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What is the HIPAA Security Rule? Understanding Its Impact and Upcoming Changes for ePHI

What is the HIPAA Security Rule?

The HIPAA Security Rule is a critical part of The Health Insurance Portability and Accountability Act (HIPAA): legislation specifically designed to establish national security standards to protect the electronic protected health information (ePHI) held by healthcare organizations. Compliance with the HIPAA Security Rule is essential for safeguarding sensitive patient data against security breaches, cyber threats and even physical damage. 

However, as cyber threats grow in both variety and, more alarmingly, sophistication and technological advancements, the Office for Civil Rights (OCR), which enforces the Security Rule, has proposed updates to further strengthen the data security and risk management postures of healthcare organizations. 

In light of these upcoming changes to the HIPAA Security Rule and their importance to healthcare organizations, this post details the existing HIPAA Security Rule and what it entails. From there, we’ll look at the proposed modifications to the HIPAA Security Rule, helping you to understand how it will affect your organization going forward and, subsequently, how to best prepare for potential changes coming later this year to remain compliant.

What is the HIPAA Security Rule?

Added to HIPAA in 2003, the Security Rule introduced a series of mandatory safeguards to protect the increasing amount of digital data, i.e., ePHI, and the increasing prevalence of electronic health record (EHR) systems, customer data platforms (CDPs) and revenue cycle management (RCM) platforms. 

The HIPAA Security Rule centers around three fundamental categories of safeguards:

  1. Administrative Safeguards
    • Risk modeling: frequent risk assessments to identify, categorize, and manage security risks.
    • Workforce security policies: including role-based access controls.
    • Contingency planning for emergency access to ePHI:  i.e., disaster recovery and business continuity planning.
  2. Technical Safeguards
    • Access controls: implementing controls to restrict access to ePHI, e.g., Zero Trust, user authentication, and automatic timeouts. 
    • Audit controls: to track access to sensitive patient data.
    • Encryption protocols: to protect ePHI end-to-end, in transit and at rest.
  3. Physical Safeguards
    • Onsite security measures: to prevent unauthorized physical access, e.g., locks, keycards, etc.
    • Surveillance equipment: cameras and alarms, for example, to signal unauthorized access. 
    • Secure disposal of redundant hardware: devices containing ePHI must be properly disposed of by companies that specialize in data destruction. 

The HIPAA Security Rule: The Dangers of Non-Compliance

Consequently, should a healthcare company fail to comply with the safeguards outlined in the HIPAA Security Rule, it can result in severe consequences, including:

  • Civil penalties: up to $2.1 million per violation; repeat offenses can result in multi-million dollar settlements.
  • State-Level HIPAA Fines: in addition to federal HIPAA penalties, states, such as California and New York, can impose fines for compliance violations under the Health Information Technology for Economic and Clinical Health (HITECH) Act
  • Criminal charges: for willful neglect, unauthorized collection of ePHI, and, the malicious use of patient data (including its sale). This can result in up to 10 years in prison. 
  • Reputational damage: demonstrating an inability to secure ePHI results in a loss of patient trust, making them less inclined to purchase your services or products. More alarmingly, cybercriminals will also become aware that your company’s IT infrastructure is vulnerable, which could invite more attempts to infiltrate your network and steal ePHI.  

Proposed Updates to the HIPAA Security Rule

Now that we’ve discussed the present HIPAA Security Rule, and the consequences for failing to implement its required threat mitigation measures, let’s turn our attention to the proposed changes to the Security Rule, which were announced by the U.S. Department of Health and Human Services (HHS) in December, 2024, and how they will affect healthcare organizations. 

Mandatory Encryption for All ePHI Transmission

The proposed updates require end-to-end encryption for emails, messages, and data transfers involving ePHI, making all implementation specifications required with specific, limited exceptions. This means that patient data must be encrypted in transit, i.e., from one place to another (when collected in a secure form, sent in an email, etc.), and in storage, i.e., where it will reside. 

To accommodate these changes, many healthcare organizations will need to upgrade to HIPAA-compliant email solutions, for their outreach requirements, as well as encrypted databases to store the ePHI in their care.

Expanded MFA Requirements

Healthcare providers must implement Multi-Factor Authentication (MFA) for all personnel with access to ePHI. MFA moves beyond usernames and passwords, requiring users to prove their identity in more than one way. 

This could include:

  • One-time passwords (OTPs) via email, an app, or a physical security dongle (e.g., an RSA token)
  • Access cards or Fobbs
  • Biometric identification, such as retina scans, fingerprints, or voice recognition. 

This proposed rule change addresses increasing risks from phishing and other credential-based attacks, in which malicious actors acquire employee login details to access ePHI.

Stronger Risk Management and Third-Party Security Controls

Healthcare organizations must conduct more frequent risk assessments to identify, categorize, and mitigate threats to ePHI. A considerable part of this is implementing stricter security controls for business associates who have access to the healthcare company’s ePHI. 

A business associate could be a software vendor with which an organization processes patient data, or it could be a supplier or partner that requires access to ePHI to fulfill its operational duties. In light of this, one of the proposed changes to the HIPAA security rule is that vendor security audits will become more mandatory rather than optional.

New Incident Response (IR) and Breach Reporting Rules

The new rule changes emphasize stricter breach notification timelines for healthcare entities and the business associates that handle ePHI on their behalf. This means that healthcare companies are obligated to inform affected parties of a data breach as soon as possible. 

For healthcare companies, this means devising, or strengthening, continuous monitoring protocols, so their security teams become aware of suspicious activity as as soon as possible and can accurately communicate their containment efforts and take the neccessary actions to mitigate damages. 

Preparing For The Changes to the HIPAA Security Rule: Next Steps for Healthcare Organizations 

As the proposed changes to the HIPAA Security Rule move forward, and are likely to go into effect by the end of this year, healthcare organizations can prepare by:

✔ Conducting frequent risk assessments to pinpoint vulnerabilities to the ePHI in IT ecosystems. This should be done annually, at least – or when changes are made to IT infrastructure that may affect ePHI.

✔ Evaluating existing email and communication platforms to ensure compliance with encryption and authentication requirements, especially under the newly proposed security rule and its requirements.

✔ Hardening your organization’s cybersecurity posture by considering the implementation of network segmentation, zero-trust security principles, and data loss protection (DLP) protocols.

✔ Strengthening vendor risk management to ensure third-party service providers meet HIPAA compliance standards and that you have a Business Associate Agreement in place. 

How the Proposed Changes to the HIPAA Security Rule Affect Healthcare Communications and Email Security

One of the most significant implications of the proposed changes to the Security Rule is the heightened focus on secure email communications involving ePHI. Key takeaways for secure healthcare email include:

  • Encryption is now essential: healthcare organizations relying on unencrypted email delivery platforms to communicate with patients will need to switch to secure, HIPAA-compliant email solutions with the appropriate encryption capabilities. 
  • Email providers must meet stronger compliance standards: if your current email service provider doesn’t support automatic encryption, for instance, it may be non-compliant under the new rule.
  • Stronger authentication for email access: healthcare professionals sending or receiving ePHI via email must implement MFA and similar, robust access control protocols.

With email communication being a key part of patient outreach and engagement, it’s vital for healthcare companies to identify and address security gaps in their IT infrastructure, and prepare for the coming changes to the HIPAA security rule.   

Changes to the HIPAA Security Rule: Final Thoughts

The HIPAA Security Rule remains the foundation for protecting ePHI within healthcare organizations. The proposed updates to the Security Rule reflect the growing need for stronger cybersecurity controls in healthcare. The stark reality is that patient data is, and always will be, sensitive and, as such, will always be a valuable target for cybercriminals. 

In light of the persistent and growing threat to ePHI, healthcare organizations that fail to proactively address the requirements brought forth by the proposed changes to the HIPAA Security Rule risk data breaches, financial penalties and other punitive action. 

If you have questions about HIPAA compliant secure email, encryption, or how the coming changes to the Security Rule will impact your healthcare communications, contact LuxSci today for expert guidance.

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Signing a BAA Does Not Automatically Make You HIPAA Compliant

For healthcare organizations, choosing the right product and service vendors is essential for achieving HIPAA compliance. One of the key prerequisites of a HIPAA-compliant vendor is the willingness to sign a Business Associate’s Agreement (BAA): a legal agreement that outlines both parties’ responsibilities and liabilities in securing protected health information (PHI). 

However, despite what some healthcare organizations have been led to believe, simply signing a BAA with a vendor doesn’t guarantee your use of their product or service will be HIPAA-compliant. In reality, a BAA is just the beginning, and there are several subsequent actions both healthcare organizations and their supply chain partners must take to ensure the compliant use of PHI, especially over communications channels like email. 

With this in mind, this post explores some of the reasons why signing a BAA on its own doesn’t ensure the security of PHI and protect your organization from HIPAA violations.

Business Associate Agreements (BAAs) Explained 

As touched upon above, a BAA is a legally-binding document established between a covered entity (CE), i.e., healthcare organizations, and a business associate (BA), i.e, any company that handles PHI in providing a CE with products or services. For a BA to handle patient or customer data on behalf of a CE, following HIPAA regulations, there must be a BAA in place. 

A BAA details:

  • Each party’s roles, responsibilities, and liabilities in securing PHI.
  • The permitted uses of PHI by the BA and, conversely, restrictions on any other use.
  • The BA’s responsibilities in implementing appropriate administrative, technical, and physical security measures to best protect PHI.
  • The BA’s obligations to report any unauthorized use, disclosure, or breach of PHI.
  • That the BA is required to assist with patient rights support, i.e., data access, amendments, and accounting of disclosures, when appropriate.
  • The BA’s obligations in making records available for audits or investigations.  
  • The CE’s right to terminate the contract if the BA fails to fulfil their obligations in safeguarding PHI.

Additionally, if a BA employs a third-party company, i.e., a subcontractor, that will have access to a CE’s PHI, they are required to establish a BAA with that company. This then makes the subcontractor a “downstream BA” of the CE, and subject to the same obligations and restrictions placed on the original BA. This ensures the security protections mandated by HIPAA flow down the entire chain of custody for sensitive patient and customer data.

Compliance Considerations After Signing a Business Associate Agreement (BAA)

Now that we’ve covered what a BAA is and the role it plays in ensuring data privacy, let’s move on to exploring some of the key things you have to do following the singing of a BAA to ensure HIPAA compliance.  

1. Both Parties Must Implement HIPAA-Required Data Risk Mitigation Measures 

    First and foremost, while a BAA details each party’s respective responsibilities in implementing measures to protect PHI, both still actually need to implement those required security features to achieve HIPAA compliance. 

    The measures required under HIPAA’s Security Rule, including encryption and access control, are designed to mitigate and minimize the impact of data breaches. So, if a company suffers a security breach and later audits show the required security policies and controls were not in place, they would be subject to the consequences of HIPAA violations, including fines and reputation damage.   

    Also, while a BAA stipulates that the BA is responsible for implementing the HIPAA-required safeguards for the PHI under their care, it doesn’t specify exactly which security measures they must implement. Subsequently, that’s left to the BA to interpret based on their understanding of HIPAA requirements, and how they conduct their required risk assessments.

    For example, if you have a BAA with your email services provider, that alone may not be enough to keep your company or organization HIPAA compliant. That’s because the provider may not have the security measures your organization needs, and instead have a carefully worded BAA that will leave you vulnerable.

    Let’s say your email marketing service provider is a “semi-HIPAA compliant” provider. In these cases, they may not offer email encryption, or the necessary access control measures your organization needs to send PHI and other sensitive information safely. The so-called HIPAA compliance may be limited only to data stored at rest on their servers only.

    In short, although a BAA outlines each party’s commitment to securing data, both parties still have to follow through on implementing risk mitigation measures. Additionally, though a healthcare company has its BA’s assurances that they’ll have the appropriate safeguards in place, CEs often only have limited visibility into its ongoing security posture. As a result, asking the right questions and working with a proven HIPAA compliant provider are critical steps healthcare organizations must take to ensure full compliance.

    2. CEs Must Stick to “In-Scope” Services

      While a BA may provide a CE with a range of services, many limit the coverage of their BAAs to particular “in-scope” services. As a result, if a healthcare organization were to use a service outside the coverage of the BAA, i.e., an “out-of-scope” service, they’d risk exposing patient data and incurring HIPAA violations.

      And, even when a service is in-scope, the BA is still required to configure it properly for it to be compliant. These configurations could include:

      • Enabling encryption
      • Establishing access control
      • Activating multi-factor authentication (MFA)
      • Turning on audit logging 

      With this in mind, it’s crucial to ensure that the “complete” service or tool – not just a part of it – is covered by a BAA before using it to process PHI. Similarly, check the terms of your BAA for configuration or security best practices that offer guidance on fully HIPAA compliant use, and make sure your responsibilities as a CE are 100% clear.

      3. Staff Must Be Trained to Securely Handle PHI 

        Another key reason that signing a BAA doesn’t automatically result in HIPAA compliance is the likely need for both parties to educate their staff on how to securely handle sensitive data, such as PHI.

        Firstly, as discussed above, only some of the services offered by a BA may be covered by its agreement. Subsequently, a healthcare organization’s employees need to be sufficiently trained on the use and disclosure of PHI, namely, the services in which they’re permitted to process PHI and which, in contrast, services are non-compliant.

        By the same token, as well as implementing the stipulated safeguards, BAs are responsible for training their workforce on how to use and, where appropriate, configure them. This will help ensure the limited, correct use and disclosure of PHI as allowed by the BAA. 

        4. Reporting Requirements

          A BAA stipulates that a BA must notify the CE in the event of improper or unauthorized use of PHI. More specifically, this includes: 

          • Reporting immediately any use or disclosure not permitted by the terms of the BAA.
          • Notifying the CE of security incidents resulting in the potential exposure of  PHI.

          However, the commitment to reporting in the BAA and the ability to deliver on that commitment are two different things entirely. Firstly, the BA must implement the policies and infrastructure that allow for timely incident reporting. This includes conducting risk analysis, implemeting continuous monitoring, and developing a robust incident response plan. 

          Additionally, a key aspect of prompt, comprehensive reporting includes the BA ensuring that their staff are sufficiently trained to detect and report security events. As part of their training on the secure handling of PHI, a BA’s employees must be able to recognize common security issues and threats, such as improper email configurations and phishing attempts, and how to report them.

          5. Subcontractor BAAs

            While CEs must sign BAAs with their BAs for the compliant use and disclosure of PHI, they don’t have to sign such agreements with any subcontractors the BA may employ. Instead, it’s the responsibility of the BA to enter into their own business associate agreements with their subcontractors. As a result, the original security obligations are passed all the way down the data’s chain of custody. 

            While a CE can take certain measures to enforce this, such as requesting proof of subcontractor BAAs – or even the ability to review subcontractors before beginning engagement – ultimately, they have little control over their security postures. Ultimately, this means that they have to trust that the original service BA does their due diligence in selecting security-minded subcontractors, with the right PHI safeguards in place.  

            HIPAA Compliance Beyond a BAA with LuxSci

            LuxSci’s secure healthcare communications solutions – including HIPAA compliant email, text, marketing and forms – are designed specifically with the stringent compliance requirements of the healthcare industry in mind. 

            LuxSci also provides onboarding, comprehensive documentation, and support to ensure your infrastructure configurations align with HIPAA requirements, so you can confidently include PHI in your healthcare engagement communications campaigns.

            Contact LuxSci today to discover more about achieving compliance beyond obtaining a BAA.

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            How Hypersegmentation Drives Greater Healthcare Marketing Engagement

            In healthcare marketing, effective engagement is crucial. It’s imperative that healthcare providers, payers, and suppliers know how to connect with their patients and customers, keeping them aware of all aspects of their healthcare journey – and empowering them to participate as much as possible. 

            This is where segmentation comes in. 

            Instead of sending out healthcare marketing email communications that appeal to as many people as possible, segmentation enables healthcare companies to appeal to specific individuals or groups. It opens the doors for scenarios in which patients and customers see a message in their inbox and think, ‘this message is for me’. 

            With that goal in mind, this post explores use cases and best practices in segmentation, why it’s so important for healthcare companies, and different ways that marketers can segment their audiences for optimal patient and customer engagement.

            What is Segmentation?

            Segmentation is the process of dividing your contact list, or audience, into smaller groups based on shared data, including protected health information (ePHI) characteristics. This could include demographics (age, gender, geographic location, etc.), medical conditions, risk factors, behaviors, and so on. 

            Why Segmentation is Essential in Healthcare Email Marketing

            For healthcare organizations, segmentation is a highly effective, and essential, strategy for sending patients and customers personalized email messaging. Personalized emails are more relevant to the recipient, which greatly increases the chance of them capturing their attention and subsequent engagement. 

            This allows healthcare companies to successfully achieve the objective of their email campaigns, whether that’s reducing the number of appointment no-shows, increasing adherence to care plans, securing payments, or boosting sign-ups or sales. More importantly, patients and customers are more involved in their healthcare journey, staying on top of upcoming appointments, receiving applicable advice and recommendations, and becoming aware of products and services that may prove beneficial to their health, improving overall outcomes. 

            Additionally, dividing audiences into distinct groups gives healthcare organizations invaluable insights into the behaviour and needs of different segments at different stages of the healthcare journey. 

            For instance, an email campaign targeting a particular segment may reveal that they’re more likely to miss appointments than other groups. Similarly, segmentation may highlight that a certain high-risk group neglects to book recommended health screenings. Such insights enable healthcare providers, payers, and suppliers to improve their email engagement strategies, to drive more desirable outcomes and, ultimately more satisfied, loyal, and, above all, healthier patients and customers. 

            How Can Segmentation Aid HIPAA Compliance?

            Another considerable benefit of segmentation for healthcare organizations is that it supports their HIPAA compliance efforts. Because segmentation necessitates setting precise rules that control which individuals receive particular emails, it greatly mitigates the risk of accidentally sending sensitive patient data to the wrong person. 

            Let’s say, for instance, that you want to conduct an email campaign targeting expectant mothers. By creating a segment comprised of pregnant patients or customers using the appropriate data field, you ensure that sensitive, pregnancy-related information is only sent to relevant parties. By reducing the likelihood of disclosing PHI to the wrong individuals, segmentation not only helps maintain regulatory compliance, but also preserves patient trust and confidence in your organization.

            Different Ways to Segment Your Audience 

            Demographic Segmentation

            This involves grouping individuals by shared demographic attributes such as:

            • Age
            • Gender
            • Location
            • Ethnicity
            • Education Level
            • Employment Status
            • Marital Status
            • Family Status
            • Socioeconomic Status (Income)
            • Spoken Languages / Preferred Language
            • Income
            • Insurance Coverage Type
            • Religious or Cultural Affiliations

            Demographic information is a very powerful way to segment audiences to send them valuable, highly relevant information, for example:

            • Sending mammogram or prostate screening recommendations to women or men over a certain age. 
            • Sending health alerts to people in a certain region or ZIP code in response to the emergence of a disease in their area (e.g., flu, a new COVID strain). 
            • Making educational material easy to understand and informative. 

            Clinical Segmentation

            Here, individuals are grouped according to medical criteria, such as:

            • Health conditions
            • Prescribed medications
            • Treatment plans
            • Recent surgeries or medical procedures 
            • Recent lab test results
            • Hospitalization history
            • Vaccination status

            This enables healthcare organizations to craft a wide range of specific communications that hone in on particular patients and customers, including:

            • Disease management and preventative care advice for people suffering from certain conditions, e.g, how diabetic patients can best monitor and manage their blood sugar.
            • Recovery guidance for post-operative patients. 
            • Feedback requests for individuals on particular treatment plans, in an effort to optimize them. 

            Healthcare Journey Stage Segmentation

            This divides individuals according to their position in their care journey within your organization. 

            For healthcare providers, new patients should receive onboarding materials, explanations of services and how to make the most of them, and similar materials that help them feel welcome and informed. Existing patients, meanwhile, can be further segmented into active, overdue (inactive), or high-risk groups – all of which have different needs and ways in which they should be communicated with: 

            • Active patients: appointment reminders, educational materials, event and service recommendations, satisfaction surveys, etc. 
            • Overdue and inactive patients: appointment or payment reminders, re-engagement communications, etc. 
            • At risk patients: more frequent communications, care coordination messages, or support service referrals

            Behavioral Segmentation

            This method of segmentation is based on how recipients interact with emails or services, including:

            • How often they open emails.
            • If they click through on links.
            • If they use patient portals.
            • If they complete forms.
            • How often they attend scheduled appointments. 

            This segmentation empowers healthcare organizations to tailor the content type, frequency, and calls-to-action based on real engagement insights, and also carry out automated workflows based on each individual’s interaction with an email.

            Supercharge Your Segmentation with LuxSci

            LuxSci’s empowers healthcare organizations to effectively segment their contact lists into distinct target audiences for greater engagement in the following ways:  

            • LuxSci Secure Marketing features powerful hypersegmentation capabilities for granular targeting that increase opens, clicks and conversions for your healthcare marketing campaigns. 
            • LuxSci Secure High Volume Email enables companies to execute campaigns encompassing hundreds of thousands or millions of emails, targeting specific groups and audiences. 
            • Easy integration with EHR, CDP, and CRM systems to leverages deeper levels data for highly targeting, highly personalized email campaigns. 

            Reach out today to learn how LuxSci can help you reach more patients and customers, drive more engagement and conversions, and improve overall outcomes.

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            healthcare marketing

            How Automated Workflows Boost Engagement for Healthcare Marketing Campaigns

            Due to the fact that it’s simple, instantaneous, cost-effective, and nearly universally adopted, email is an essential part of all healthcare marketing engagement strategies. However, consistent, personalized email engagement – particularly at scale – can be challenging. 

             

            Fortunately, Automated Workflows offer a solution, allowing healthcare companies to deliver the right messages to the appropriate individuals at the right time, based on their individual engagement with emails.. 

             

            In this post, we’ll explore the concept of Automated Workflows, the considerable benefits they offer healthcare companies, and the variety of ways they can be used to increase engagement and result in greater satisfaction and better healthcare outcomes for your patients and customers.

            What Are Automated Workflows?

            An Automated Workflow is a sequence of actions, known as’ Steps’ in LuxSci Secure Marketing, that a Contact (i.e., a patient or customer) moves through over time, based on a series of pre-defined rules or triggers. 

             

            Each Step is programmed to automatically perform a specific function, such as sending an email or updating a Contact, when certain conditions are in place. These conditions could include: 

            • A Contact opening a message.
            • A Contact clicking through on a link.
            • A specified amount of time having elapsed.. 
            • A data update via an API call

            By evaluating conditions to initiate the appropriate Step, Automated Workflows facilitate more timely, consistent, and personalized communication with Contacts (patients and customers ). As a result, healthcare companies can effectively harness Automated Workflows to develop dynamic, personalized email engagement journeys that adapt according to your patients and customers’ needs and prior interactions.

            What Are the Benefits of Automated Workflows?

            Let’s look at the various advantages that Luxsci Automated Workflows offer. 

            Reduced Administrative Workload

            Arguably, the most significant benefit of Automated Workflows is the extent to which they lower the administrative burden of email engagement campaigns for healthcare organizations. 

             

            First and foremost, Automated Workflows eliminate the need for an employee to manually send your Contacts messages. As well as the manual effort, it removes a great deal of thought from the process – as someone isn’t required to remember to send an email. 

             

            By the same token, this reduces the scope for human error, preventing the possibility of an employee neglecting to send an important message, sending it to the wrong person, or worse, accidentally exposing patient data, i.e., electronic protected health information (ePHI). 

             

            The effort that Automated Workflows reduce is typically repetitive work that staff are glad to be free of, giving them additional time to focus on tasks that provide greater value and better contribute to better patient care and/or the customer experience. 

            Enhanced Scalability

            The time saved by employing Automated Workflows increases with the size of your Contact List and the scale of your engagement campaigns. In fact, enterprise-scale campaigns, with volumes of hundreds of thousands to millions of emails, are only feasible through the use of automation. 

             

            Similarly, Automated Workflows enable healthcare organizations to run differing, personalized email campaigns aimed at unique patient or customer segments.  As well as automatically sending each message at the appropriate time, they provide tracking capabilities to determine the outcome of each message. 

            Increased Consistency in Communication

            Because Automated Workflows remediate the risk of emails going unsent, they facilitate more timely and consistent communications with patients and customers. This makes healthcare providers, payers, and suppliers appear more reliable and consistent, building trust and greater levels of satisfaction from Contacts. More importantly, recipients are better able to track what’s happening with their healthcare and assume a more proactive role overall healthcare journey..

             

            Finally, creating an Automated Workflow requires healthcare organizations to carefully consider how they communicate with different Contact segments. Namely, the likely journey, or communication path, different types of Contacts take, i.e., information they need to know at a particular stage in their healthcare journey, the optimal order in which information needs to be presented, etc. This allows healthcare companies to become more in-tune with their patients’ and customers’ needs, enabling them to craft more valuable email communications that boost engagement. 

            Personalized Healthcare Engagement 

            Perhaps the most significant benefit of Automated Workflows is that they enable adaptive, personalized engagement for healthcare marketing and communications campiagns. Instead of manually tracking where each Contact is in a given engagement sequence, or worse, merely having to guess, you know precisely where they are. Consequently, you’re acutely aware of their needs and the exact nature of the emails you need to send them next. 

             

            This, in turn, enables more effective Contact nurturing, i.e, strengthening your organization’s connection with each individual. When at its most effective, this may allow you to anticipate your Contacts’ needs, enabling you to send them communications, such screening or testing recommendations, educational materials, or product and service suggestions, that support their healthcare journey and enhance their quality of care.

            Automated Workflow Use Cases

            Automated Workflows are a powerful tool for increasing healthcare marketing and communications engagement because they can be applied to a wide range of use cases. Let’s take a look at some of the most common and impactful ways email automation can be used by healthcare companies. 

            • New Product Announcements: keeping patients and customers in the loop on your company’s latest offerings, as well as improvements to existing products and services that are likely to be of interest, based on their data and past actions.
            • Personalized recommendations: suggesting products or services based on the recipient’s past purchases or engagement history.
            • Re-Engagement Campaigns: Automated Workflows can also be used to reconnect with Contacts with whom engagement has waned or was never completely established, sending them personalized messages to encourage specific actions or reignite interest.
            • New Member Onboarding: welcoming new patients or customers  with a structured series of emails that introduces your services, provides technical assistance (where applicable), details subsequent steps, and explains how to get the most value from your products or services. 
            • Appointment Reminers and Follow-Ups: sending reminders, care instructions, medication adherence advice, or details on how to book subsequent appointments, for instance, after a patient visit. 
            • Patient Education Campaigns: taking patients through a structured curriculum on managing their medical condition or required  lifestyle changes to improve their health..
            • Preventative Care Communications: proactively sending reminders for screenings, check-ups, vaccinations, etc., based on PHI such as a patient’s age, gender, health condition or lifestyle risk factors.
            • Milestone Communications: sending personalized messages to acknowledge birthdays, enrollment anniversaries, and other pertinent dates. These can also be combined with preventative care communications, to send recommendations or other advice, based on the contact’s age, for instance.  
            • Feedback Collection: acquiring patient and customer feedback by sending follow-up surveys a set amount of time after a visit, procedure, purchase, etc. 

            How Automated Workflows Work in LuxSci Secure Marketing

            To round off this post, let’s take a deeper look at how Automated Workflows work within LuxSci’s Secure Marketing solution. LuxSci’s Automated Workflows enhance your organization’s HIPAA compliant healthcare marketing and email campaigns by giving you complete control of:

             

            • When each email is sent
            • Which Contacts receive particular communications according to their behavior, needs, and other PHI-based attributes
            • Which engagement path or branch a Contact takes based on their email actions

            Here’s a look at LuxSci’s Automated Workflows key capabilities in greater detail. 

            Smart Event-Based Branching and Conditions

            You can branch Workflows to trigger targeted messaging based on a Contact’s attributes or certain engagement events, resulting in more relevant and effective healthcare journeys  with more desirable outcomes.

            • User actions:
              • Mailing list sign-ups
              • Form completion
              • Downloading a resource.
            • Time-based triggers:
              • A set period after a visit or procedure 
              • A defined period of inactivity or lack of contact
              • Milestones, e.g., birthdays, anniversaries. 
            • Behavioral triggers:
              • Email opens
              • Clicking on links
              • Visiting particular pages on a site or 
              • A lack of engagement with previous emails.
            • Transactional triggers:
              • Purchasing a product or service
              • Signing up for an event
              • Order confirmations or shipping updates after a purchase.
            • API-triggered events
              • Lab results or similar correspondence becoming available
              • Changes to data in EHR systems, CDP platforms, or CRM systems.. 

            Automated Segment Management 

            Automated Workflows can be used to dynamically add Contacts to segments based on demographics, past behavior, purchase history, and similar events. This enables more precise targeting and email personalization as they progress through specific Steps in each Workflow. 

            Navigation Across Steps

            Automated Workflows are also capable of navigating Contacts across different Steps or completely different Workflows depending on engagement outcomes and updates to a Contact’s PHI. Better still, if a Step has already been visited, LuxSci Secure Marketing automatically prevents repetition and infinite loops.

            Automate Your Healthcare Marketing and Engagement Efforts

            LuxSci Secure Marketing is a HIPAA compliant healthcare marketing solution especially designed for the stringent security and regulatory requirements of the healthcare industry. Our solution enables healthcare organizations to confidently communicate with patients and customers at scale without risking compliance violations, driving increased engagement and boosting the ROI of their marketing campaigns in the process. 

             

            The latest version of LuxSci’s Secure Marketing solution with Automated Workflow functionality streamlines your company’s outreach efforts, saving considerable time, reducing human effort, and facilitating intelligent Contact management. 

            What’s more, LuxSci’s reporting capabilities empower you to carefully track the results of your healthcare engagement campaigns, gaining insights at every step, including:

            • Which Contacts received particular messages
            • Who engaged with email communication, and how
            • Precise points where drop-offs in engagement occur
            • The engagement achieved with each Step in the Workflow

            To learn more about LuxSci’s Secure Marketing solution and how Automated Workflows boost engagement for your healthcare marketing and communications campaigns, contact us today.

             

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            healthcare marketing management

            What Is Healthcare Marketing Management For Medical Practices?

            Healthcare marketing management coordinates promotional activities, patient acquisition strategies, and compliance oversight to help medical practices attract new patients while adhering to HIPAA privacy regulations and professional advertising standards. Medical facilities require healthcare marketing management to oversee digital campaigns, traditional advertising efforts, community outreach initiatives, and patient retention programs across multiple promotional channels while ensuring all activities meet regulatory requirements and produce measurable patient acquisition outcomes.

            So, why do some medical practices thrive while others struggle with patient acquisition? The answer is effective healthcare marketing management. Without dedicated oversight, promotional efforts scatter in different directions, budgets vanish without measurable results, and compliance violations create expensive legal problems.

            Patient Demographics in Healthcare Marketing Management

            Understanding your target audience begins with data analysis. Age groups, geographic boundaries, insurance coverage patterns, and prevalent medical conditions within your service area shape every promotional decision. Healthcare marketing management teams dive deep into existing patient records, uncovering referral patterns that reveal which sources generate the highest value patients.

            Competitive intelligence gathering takes multiple forms. Some practices hire mystery shoppers to evaluate competitor services. Others analyze online reviews, pricing structures, and promotional messaging. Smart management uses this intelligence to identify market gaps rather than copying unsuccessful strategies from neighboring practices.

            Budget Allocation in Healthcare Marketing Management

            The amount practices should spend on digital versus traditional advertising depends on patient demographics, local market conditions, and practice specialties. Younger patients respond better to social media campaigns, while older demographics prefer direct mail and radio advertising. Healthcare marketing management level these preferences against available budgets.

            Compliance costs eat into promotional budgets more than most practices realize. Legal reviews for promotional materials, staff training on privacy regulations, and business associate agreements with vendors all require financial investment. Practices that skip these expenses face much larger costs when regulatory violations occur.

            Digital Campaigns & Healthcare Marketing Management

            Your practice website is the digital front door for new patients. But websites alone don’t generate appointments. Search engine optimization, pay-per-click advertising, social media engagement, and content marketing must work together seamlessly. Healthcare marketing management orchestrates these elements to create comprehensive digital presence.

            Content creation poses challenges in healthcare. Educational articles about medical conditions can attract patients searching for information. However, any content featuring patient stories or treatment outcomes requires careful authorization management. One unauthorized patient photo or testimonial can trigger costly HIPAA violations.

            Compliance Integration Protects Promotional Investments

            HIPAA violations from promotional activities result in average penalties exceeding $100,000 per incident. Healthcare marketing management prevents these disasters through systematic compliance integration. Every promotional campaign, vendor relationship, and content piece undergoes privacy review before launch. Documentation proves compliance during regulatory audits. Smart practices maintain detailed records of patient authorizations, vendor agreements, and staff training completion. These records protect practices when investigators examine promotional activities for potential privacy violations.

            Community Outreach to Build Healthcare Marketing Management

            Local health fairs provide face-to-face patient interaction opportunities that digital campaigns cannot replicate. However, these events require careful planning to maximize return on investment while protecting patient privacy. Healthcare marketing management coordinates booth staffing, educational materials, and follow-up procedures to convert event contacts into scheduled appointments. Referral relationships with other healthcare providers generate consistent new patient flows. But referral agreements must comply with anti-kickback laws and fraud prevention regulations. Healthcare marketing management navigates these legal requirements while building mutually beneficial professional relationships.

            Performance Analytics Guide Healthcare Marketing Management Optimization

            Which promotional channels generate the most valuable patients? Website analytics, call tracking systems, and appointment scheduling data provide answers. Healthcare marketing management uses this information to optimize budget allocation and eliminate wasteful spending on ineffective promotional channels. Patient lifetime value calculations reveal which acquisition strategies produce the best long-term results. Some promotional channels attract patients who schedule one appointment and never return. Others generate loyal patients who refer family members and friends.

            Implementation Coordination

            Successful promotional campaigns require precise timing and resource coordination. Campaign launches, content publication schedules, and community event participation must align with practice capacity and seasonal patient demand patterns. Healthcare marketing management prevents promotional success from overwhelming practice operations. Seasonal planning creates promotional opportunities that many practices miss. Flu vaccination campaigns, summer sports injury prevention, and back-to-school wellness checks all present timely promotional angles. Healthcare marketing management preparation captures these opportunities while competitors scramble to react.

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            In-Home Care Email Use Cases

            HIPAA-Compliant Email: 7 Use Cases for In-Home Care

            The demand for in-home care is growing as patients increasingly seek personalized, convenient healthcare in the comfort of their homes. A key reason for this increase is the rise in the number of baby boomers, i.e., people aged 65 and older, opting for in-home care.

            In fact, as of 2020, there were approximately 76.4 million Baby Boomers in the United States, with projections indicating that by 2040, there will be roughly 80.8 million Americans over the age of 65. Consequently, the need for in-home care services will only grow to accommodate the health needs of this expanding demographic. 

            For in-home care providers, remaining competitive in this space requires increased levels of patient engagment over digital channels and the inclusion of protected health information (PHI) to personalize communications. As a result, incorporating secure, HIPAA-compliant email communications and campaigns into your in-home patient outreach efforts both enhances engagement and yields significant operational and financial benefits. 

            In this post, we explore 7 impactful use cases for HIPAA-compliant secure communications for in-home care, including how providers can harness them to achieve their efficiency goals and growth objectives, while improving health outcomes for patients.

            What Are the Benefits of HIPAA-Compliant Email for In-Home Care Providers?

            Before we dive into the most common email use cases for in-home care providers, let’s look at why adopting secure, personalized communication strategies offer several advantages:

            • Avoiding the Consequences of HIPAA Non-compliance: including sensitive patient data in communications without implementing the security measures required by HIPAA can incur financial (fines, compensation), operational (time spent mitigating security threats), and reputational (being seen as untrustworthy with PHI) consequences. 
            • Enhanced Efficiency and Outcomes: streamlined communications, such as automated appointment reminders, reduce administrative tasks and missed appointments, allowing staff to spend more of their time engaging patients to drive better health outcomes.
            • Improved Patient Satisfaction: timely, relevant, and personalized communications demonstrate a commitment to patient well-being and positive engagements, fostering trust and loyalty.
            • Cost Savings: Secure, personalized communications lead to significant cost reductions by preventing miscommunications and the resulting complications. 
            • Increased brand connection: with HIPAA-compliant communications, you can foster a better understanding of the full extent of your capabilities, the value you provide, and, ultimately, the vital role you play in your patients’ healthcare journey. 

            High-Impact HIPAA-Compliant Use Cases for In-Home Care

            1. Appointment Reminders

            Missed appointments are a substantial financial burden on healthcare organizations. In the U.S., they result in an estimated $150 billion in losses annually, with each no-show costing businesses approximately $200 per hour. 

            Sending personalized, secure appointment reminders via HIPAA-compliant email and text messaging can significantly reduce no-show rates, cutting costs, boosting revenue, and, most importantly, increasing patient adherence to care. Better still, appointment reminders can be automated, e.g., with confirmations sent at the time of booking and reminders scheduled to go out a few days before the appointment. This not only ensures consistent communication, with minimal additional administrative overhead, but also increases the utility and value of the in-home care service.  

            2. Follow-Up Communications

            Frequent follow-up email communications are an effective way to monitor a patient’s progress, ensuring adherence to treatment plans and enabling them to adapt a health regime according to potential changes in their condition. 

            A few examples of situations that warrant a follow-up email include:  

            • After an initial consultation
            • After an appointment with an in-home care professional
            • After a treatment or surgery
            • After in-home medical equipment training 
            • After a patient has started a new course of medication

            Follow-up email communications could include advice on booking a subsequent appointment, aftercare advice, or guidelines for taking medication. Again, as with appointment reminders, follow-up emails can be automated to streamline the process. 

            3. Personalized Treatment Plans

            Tailoring treatment plans to fit a patient’s specific needs enhances treatment efficacy and reduces the likelihood of adverse effects. Secure email plays a crucial role in the development and distribution of treatment plans, which always include PHI, providing a channel by which healthcare providers can share sensitive patient data quickly and coordinate on any courses of action.

            Email security measures, such as encryption, access control, and user authentication protect patient data from the malicious efforts of cybercriminals, while ensuring compliance with HIPAA’s Security Rule.  

            4. Care Coordination

            Effective care coordination is essential for in-home care success where multiple healthcare professionals, such as nurses, therapists, and caregivers, must consistently collaborate to deliver high levels of patient care. 

            Offering critical functions such as treatment updates and emergency alerts, HIPAA-compliant email communications can ensure that all necessary parties remain in the loop about any situations regarding their shared patients. Additionally, integrating HIPAA-compliant email with a customer data platform (CDP) solution, electronic health record (EHR) systems, or any other system where PHI resides, allows in-home care providers to access and update patient records in real time, ensuring access to up-to-date information across the care team.

            5. Proactive Patient Education

            Educating patients through secure, personalized communications helps to enhance their competence in matters regarding their health, thereby increasing confidence in their ability to manage their healthcare journey more effectively, and resulting in greater engagement. Using PHI to segment patients by their condition or certain demographics (e.g., age, gender, lifestyle factors) and send them relevant educational materials is a powerful way for in-home care providers to offer additional value. This could include: 

            • Advice on managing a particular condition of injury, e.g., chronic disease management
            • Informing patients and customers of events related to their present state of health, e.g., classes for expectant mothers, support groups for cancer patients, etc. 
            • Tips related to improving their health according to recent diagnoses and known lifestyle factors, e.g., smoking cessation strategies, dietary advice, etc.  

            Patient education is such an effective use of HIPAA-compliant email because it can be done frequently. Plus, it offers the additional benefits of helping to position the in-home care provider as an expert, increasing patient trust and boosting adherence to prescribed health advice. 

            6. Collecting Patient and Customer Feedback

            Another simple, yet powerful use of secure email communication is to collect feedback and intelligence from patients, via integrated, secure email and forms, for review requests, surveys, and polls. By gaining insight into how your patients and customers feel about the quality of your in-home care products and services, you can pinpoint areas for improvement. As well as increasing customer satisfaction levels, this will also present opportunities to root out inefficiencies and cut costs in the process. 

            Additionally, asking for feedback helps increase patient trust, because you’ve displayed a commitment to improving your service and that you’re interested in the opinion of your patients and customers. 

            7. Health Alerts

            HIPAA-compliant email is a helpful tool for making patients aware of situations or circumstances that could adversely affect their health. This could include alerts about virus outbreaks in their area or adverse weather events that could affect their in-home healthcare provision. To maximize value, these email alerts can be paired with advice to help patients through potential health emergencies, such as information on vaccine drives, activities to avoid during a period of rough weather, and support resources should they require more assistance.  

            Elevate Your In-Home Care Communications with LuxSci HIPAA-Compliant Email

            LuxSci stands at the forefront of secure healthcare communications, offering HIPAA-compliant email, text, forms and marketing solutions for the security and compliance needs of in-home care providers. With over 25 years of experience, LuxSci provides secure high-volume email solutions, solutions for making Google Workspace and Microsoft 365 HIPAA-compliant, secure text messaging, and secure forms solutions that enable personalized, efficient, and effective patient engagement across a variety of channels. 

            Using LuxSci’s suite of secure communication tools, in-home care providers can streamline their operations, drive better, more personalized engagement, and improve health outcomes for the growing numbers of patients looking for healthcare services at home. Contact LuxSci today to learn more.

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            LuxSci Secure Texting for Healthcare Apps

            How Secure Texting for Healthcare Improves Patient Portals

            Patient portals were once hailed as a game-changing tool for healthcare companies to engage patients throughout their healthcare journey. In theory, they offer a convenient platform where patients and customers can access their medical records, communicate with their providers or suppliers, book appointments, and even pay bills—safely and securely. But despite the optimism around patient portals, the reality is much more complex. Adoption rates remain stubbornly low, and many patients simply don’t like using them.

            So, why is this the case? More importantly, how does the relatively mediocre adoption of patient portals impact patient engagement, outcomes, and overall cost?

            In this post, we’ll take a closer look at the shortcomings of patient portals, share current trends in patient and customer communication preferences, and explore how text communication can improve portal adoption and patient engagement.

            Why Patient Portals Aren’t Enough

            At their core, patient portals are online platforms that provide access to a range of healthcare-related services. These services typically include:

            • Access to medical records
            • Secure messaging with healthcare providers
            • Appointment scheduling
            • Prescription refill requests
            • Bill payments

            These portals were designed with good intentions, but as we’ll discuss, they often fall short of delivering the seamless, user-friendly experience that people expect today.

            LuxSci Secure Texting for Healthcare Apps

            Preferences for Healthcare Communications

            Healthcare communication preferences have shifted. Today’s patients don’t just want portals—they want a range of communication options, from phone calls and emails to secure texts. According to a 2023 survey by Accenture, patients’ preferred communication channels include:

            • Phone Calls: 62% of patients still prefer phone conversations with their healthcare providers.
            • Email: 44% like receiving emails for lab results, appointment reminders, and other updates.
            • Text Messaging: 37% of patients prefer receiving healthcare communications via text, particularly for reminders and follow-ups.
            • Patient Portals: Only 28% of patients prefer using portals for routine interactions.

            There are several reasons why people are reluctant to adopt patient portals, including:

            • Complexity: Many portals can be clunky, difficult to navigate, and not user-friendly. Patients and customers often find it difficult to log in, locate their information, or contact their provider or supplier through the portal.
            • Lack of Engagement: Patients are rarely encouraged to use these portals consistently, and some are unaware they even exist.
            • Concerns About Security: While patient portals are designed to be secure, many patients still harbor concerns about their personal health information being compromised.
            • Limited Access: Some portals only provide limited access to medical records, appointment scheduling, or other information, making them less useful.

            Relying solely on patient portals leaves a significant portion of patients and customers under-served. By integrating secure texting apps into their engagement strategies, healthcare providers, payers and suppliers can diversify their communication methods and connect with patients and customers more effectively across the channels they prefer.

            How Secure Texting Complements Patient Portals

            Secure texting apps for healthcare solve many of the issues patient portals alone cannot. By offering an additional, patient-friendly communication channel, these apps improve patient engagement and streamline interactions.

            Here’s how secure texting apps work:

            • Secure Access to Patient Portals: Secure texting apps allow patients to access ePHI and other sensitive information directly from mobile devices via regular SMS text messages.
            • Instant Notifications & Alerts: Patients and customers can click on a link in text messages and view information in a secure mobile web browser on their smartphones or tablets, including appointment reminders, updates, product upgrades and promotions.
            • User-friendly: Most secure texting apps are designed with usability in mind, offering an intuitive, seamless experience  – with no new applications required.

            By offering secure texting as an additional communication channel, healthcare organizations can reach more patients and customers, and improve engagement by offering patients multiple channel options for communication and easier access to portals.

            Security and HIPAA Compiance

            It’s essential to note that not all texting apps are appropriate for healthcare use. Traditional text messaging services don’t offer the level of encryption and security required by HIPAA regulations, making them risky for exchanging protected health information (PHI).

            LuxSci’s secure texting for healthcare ensures that patient and customer communications comply with HIPAA’s strict privacy and security standards. Our secure texting solution offers encryption, authentication, and data protection, ensuring that patients can directly and safely access portals for viewing health information, treatment plans, payments, promotions and more.

            Benefits of Secure Texting for Healthcare

            Adopting secure texting apps for healthcare, alongside other communication tools, including email and web forms, brings numerous benefits to both patients and providers, including:

            • Increased Engagement: Patients and customers are more likely to respond and engage with providers through their preferred communication method, not just a portal.
            • Improved Outcomes and Results: Engaged patients are more likely to adhere to their treatment plans, stay informed and use the right products, improving overall health outcomes.
            • Lower Costs and Greater Efficiency: Better communication leads to fewer missed appointments, more efficient processes and greater patient participation in their healthcare journeys.
            • Greater Satisfaction: Patients and customers appreciate having a choice in how they communicate with their providers and healthcare suppliers, leading to higher satisfaction, loyalty and trust.
            • Reduce Missed Appointments: Instant notifications and reminders via text can help patients stay on top of their appointments and follow-ups.

            Secure Texting is Key to Modern Healthcare Communication

            Patient portals alone are no longer enough to drive the kind of patient engagement needed for optimal healthcare outcomes. By integrating secure texting apps for healthcare with other communication tools like email and web forms, providers can offer a more patient-centric approach to healthcare communication.

            At LuxSci, we’re committed to helping healthcare providers offer secure, HIPAA-compliant communication solutions that improve patient engagement, outcomes and results. By giving patients the flexibility to choose their preferred communication channel—whether it’s secure texting, email, phone, or a patient portal—you can increase engagement, improve outcomes, and lower costs.

            Want to learn more about secure texting for healthcare? Reach out and connect with us today!

            FAQs

            1. What are secure texting apps for healthcare? Secure texting apps for healthcare are HIPAA-compliant platforms that enable encrypted, secure communication between healthcare providers and patients via text message.
            2. Why are patient portals underutilized? Patient portals often have usability issues, complex login procedures, and limited functionality, making them less appealing to patients and customers.
            3. Is secure texting HIPAA-compliant? Yes, when done through solutions like LuxSci Secure Text, communications can be encrypted and meet HIPAA’s stringent security requirements.
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            LuxSci HIPAA Compliant Marketing FAQs

            HIPAA-Compliant Email Marketing FAQs

            Email is an essential channel for most healthcare marketers, but HIPAA compliance requirements can make it challenging to execute effective engagement campaigns without violating patient privacy.

            HIPAA is a complicated set of regulations that while offering a lot of guidance, does not mandate the use of any specific technologies to protect patient privacy. This ambiguity causes a lot of confusion for marketers looking to integrate email into their healthcare engagement campaigns.

            With this in mind, this article addresses some frequently asked questions (FAQs) about HIPAA-compliant email marketing and offers advice for securing patient data and future-proofing your marketing.

            Frequently asked HIPAA compliant email marketing questions

            Do Generic Newsletters Need To Be Protected?

            What Is An Email API?

            Does HIPAA Allow Healthcare Providers To Send Unencrypted Emails With PHI To Patients?

            Can Patients Exercise Their Right Of Access By Receiving PHI via Unencrypted Email?

            Is Microsoft 365 Sufficient For Marketing Emails?

            What Are Common Email Marketing Use Cases For Healthcare?

            How Do I Find a HIPPA-Compliant Email Marketing Vendor?

             

            Do generic newsletters need to be protected?

            Some marketers assume newsletters from a healthcare provider or supplier do not contain health information and, therefore, do not fall under HIPAA requirements. This assumption, however, is often incorrect, with many surprised to learn that protected health information (PHI) can be implied from seemingly innocuous information.

            As a result, many generic email newsletters often indirectly contain PHI due to the very fact that they are sent to lists of current patients or customers. This is because email addresses count as individually identifiable data and when combined with the message therein, it’s pretty simple to infer that they are patients or customers.

            Let’s say, for example, that you send a newsletter to the patients of a dialysis clinic. An eavesdropper could infer that the recipients receive dialysis. Consequently, as the email reveals information about an individual’s health treatment, it contains PHI and should be secured in compliance with HIPAA regulations.

            For the fundamental reason that it can be difficult to determine what classifies as PHI, it’s safer to skip the ambiguity entirely and use a HIPAA-compliant email marketing solution to ensure security.

            What is an email API?

            An Application Programming Interface (API) is a collection of protocols, or rules, that enable different applications to communicate with each other. APIs are a crucial aspect of modern applications – as they spare developers the considerable effort of creating application features from scratch – they can just connect to the API of an existing application.

            For example, how many websites have you used that utilize Google Maps? This is because they have connected their site to the Google Maps API – integrating it into their application and providing another feature for their users.

            In the case of an email API, it is a way for applications, such as customer relationship management (CRM) platforms, customer data platforms (CDP) and electronic health record (EHR) systems, to connect to email service providers. This then allows marketers to send emails through the application, using the ePHI (electronic protected health information) collected and stored within the application.

            Additionally, marketers can view and further utilize campaign data through the powerful dashboards and analysis tools found in CRM systems and similar applications. Trigger-based transactional or marketing emails are ideal for sending with an email API, whereby emails are sent when pre-determined conditions in the application are met. Healthcare organizations may use email APIs to send appointment reminders using electronic health records system data about a patient’s upcoming appointments, check ups or treatments.

            As invaluable as email APIs are, however, especially for streamlining and automation communication workflows, they are no substitute for a comprehensive email marketing platform. Email APIs do not include the contact management systems standard in most email marketing platforms, as all the data resides within the application they connect to. Additionally, email API tools do not typically include drag-and-drop editor tools and other design features that enable you to make your emails stand out and boost patient engagement.

            Does HIPAA allow healthcare providers and companies to send unencrypted emails with PHI to patients?

            Encryption is an addressable standard, i.e., it must be implemented by the organization unless a risk analysis concludes that implementation is not reasonable and appropriate, under the HIPAA Security Rule. This does not mean it is optional. The HIPAA Security Rule does not explicitly forbid unencrypted email. Still, it does state that “other safeguards should be applied to protect privacy reasonably, such as limiting the amount or type of information disclosed through the unencrypted email.”

            In addition, the Department of Health and Human Services also states that “covered entities are permitted to send individuals unencrypted emails if they have advised the individual of the risk, and the individual still prefers the unencrypted email.” in response to this, some organizations use waivers to inform patients of the risks and acquire permission to send unencrypted emails.

            However, we do not recommend this approach for several reasons:

            1. Keeping track of waivers over time and recording status changes and updates is challenging – and increases your administrative overhead.
            2. Signed waivers do not insulate you from the consequences of a HIPAA breach.
            3. Using waivers to send unencrypted emails doesn’t absolve you of your other HIPAA obligations, such as data retention and disposal. Subsequently, using a HIPAA-compliant email solution is more manageable and eliminates ambiguity.

            Can patients exercise their right of access of receiving PHI voa unencrypted email?

            Yes, but they must be fully informed of the risks and sign waivers acknowledging them; the caveats detailed in the above answer apply. Consequently, it’s always best to use an encryption tool to protect patient data.

            Is Microsoft 365 with encryption sufficient for sending marketing emails?

            Microsoft 365 can be configured with Office Message Encryption (OME) to comply with HIPAA. However, it is not well-suited for sending marketing emails. OME primarily relies on portal pickup encryption, in which the message is stored securely on a server and requires the recipient to log in to the portal to read the email. As a result, the portal adds friction to the marketing process that prevents optimal engagement and constrains ROI.

            Marketing messages containing light-PHI, i.e. low-risk data, are best sent using Transport Layer Security (TLS) encryption. TLS-encrypted messages arrive in the recipient’s inbox just like a regular email and do not require them to complete an additional step.

            Additionally, Microsoft 365 is not configured to send high volumes of email. If you plan on executing large scale marketing campaigns, you could unintentionally disrupt regular business communications by sending all the messages through the same infrastructure. Instead, you should separate your business and marketing email delivery activities to protect your IP reputation, i.e., the trustworthiness of your IP addresses and how likely it is your emails end up in a spam folder, and achieve your desired sending throughput.

            What are the common email marketing use cases for healthcare?

            Email marketing in healthcare is not restricted to boring general practice newsletters and other communications that fail to engage patients. When you successfully harness tools that enable you to use ePHI to better target and personalize your healthcare engagement campaigns – the sky is the limit. With consumer preferences shifting toward digital communications, marketers who know how to best utilize HIPAA-compliant email marketing – and tactics like segmentation and personalization – will prove more effective at reaching patients.

            Examples of ways that healthcare marketers can use email include:

            • Lead generation campaigns
            • Promotions
            • Verifications
            • Order confirmations
            • Notifications
            • Upsell & cross-sell
            • Collecting data on the patient experience

            How do I find a HIPAA-compliant email vendor?

            Using popular email marketing platforms, such as Mailchimp, is not recommended. Many of these platforms were designed for  businesses, but are simply not secure enough to meet HIPAA requirements. We do not recommend using a solution not specifically equipped to meet the healthcare industry’s unique security and compliance needs. To determine if your email marketing provider is compliant, they must meet three broad criteria at a minimum.

            1. The vendor must sign a Business Associate Agreement (BAA) outlining how they plan to secure your data and what they will do in the event of a breach.
            2. Encrypt data at rest when it is stored in their systems.
            3. Encrypt data, i.e., email messages, in transit as sent to the recipients.

            Not all vendors will be up to the task. Carefully vet your email marketing vendors to ensure they are taking steps to secure data and protect patient privacy.

            Conclusion

            Admittedly, HIPAA can be difficult to understand – but choosing the right tools and adequately vetting your vendors makes it far easier to successfully execute HIPAA-compliant email marketing campaigns.

            As the most experienced HIPAA-compliant email provider, LuxSci specializes in providing secure and scalable communications for companies aiming to send hundreds of thousands – or millions – of emails. In light of this, we place security, compliance and personalization considerations front and center when building our solutions.

            Interested in discovering how LuxSci’s secure healthcare communications solutions can transform your healthcare marketing and engagement efforts?

            Contact us to learn more today!

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            HIPAA Compliant Email

            What Are the Implications of the Proposed Changes to the HIPAA Security Rule?

            With the recent announcement of proposed changes to the HIPAA Security Rule, by the Office for Civil Rights (OCR), healthcare providers, payers, suppliers, and organizations of all sizes will have to tighten up their cybersecurity practices. In some cases, considerably. 

            However, with the announcement being so recent (and there not even yet being a clear timeline for when companies will have to implement the changes), it’s all too easy for organizations to view the proposed amendments as a challenge that’s far off in the future.

            However, even at this early stage, the proposed changes to the Security Rule require careful consideration and important conversations. Soon, healthcare companies will have to implement or improve a series of cybersecurity controls designed to better safeguard electronic protected health information (ePHI). 

            In light of this, in this post, we’ll discuss some of the most important practical considerations that healthcare organizations will have to contend with to maintain HIPAA compliance when the proposed changes to the Security Rule go through. 

            What are the Key Proposed Changes to the HIPAA Security Rule?

            First, a refresher on what the proposed changes to the Security Rule are:

            1. More Comprehensive Risk Management: healthcare organizations must conduct more frequent risk assessments to identify, categorize, and mitigate threats to sensitive patient data. 
            2. Stricter Documentation and Evidence Retention Policies: similarly, stronger documentation and record-keeping practices to ensure organizations can demonstrate compliance with security requirements.

              This includes:
            • Maintaining detailed records of how they assess threats and implement safeguard security controls (e.g., encryption policies, access controls, etc).
            • Retaining detailed audit logs of system access, data modifications, and security events, as well as reports from security solutions, such as firewalls and intrusion detection systems all must be securely stored, retained for a defined period, and made available for audits and compliance reviews.
            • By the same token, the proposed updates to the Security Rule may extend how long healthcare organizations must retain logs and other security documentation, allowing auditors to review historical compliance efforts in the event of an investigation.
            1. Mandatory Encryption for All ePHI Transmission: healthcare companies will require end-to-end encryption for emails, messages, and data transfers involving ePHI. Like today, this means that patient data must be encrypted in transit, i.e., from one place to another (when collected in a secure form, sent in an email, etc.), and in storage, i.e., where it will reside.
            2. Stronger User Authentication and Identity Verification Requirements: healthcare providers must implement stronger identity access management IAM safeguards, such as Multi-Factor Authentication (MFA), for employees with access to patient data.
            3. Tighter Third-Party Security Controls: stricter security controls for business associates who have access to the healthcare company’s ePHI. One of the proposed changes to the HIPAA Security Rule is that vendor security audits will be mandatory instead of optional.
            4. Updated Incident Response (IR) and Data Breach Reporting Rules: mandating stricter breach notification timelines for healthcare entities and their business associates, with them being obligated to inform parties affected by a security breach as soon as possible. 

            What Are The Practical Implications for Healthcare Companies?

            So, what will healthcare companies have to do to comply with HIPAA regulations when the proposed changes to the Security Rule go through? Let’s look at the main practical considerations.

            Cybersecurity Solution Deployment and Infrastructure Upgrades 

            Many healthcare companies will have to install (and subsequently, maintain) new IT infrastructure and deploy new cybersecurity tools to strengthen their authentication safeguards (e.g., MFA, Zero Trust, etc.) to meet new HIPAA’s heightened cybersecurity standards.

            Expanded Vendor and Third-Party Management

            As well as having to deploy new cybersecurity solutions, such as HIPAA compliant email services and continuous monitoring tools, healthcare organizations will have to be more diligent in their oversight of their third-party vendors.  

            Stricter Auditing and Documentation Requirements

            In having to provide more details of their risk management practices and maintain real-time logs, healthcare organizations will have to develop processes, policies, and supporting documentation. 

            Staff Training 

            Healthcare companies will have to train their staff on the updates of the Security Rule, their implications, how to use the new applications and hardware deployed to harden their security posture, etc. 

            Increased Management and Administrative Burden 

            Dealing with proposed changes to the Security Rule is going to require all hands on deck. 

            Managers and stakeholders are going to make several important strategic decisions; procurement and product managers are going to have to research and purchase new solutions; IT will have to deploy the solutions; and everyone will need to learn how to use them. 

            With all this in mind, more will be required from everyone within your organization. Employees will be taken away from their work, which could affect the quality of the service provided to patients and customers. 

            That’s why it’s crucial to be prepared…

            How Can You Prepare For the Proposed Changes to the Security Rule?

            • Conduct risk assessments: pinpoint vulnerabilities within your IT network and the ePHI contained therein. You should conduct risk assessments annually at the very least – or you upgrade your IT infrastructure. In light of the proposed amendments to the Security Rule, conducting a risk assessment to identify the security gaps in your network against the proposed rule changes is essential.
            • Evaluate your existing email and communication platforms: to accommodate the upcoming changes to the Security Rule, many healthcare companies will need to upgrade to HIPAA compliant email communication solutions, as well as encrypted databases for securely storing ePHI at rest. Deploying an email services solution designed for the healthcare industry from a HIPAA compliant email provider like LuxSci, best ensures compliance with encryption and the other new requirements of the Security Rule.
            • Improve your organization’s incident response planning and documentation processes: develop all the required documentation to track the movement of patient data, and refine your processes for handling security events. This also encompasses training your staff on your new security policies and procedures.
            • Improve your organization’s cybersecurity posture: by implementing end-to-end encryption, network segmentation, zero-trust security infrastructure, data loss protection (DLP) protocols, and other measures that will better protect patient data.
            • Perform vendor due diligence: ensure your third-party service providers meet HIPAA compliance standards and that you have a Business Associate Agreement (BAA) in place with each vendor that can access your ePHI. 

            How Luxsci Can Help You Navigate the Proposed Changes to the HIPAA Security Rule

            With more than 20 years of experience in delivering best-in-class secure HIPAA compliant marketing solutions for the healthcare industry, LuxSci is a trusted partner for healthcare organizations looking to secure their email and digital communications in line with regulatory standards and the industry’s highest security standards.

            LuxSci’s suite of HIPAA-compliant solutions includes:

            • Secure Email: HIPAA compliant email solutions executing highly scalable email campaigns that include PHI – send millions of emails per month.
            • Secure Forms: Securely and efficiently collect and store ePHI without compromising security or compliance – for onboarding new patients and customers and gathering intelligence for personalization.
            • Secure Marketing – proactively reach your patients and customers with HIPAA compliant email marketing campaigns for increased engagement, lead generation and sales.
            • Secure Text Messaging – enable access to ePHI and other sensitive information directly to mobile devices via regular SMS text messages. 

            Interested in discovering more about LuxSci can help you get a head start on upgrading your cybersecurity stance to ensure future HIPAA compliance? Contact us today!

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