance. Vendor management processes ensure that third-party archiving service providers meet HIPAA email archiving compliance requirements and maintain appropriate business associate agreements. Healthcare organizations must monitor vendor performance and security practices throughout the relationship.

Retention Schedule Compliance

Policy implementation ensures that archived emails are preserved for appropriate periods based on content type, business purpose, and the requirements of HIPAA email archiving compliance. Automated retention schedules help maintain consistency while reducing manual administrative burden. Disposition procedures govern how archived emails are disposed of when retention periods expire, ensuring that PHI is properly destroyed and disposal activities are documented. These procedures should prevent unauthorized recovery of disposed communications. Exception management addresses situations requiring deviation from standard retention schedules such as litigation holds or ongoing investigations. These exceptions must be properly authorized, documented, and monitored to ensure appropriate resolution.

Performance and Quality Assurance

System reliability measures ensure that archiving operations continue functioning properly without gaps in email capture or unexpected data loss. Healthcare organizations should establish performance standards and monitoring procedures that detect potential system failures. Quality control procedures verify that archived emails are complete, accurate, and properly indexed to support retrieval requirements. Regular quality assessments help identify system issues that could compromise compliance or operational effectiveness. All processes should incorporate lessons learned from audits, incidents, and industry best practices.

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How Do You Know if Software is HIPAA Compliant?

How Do You Know if Software is HIPAA Compliant?

As in any industry, the healthcare sector is eager to embrace any new technology solution that increases productivity, enhances operational efficiency, and cuts costs. However, the rate at which healthcare companies – and their patients and customers – have had to adopt new software and digital tools has skyrocketed since the pandemic. And while a lot of this software is beneficial, a key question arises: is it HIPAA compliant? While an application may serve an organization’s needs – and may be eagerly embraced by patients – it also needs to have the right measures in place to safeguard protected health information (PHI) to determine if it is indeed HIPAA compliant.

Whether you’re a healthcare provider, software vendor, product team, or IT professional, understanding what makes software HIPAA compliant is essential for safeguarding patient data and insulating your organization from the consequences of falling afoul of HIPAA regulations. 

With this in mind, this post breaks down the key indicators of HIPAA compliant software, the technical requirements you should look for, and best practices for ensuring your software is HIPAA compliant.

What Does It Mean for Software to Be HIPAA-Compliant?

The Health Insurance Portability and Accountability Act (HIPAA)  sets national standards for safeguarding PHI, which includes any data related to a patient’s health, treatment, or payment details. In light of this, any applications and systems used to process, transmit, or store PHI must comply with the stringent privacy, security, and breach notification requirements set forth by HIPAA.

Subsequently, while healthcare organizations use a wide variety of software, most of it is likely to be HIPAA-compliant. Alarmingly, many companies aren’t aware of which applications are HIPAA-compliant and, more importantly, if there’s a need for compliance in the first place.   

However, it’s important to note that HIPAA itself does not certify software. Instead, it’s up to software vendors to implement the necessary security and privacy measures to ensure HIPAA compliance. Subsequently, it’s up to healthcare providers, payers, and suppliers to do their due diligence and source HIPAA compliant software. 

How to Determine If Software Is HIPAA Compliant

So, now that we’ve covered why it’s vital that the applications and systems through which sensitive patient data flows must be HIPAA compliant, how do you determine if your software meets HIPAA requirements? To assess whether software is HIPAA compliant, look for these key indicators:

1. Business Associate Agreement (BAA)

A HIPAA compliant software provider must sign a Business Associate Agreement (BAA) with covered entities, i.e., the healthcare company. A BAA is a legal contract that outlines the vendor’s responsibility for safeguarding PHI. If a software provider doesn’t offer a BAA, their software is NOT HIPAA compliant.

Now, if a vendor offers a BAA, it should be presented front and center in their benefits, terms or conditions, if not on their website homepage as part of their key features. If a vendor has taken the time and effort to make their infrastructure robust enough to meet HIPAA regulations, they’ll want to make it known to reassure healthcare organizations of their suitability to their particular needs.  

2. End-to-End Encryption

A key requirement of the HIPAA Security Rule is that sensitive patient data is encrypted end to end during its transmission. This means being encrypted during transit, i.e., when sent in an email or entered into a form, and at rest, i.e., within the data store in which it resides.

In light of this, any software that handles PHI should use strong encryption standards, such as:

  • Transport Layer Security (TLS – 1.2 or above): for secure transmission of PHI in email and text communications. 
  • AES (Advanced Encryption Standard) 256: the preferred encryption method for data storage as per HIPAA security standards, due to its strength.

3. Access Controls and User Authentication

One of the key threats to the privacy of patient data is access by unauthorized parties. This could be from employees within the organization who aren’t supposed to have access to PHI. In some, or even many, cases, this may come down to lax and overly generous access policies. However, this can result in the accidental compromise of PHI, affecting both a patient’s right to privacy and, in the event patient data is unavailable, operational capability. 

Alternatively, the exposure of PHI can be intentional. One on hand, it may be from employees working on behalf of other organizations, i.e., disgruntled employees about to jump ship to a competitor. More commonly, unauthorized access to patient data is perpetrated by malicious actors impersonating healthcare personnel. To prevent the unintended exposure of PHI, HIPAA compliant infrastructure, software and applications must support access control policies, such as:

  • Role-based access control (RBAC): the restriction of access to PHI based on their job responsibility in handling PHI, i.e.., an employee in billing or patient outreach. A healthcare organization’s security teams can configure access rights based on an employee’s need to handle patient data in line with their role in the company. 
  • Multi-factor authentication (MFA): this adds an extra layer of security beyond user names and passwords. This could include a one-time password (OTP) sent via email, text, or a physical security token. MFA is very diverse and can be scaled up to reflect a healthcare organization’s security posture. This could include also biometrics, such as retina and fingerprint scans, as well as voice verification.
  • Zero-trust security: a rapidly emerging security paradigm in which users are consistently verified, as per the resources they attempt to access. This prevents session hijacking, in which a user’s identity is trusted upon an initial login and verification. Instead, zero trust continually verifies a user’s identity.  
  • Robust password policies: another simple, but no less fundamental, component of user authentication is a company’s password policy. While conventional password policies emphasize complexity, i.e., different cases, numbers, and special characters, newer password policies, in contrast, emphasize password length. 

4. Audit Logs & Monitoring

A key HIPAA requirement is that healthcare organizations consistently track and monitor employee access to patient data. It’s not enough that access to PHI is restricted. Healthcare organizations must maintain visibility over how patient data is being accessed, transferred, and acted upon (copied, altered, deleted). This is especially important in the event of a security event when it’s imperative to pinpoint the source of a breach and contain its spread.

In light of this, HIPAA compliant software must:

  • Maintain detailed audit logs of all employee interactions with PHI.
  • Provide real-time monitoring and alerts for suspicious activity.
  • Support log retention for at least six years, as per HIPAA’s compliance requirements.

5. Automatic Data Backup & Disaster Recovery

Data loss protection (DLP) is an essential HIPAA requirement that requires organizations to protect PHI from loss, corruption, or disasters. With this in mind, a HIPAA-compliant software solution should provide:

  • Automated encrypted backups: real-time data backups, to ensure the most up-to-date PHI is retained in the event of a security breach.
  • Comprehensive disaster recovery plans: to rapidly restore data in case of cyber attack, power outage, or similar event that compromises data access.  
  • Geographically redundant storage: a physical safeguard that sees PHI. stored on separate servers in different locations, far apart from each other. So, if one server goes down or is physically compromised (fire, flood, power outage, etc.,) patient data can still be accessed. 

6. Secure Messaging and Communication Controls

For software that involves email, messaging, or telehealth, i.e., phone or video-based interactions, in particular, HIPAA regulations require:

  • End-to-end encryption: for all communications, as detailed above.
  • Access restrictions: policies that only enable those with the appropriate privileges to view communications containing patient data.
  • Controls for message expiration: automatically deleting messages after a prescribed time to mitigate the risk of unauthorized access.
  • Audit logs: to monitor the inclusion or use of patient data.

7. HIPAA Training & Policies

Even the most secure software can be compromised if its users aren’t sufficiently trained on how to use it. More specifically, the risk of a security breach is amplified if employees don’t know how to identify suspicious behavior and who to report it to if an event occurs. With this in mind, it’s prudent to look for software vendors that:

  • Offer HIPAA compliance and cyber safety awareness training for users.
  • Implement administrative safeguards, such as usage policy enforcement and monitoring.
  • Support customizable security policies to align with your organization’s compliance needs.

Shadow IT and HIPAA Compliance

Shadow IT is an instance of an application or system being installed and used within a healthcare organization’s network without an IT team’s approval. Despite its name, shadow IT is not as insidious as it sounds: it’s simply a case of employees unwittingly installing applications they feel will help them with their work. The implications, however, are that:

  1. IT teams are unaware of said application, and how data flows through it, so they can’t secure any PHI entered into it.
  2. The application may have known vulnerabilities that are exploitable by malicious actors. This is all the more prevalent with free and/or open-source software.

While discussing the issue of shadow IT in general, it’s wise to discuss the concept of “shadow AI” – the unauthorized use of artificial intelligence (AI) solutions within an organization without its IT department’s knowledge or approval. 

It’s easily done: AI applications are all the rage and employees are keen to reap the productivity and efficiency gains offered by the rapidly growing numbers of AI tools. Unfortunately, they fail to stop and consider the data security risks present in AI applications. Worse, with AI technology still in its relative infancy, researchers, vendors, and other industry stakeholders have yet to develop a unified framework for securing AI systems, especially in healthcare. 

Consequently, the risks of entering patient data into an AI system – particularly one that’s not been approved by IT – are considerable. The privacy policies of many widely-used AI applications, such as ChatGPT, state the data entered into the application, during the course of engaging with the platform, can be used in the training of future AI models. In other words, there’s no telling where patient data could end up – and how and where it could be exposed. 

The key takeaway here is that entering PHI into shadow IT and AI applications can pose significant risks to the security of patient data, and employees should only use solutions vetted, deployed, and monitored by their IT department. 

Best Practices for Choosing HIPAA Compliant Software

Now that you have a better understanding of how to evaluate software regarding HIPAA compliance, here are some best practices to keep in mind when selecting applications to facilitate your patient engagement efforts:

✔ Look for a BAA: quite simply, having a BAA in place is an essential requirement of HIPAA-compliant software. So, if the vendor doesn’t offer one, move on.

✔ Verify encryption standards: ensure the software encrypts PHI both at rest and in transit.

✔ Test access controls: choose HIPAA-compliant software that allows you to restrict access to PHI based on an employee’s role within the organization. 

✔ Review audit logging capabilities: HIPAA compliant software should track every PHI interaction. This also greatly assists in incident detection and reporting (IDR), as it enables security teams to pinpoint and contain cyber threats should they arise.

✔ Ensure compliance support: knowing the complexities of navigating HIPAA regulations, a reputable software vendor should provide comprehensive documentation on configuring their solution to match the client’s security needs. Better yet, they should provide the option of cyber threat awareness and HIPAA compliance training services. 

✔ Create a List of Software Vendors: combining the above factors, it’s prudent for healthcare organizations to compile a list of HIPAA compliant software vendors that possess the features and capabilities to adequately safeguard PHI.

Choosing HIPAA Compliant Software

Matching the right software to a company’s distinctive workflows and evolving needs is challenging enough. However, for healthcare companies, ensuring the infrastructure and applications within their IT ecosystem also meet HIPAA compliance standards requires another layer of, often complicated, due diligence. 

Failure to deploy a digital solution that satisfies the technical, administrative, and physical security measures required in a HIPAA compliant solution exposes your organization to the risk of suffering the repercussions of non-compliance. 

If select and deploy the appropriate HIPAA compliant software, in contrast, your options for patient and customer engagement are increased, and you’ll be able to include PHI in your communications to improve patient engagement and drive better health outcomes. Schedule a consultation with one of our experts at LuxSci to discuss whether the software in your IT ecosystem meets HIPAA regulations. and how we can assist you in ensuring your organization is communicating with patient and customers in a HIPAA compliant way.

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LuxSci Provides Oracle Cloud Infrastructure Customers Secure High Volume Email Solution to Protect Healthcare Data

LuxSci Secure High Volume Email Sending is Powered by Oracle Cloud and Available on Oracle Cloud Marketplace

BOSTON, MA– LuxSci, a HIPAA-compliant and HITRUST certified email service provider, and member of Oracle PartnerNetwork (OPN), is pleased to announce its Secure High Volume Email Sending solution has achieved Powered by Oracle Cloud Expertise and is now available on Oracle Cloud Marketplace, offering added value to Oracle Cloud customers.

Protected health information is highly valued by cybercriminals, which puts healthcare organizations at serious risk of ransomware and other cyberattacks. In 2020, 60% of all ransomware attacks targeted the healthcare industry. Oracle Cloud Infrastructure (OCI) is a deep and broad platform of public cloud services that enables customers to build and run a wide range of applications in a scalable, secure, highly available, and high-performance environment. OCI’s security-first design, encryption by default, and computing model proactively addresses common cybersecurity threats posed to the healthcare industry. Powered by Oracle Cloud, LuxSci provides highly secure and custom healthcare communications solutions for customers of all sizes.

“Our mission is to protect healthcare communications through highly secure solutions that are also highly flexible. OCI’s configuration options allow us to architect custom deployments for our customers that meet their unique security and compliance needs,” said Erik Kangas, CEO of LuxSci.

Before working with OCI, LuxSci used several public and private cloud providers, but they needed many customizations and upgrades to meet LuxSci’s stringent security standards. Combining OCI’s best-in-class cloud infrastructure with LuxSci’s best-in-class security solutions for healthcare communications creates a highly secure environment for any compliance need.

In addition to the security advantages of OCI, LuxSci has recorded measurable performance improvements to its systems, including memory that is 10 to 20 times faster than other public clouds and markedly improved CPU performance. These benefits are delivered directly to its customers, whose email and web services are speedier and more responsive.

“The cloud represents a huge opportunity for our partner community,” said David Hicks, vice-president, Worldwide ISV Cloud Business Development, Oracle. “LuxSci’s commitment to innovation and security with Oracle Cloud Infrastructure can help our mutual customers with cloud-enabled encrypted communications solutions designed for healthcare and compliance and ready to meet critical business needs.”

As ransomware threats increase, so does the demand for digital patient communication. Healthcare organizations must invest in the patient experience to keep patients satisfied and engaged in their healthcare journey. 60% of consumers expect their digital healthcare experience to mirror the consumer experience of retail. Healthcare organizations must adopt digital communication technology that is secure enough to send PHI and can engage patients at scale.

Together, Oracle and LuxSci are providing their customers with the highly secure environment needed for healthcare data. LuxSci Powered by Oracle Cloud enables secure, scalable, and reliable communications designed to meet the healthcare industry’s unique needs.

The Oracle Cloud Marketplace is a one-stop shop for Oracle customers seeking trusted business applications offering unique business solutions, including ones that extend Oracle Cloud Applications. Powered by Oracle Cloud Expertise recognizes OPN members with solutions that run on Oracle Cloud. For partners earning the Powered by Oracle Cloud Expertise, this achievement offers customers confidence that the partner’s application is supported by the Oracle Cloud Infrastructure SLA, enabling full access and control over their cloud infrastructure services as well as consistent performance.

About Oracle PartnerNetwork

Oracle PartnerNetwork (OPN) is Oracle’s partner program designed to enable partners to accelerate the transition to cloud and drive superior customer business outcomes. The OPN program allows partners to engage with Oracle through track(s) aligned to how they go to market: Cloud Build for partners that provide products or services built on or integrated with Oracle Cloud; Cloud Sell for partners that resell Oracle Cloud technology; Cloud Service for partners that implement, deploy and manage Oracle Cloud Services; and License & Hardware for partners that build, service or sell Oracle software licenses or hardware products. Customers can expedite their business objectives with OPN partners who have achieved Expertise in a product family or cloud service. To learn more visit: http://www.oracle.com/partnernetwork.

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