LuxSci

What is the Meaning of Patient Engagement?

patient engagement

Patient engagement refers to the active participation of individuals in their healthcare through informed decision-making, self-management, and collaborative relationships with providers. This approach involves patients taking an active role in their treatment plans, communicating with healthcare teams, and managing their health between clinical visits. Patient engagement connects to improved health outcomes, higher satisfaction, and more efficient healthcare delivery by creating partnerships between patients and their care providers.

Core Components of Patient Engagement

Patient engagement encompasses several elements that work together to create meaningful healthcare participation. Knowledge and education are the base of patient engagement, providing patients information about their health conditions and treatment options. Two-way communication channels allow patients to share concerns, ask questions, and provide feedback to their healthcare team. Self-management tools help patients monitor symptoms, follow treatment plans, and make health-promoting lifestyle changes. Shared decision-making involves patients and providers discussing options and selecting treatments that align with patient values and preferences. Technology platforms often support these components through patient portals, mobile apps, and remote monitoring devices. When combined effectively, these elements create healthcare experiences where patients actively participate rather than passively receive care.

Evolution of Patient Engagement Concepts

The understanding of patient engagement has developed over decades as healthcare delivery models have changed. Traditional paternalistic approaches positioned doctors as decision-makers with minimal patient input. The informed consent movement established patients’ rights to understand treatments before agreeing to them. Consumer-directed healthcare introduced market concepts with patients viewed as consumers making choices. Patient-centered care expanded this view by recognizing patients’ unique needs, preferences, and life circumstances. Modern patient engagement builds on these previous concepts while emphasizing active participation and partnership. This evolution reflects broader societal changes in information access, consumer expectations, and understanding of what creates effective healthcare. Today’s patient engagement models acknowledge that health outcomes improve when patients participate fully in their care.

Impact on Health Outcomes

Research consistently shows that effective patient engagement leads to improved health results across numerous conditions. Engaged patients typically experience better control of chronic diseases like diabetes and hypertension through more consistent medication adherence and lifestyle management. Surgical patients who actively participate in pre-procedure education and post-operative care plans often recover faster with fewer complications. Mental health treatment shows greater effectiveness when patients actively participate in therapeutic approaches and decision-making. Prevention efforts achieve better results when individuals engage in recommended screenings and health maintenance activities. These outcome improvements stem from better treatment adherence, earlier problem identification, and care plans that align with patients’ actual lives and capabilities. Healthcare organizations increasingly focus on patient engagement as a core strategy for improving clinical quality measures.

Healthcare System Benefits

Beyond individual health improvements, patient engagement creates advantages for healthcare systems and organizations. Engaged patients typically use healthcare resources more efficiently, with fewer unnecessary emergency department visits and hospitalizations. Appointment attendance rates improve when patients actively participate in scheduling and understand the purpose of visits. Preventive care utilization increases, potentially reducing costly interventions for advanced disease. Staff satisfaction often improves through more productive patient interactions and shared responsibility for outcomes. Healthcare organizations find that focusing on patient engagement helps meet quality metrics tied to value-based payment models. Patient feedback provides valuable insights for service improvements when organizations create meaningful engagement channels. These system benefits make patient engagement a strategic priority for healthcare organizations in competitive markets.

Technology and Patient Engagement

Digital tools have transformed how patient engagement functions in modern healthcare settings. Patient portals provide secure access to medical records, test results, and communication channels with care teams. Mobile health applications help patients track symptoms, medications, and health metrics between appointments. Wearable devices gather health data that patients and providers can use for monitoring and decision-making. Telehealth platforms extend access to care beyond traditional office visits. These technologies remove barriers to engagement by making information and communication more accessible regardless of location or time constraints. While technology alone doesn’t create engagement, thoughtfully designed digital tools can facilitate greater patient participation in healthcare activities and decisions. Healthcare organizations increasingly view technology investment as essential for effective patient engagement strategies.

Implementation Challenges and Solutions

Healthcare organizations face various obstacles when trying to improve patient engagement. Health literacy varies widely, affecting patients’ ability to understand medical information and participate in decisions. Digital access and technical skills create potential disparities in who can use engagement tools. Time constraints during appointments limit opportunities for meaningful patient-provider discussion. Healthcare teams may lack training in engagement techniques like shared decision-making and motivational interviewing. Organizations address these challenges through health literacy assessment and education programs, simplified communication approaches, and multiple engagement channel options beyond digital platforms. Staff training in patient activation methods helps healthcare teams support engagement effectively. Workflows redesigned to prioritize engagement activities create space for meaningful patient participation despite busy clinical environments.

Get in touch

Find The Best Solution For Your Organization

Talk To An Expert & Get A Quote




A member of our staff will reach out to you

Get Your Free E-Book!

LuxSci High Email Deliverability Best Practices Paper

What you’ll learn:

Enter your email to download now!

We respect your privacy. No spam, ever.

Related Posts

Business Associate Agreement

Understanding Business Associate Agreements (BAAs) and Shared Responsibility

Modern-day healthcare organizations rely on a growing array of partners and vendors to provide them with the tools they need to effectively serve patients and customers. 

 

However, while new digital solutions and healthcare ecosystems often result in greater productivity and efficiency, they also increase the number of third parties a company must communicate with and share protected health information (PHI), requiring a business associate agreement (BAA). Unfortunately, this increases the risk of PHI being exposed, as it increases a healthcare organization’s supply chain network and the number of external organizations with access to their data, significantly raising the risk of a security breach. 

 

This is where the concept of shared responsibility comes in. 

 

In this article, we explore the shared responsibility model for data security, explaining the concept, the role of a BAA in shared responsibility, and why healthcare companies need to know how it works and where it factors into their HIPAA compliance efforts. 

What Is The Shared Responsibility Model? 

Shared responsibility is a core data security principle that divides the responsibility for protecting data between a company that collects the data and a vendor that supplies the infrastructure or systems used to process said data.

 

The shared responsibility model grew in prominence as more companies moved to cloud-based environments and applications. In the past, when companies kept their systems and data onsite, they had more control over who could access their data and, subsequently, a better ability to mitigate data security risks.

 

However, in adopting cloud-based infrastructure and applications, companies have to process and store their data in the cloud – often in shared infrastructure with other vendors using the same cloud – which consequently shifts some of the responsibility of information security to the cloud service provider (CSP) itself. This marked a profound shift in the way data was handled, transmitted, and stored – necessitating an evolved approach to data security. 

 

This fundamental shift in the way companies consume infrastructure and use apps ushered in the shared responsibility model: Where the cloud vendor provides the infrastructure or application, including HIPAA compliant and high secure environments, but it’s still the responsibility of the client to configure and use it securely. 

Business Associate Agreements (BAAs) and Shared Responsibility

By detailing the respective responsibilities of healthcare companies or Covered Entities (CEs) and their vendors or Business Associates (BAs) in securing PHI, a Business Associate Agreement is a prime example of shared responsibility. 

 

For example, the Business Associate shoulders the responsibility of providing the data safeguards required by HIPAA to secure patient data, such as infrastructure, encryption, audit logging, and even physical onsite security.

 

The Covered Entity, meanwhile, is responsible for conducting risk assessments, defining access control policies and processes, configuring services accordingly, workforce training, and continuous monitoring.

Additionally, both parties have the obligation to report security incidents to each other, as well as being independently accountable to the U.S. Department of Health and Human Services (HHS).

Why Shared Responsibility Is Essential for HIPAA Compliance

For healthcare companies, having a firm grasp of the shared responsibility model for safeguarding and securing PHI, and how they fit within your overall security posture is essential (for two key reasons).  

Security Gaps

Firstly, clearly understanding the shared responsibility decreases the likelihood of security gaps. If CEs are under the impression that the vendor handles all aspects of data security, they won’t be as vigilant. They’ll be less inclined to configure services, educate their staff accordingly, pay appropriate attention to vendor security alerts, etc. 

 

But the same is also true for BAs: If they assume their client does most of the heavy lifting in securing the data disclosed to them, they could be remiss in their duties to protect it. Without shared responsibility, each side simply assumes the other is covering a safeguard, opening the door for security gaps that malicious actors can exploit.

 

Fortunately, by detailing both parties’ (CEs and BAs) responsibilities and liabilities regarding data protection, a BAA removes this ambiguity and, more importantly, reduces the risk of security gaps. It’s critical to know the details and work with vendors building products for compliance versus implementing a tick-box approach to compliance that places too much burden on the CE.

Covered Entities (CEs) Are Ultimately Accountable

Subsequently, the second reason why it’s essential for CEs to understand the shared responsibility model, and increase their cybersecurity readiness accordingly, is that it’s the CE that’s ultimately held accountable for data breaches. 

 

Mistakenly thinking that a BAA automatically makes them compliant may result in healthcare companies underinvesting in training, monitoring, and incident response. Conversely, understanding that even with a BAA in place, they’re the ones primarily accountable for protecting PHI gives them a greater sense of urgency to properly implement HIPAA compliant security measures. 

The Covered Entity’s Role Within Shared Responsibility

Let’s look at the ways that healthcare companies have to hold up their end in the shared responsibility model. 

Choose Compliance-Conscious Vendors 

First and foremost, companies have to choose the right vendors to supply them with HIPAA compliant services and solutions.

 

Look for companies that market themselves as HIPAA compliant and display a detailed understanding of HIPAA requirements, particularly the HIPAA Security Rule. Do your due diligence and perform deeper dives on potential vendors, researching their stated security features, reviews from existing clients, whether they have certifications like HITRUST – and if they’ve been involved in any data breaches. 

 

Naturally, a core prerequisite of being a HIPAA compliant vendor is being willing to sign a BAA, so you can immediately rule out any vendors not willing to do so. For instance, some healthcare companies may assume they can use widely adopted solutions such as SendGrid, Mailchimp, but they don’t offer a BAA. 

 

Once you’ve confirmed a vendor offers a BAA, look through it to establish its terms and determine if it covers the services you’re interested in. 

Configuration 

Another core component of shared responsibility is comprehensive configuration management. While the BA’s responsibility is to provide a secure solution that satisfies HIPAA requirements, it’s the CE’s responsibility to configure it securely to fit within their IT ecosystem. 

Features that often require configuration include: 

 

  • Access control: Role-based access, Zero Trust, Multi-Factor Authentication (MFA).
  • Encryption settings: Enabling encryption, choosing encryption type, enforcing forced TLS, enabling storage encryption.
  • Feature restrictions: Disabling default configurations that enable integration with non-compliant tools. 
  • Audit logging: Enabling audit logging and configuring log formats.
  • Retention settings: How long to retain audit logs and who is permitted to review them.

Finally, establishing a patch management strategy, i.e., when and how your organization applies software updates, is an important element of configuration.  While the vendor must release updates to fix security vulnerabilities discovered in their solutions, it’s up to healthcare companies to deploy the patches. 

Training

Regardless of how many security features a vendor bakes into their solutions, once deployed by a healthcare company, the tool is only as secure as the practices of their least security-conscious employee. Consequently, companies must train their staff on how to properly use a solution to process protected health information and sensitive data. The more an employee is required to handle PHI, the more thorough and frequent their training should be. 

 

Key aspects of comprehensive cybersecurity training include:

 

  • Common cyber threats: what the most prevalent cyber threats are and how to recognize them.
  • Incident response: how to report a suspected security incident, i.e., who to contact and when. 
  • Specific solution training: how to securely use systems that process PHI
  • Scope awareness: knowing which services within your organization’s IT ecosystem are HIPAA-compliant and which are not

Reporting 

Although both healthcare companies and BAs have notification obligations to the HHS in the event of a data breach involving PHI, it’s the CE that bears most of the investigative burden. 

 

Firstly, while a BA may report a security incident, it’s the CE’s responsibility to conduct a risk assessment to determine the probability of compromise of PHI, assess risk, and determine whether an official notification of a breach to HHS is necessary.

 

Secondly, BAs must notify the CE without unreasonable delay and no later than 60 days after discovery. Although BAs often wait to complete internal investigations before notifying the CE, the CE’s 60-day clock starts upon the BA’s discovery, not upon the BA’s report. Therefore, BA delays can create compliance risks for the CE.

 

To prevent this, where possible, you can include stricter contractual reporting timelines in the BAAs. This constantly keeps your company in the loop, ensuring you have sufficient lead time to complete your own investigations and your HIPAA-regulated deadlines.

LuxSci – Secure Healthcare Communications

Developed specifically to fulfil the stringent regulatory and ever-evolving data security needs of the healthcare sector, LuxSci’s secure email, text, marketing and forms solutions help companies protect PHI and personalize communications.  

 

Equally as importantly, instead of leaving you to “figure it out” – pushing additional responsibility back onto your company – LuxSci has a reputation for the best customer support in the business, offering onboarding, detailed documentation, secure default configurations, and ongoing support to help navigate the murky waters of HIPAA compliance, while getting best-in-class performance out of your solution.

 

Contact LuxSci today to learn more or get a demo.

HIPAA Compliant Email

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.

            healthcare marketing

            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.

            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.

             

            You Might Also Like

            What is a cyber risk assessment?

            What Is a Cyber Risk Assessment?

            As cyber threats become both more frequent and sophisticated, it’s essential for healthcare companies to strengthen their cybersecurity posture and safeguard the electronic protected health information (ePHI) within their IT ecosystems and communications. This begins with a comprehensive cyber risk assessment that spans infrastructure, applications and communications. 

            A cyber risk assessment enables healthcare companies to focus their attention on the IT areas that need the most improvement, allowing them to be more effective in their threat mitigation efforts. This not only reduces the chances of cyber attacks but helps them align with HIPAA’s guidelines and maintain the operational integrity required to best serve their patients and customers.

            Let’s discuss why it’s vital that healthcare companies conduct thorough cyber threat risk assessments and the steps your organization can take to carry one out effectively.

            Why Are Cyber Risk Assessments Crucial for Healthcare Organizations?

            In an increasingly digitized healthcare landscape, conducting regular risk assessments is essential for companies of all sizes, in every industry. For healthcare companies, charged with protecting patient data, it’s especially critical and often a compliance requirement. Electronic PHI, which contains details of an individual’s health history, including current conditions, past illnesses and procedures, prescribed medicine, etc., is very sensitive in nature, so healthcare companies must go the extra mile to ensure its protection in transit and at rest. 

            Performing a cyber threat risk assessment is the first step to achieving this critical requirement. A risk assessment allows you to identify all of the ePHI within your business, understand the threats it faces, determine gaps in your cybersecurity posture, and, most importantly, mitigate them.  

            Additionally, from a compliance perspective, conducting regular risk assessments is a key requirement of HIPAA’s Security Rule. Consequently, healthcare companies must carry out periodic risk assessments if they want to comply with HIPAA regulations, and avoid the consequences of non-compliance. A risk assessment provides documented evidence, to auditors, supply-chain partners, and others, that you are conscious of security concerns and have taken the proper steps to mitigate them. 

            How Do You Conduct A Cyber Risk Assessment? 

            Now that we’ve discussed their importance, let’s turn our attention to how healthcare organizations can conduct effective cyber risk assessments. 

            Identify Assets

            The first, and, arguably, most important step of a risk assessment is identifying your organization’s digital assets, which include: 

            • Hardware: endpoint devices (desktops, laptops, smartphones, etc.), servers, network equipment, medical equipment, etc. 
            • Systems, infrastructure and applications: operating systems, cloud services, etc. 
            • Data, i.e., ePHI

            Now, the reason asset identification could be considered the most crucial part of a risk assessment is that a healthcare organization‘s security teams can’t protect what they aren’t aware of! 

            Consequently, weeding out instances of “shadow IT”, i.e., the use of applications and/or systems without the approval of a company’s IT department is essential. Otherwise, you could have cases in which ePHI is used in applications, resides on databases, and so on – without it being adequately safeguarded. 

            Once you’ve identified your assets, you need to classify them: based on their sensitivity and potential impact if a security incident were to occur.

            Identify Vulnerabilities and Threats

            Having successfully catalogued your assets, you must now establish the factors most likely to compromise their security. This first means pinpointing the vulnerabilities in your IT ecosystem, which could include:

            • A lack of encryption, or weak standards
            • Lax access controls
            • Weak password policies 
            • Lack of monitoring and logging 
            • Outdated software (with some no longer being supported by its vendor) 
            • End-of-life hardware
            • Infrequent back-ups
            • Unverified or insecure third-party vendors

            When you have a better understanding of these vulnerabilities, which are called attack vectors, you can then determine the most likely threats to ePHI based on the gaps in your security posture. These include:

            • Data breaches or exposure
            • Malware, e.g., ransomware, viruses, spyware, etc. 
            • Social engineering phishing
            • Insider threats (whether through malice or human error)
            • Distributed Denial of Service (DDoS) attacks

            Fortunately, there is an array of scanning tools that will help you find your cybersecurity vulnerabilities. As far as understanding the main threats to your sensitive patient and customer data, you need to keep up with the latest in threat intelligence. Cybercriminals are always devising new ways to infiltrate healthcare organizations’ networks, so your security teams must remain aware of emerging cyber threats. 

            Risk Prioritization

            So, now you have catalogued your assets, determined their vulnerabilities, and identified the threats. However, implementing cyber threat mitigation measures requires resources – namely time and money – so you must prioritize which risks to mitigate first, based on their likelihood and impact.

            First, how likely is a threat to exploit a vulnerability? Healthcare organizations typically determine this through existing threat databases, such as MITRE, as well as keeping up-to-date on the latest threat intelligence and determining how it pertains to your company. 

            Secondly, evaluate the potential impact, or consequences, of a threat actually manifesting, i.e., a an email breach or a malicious actor successfully pulling off a cyber attack and infiltrating your network. When analyzing the potential impact, consider the financial, operational, reputational, and compliance implications. 

            Report Findings

            At this point, you should report the findings of the risk assessments to your company’s key stakeholders, e.g., upper management, compliance officers, IT management and security, etc. This ensures that decision-makers understand the nature of the top threats facing your organization, their potential business impact, and the urgency of implementing mitigation controls. 

            This also helps security teams secure the resources they need to bolster their cybersecurity posture accordingly. An additional benefit of this reporting is that it provides an audit trail for compliance efforts, as it demonstrates your efforts to better protect patient and customer data. 

            Implement Mitigation Measures

            Now, we’ve come to the point in the risk assessment process where you act on your due diligence and implement the policies and controls that will better protect patient data and comply with HIPAA guidelines.  

            Mitigation measures broadly fall into three categories: 

            • Preventive: e.g., encryption, access control, user authentication (e.g., multi-factor authentication (MFA))
            • Detective: e.g., vulnerability scanning, continuous monitoring
            • Corrective: e.g., incident response, backups and disaster recovery

            A robust cybersecurity posture requires a combination of all three. Your risk assessment may reveal that your organization is strong in one aspect but less so in others, or you may need to bolster your efforts across the board. 

            Document Your Risk Mitigation Measures

            Create a risk mitigation implementation report that details how your organization executed its cyber threat mitigation strategies. This should include: 

            • Affected assets: the parts of your IT infrastructure (servers, databases, etc.) and applications you identified as vulnerable and the severity of their corresponding threats. 
            • Mitigation actions: the specific action(s) undertaken to mitigate cyber threats against the asset, e.g., enhancing encryption standards, strengthening password policies, conducting cyber threat awareness training, etc. 
            • Technical details: where applicable, such as a particular update applied to an application, how a system has been configured, which new software solution has been deployed, and so on.
            • Post-mitigation risk assessment: re-evaluate the risk level of each asset after the implementation of new security measures. 
            • Monitoring and compliance: detail how the organization will monitor the efficacy of the implemented measures, as well as how your enhanced controls and policies align with compliance standards (e.g., HIPAA, NIST, HITRUST, etc).

            As with the report for stakeholders after the initial stages of the assessment, the risk mitigation implementation report also leaves a compliance audit trail, which will become all the more important when the proposed changes to the HIPAA Security Rule come into effect.

            Continuous Monitoring and Review

            As detailed in your risk mitigation implementation report, you must continuously monitor your IT infrastructure to assess the effectiveness of your newly implemented policies and controls. This process also mitigates cyber risk, in and of itself, as it provides fewer opportunities for malicious actors to breach your network: you’ll have systems in place to alert you of suspicious activity. 

            Additionally, you must regularly reassess your organization’s cyber risks as new threats emerge, your IT ecosystem evolves, or if you succumb to a cyber attack. 

            How Often Should You Conduct Cyber Risk Assessments? 

            Healthcare organizations should carry out a cyber risk assessment at least once a year, with respect to time, or when they make changes to their IT infrastructure. With the proposed changes to the HIPAA Security Rule on the horizon, now is an opportune time to conduct a risk assessment and measure your cyber threat readiness against the new stipulations of the soon-to-be-updated Security Rule.

            Also, as alluded to above, if you suffer a security incident, you must conduct a post-breach assessment, once the threat is contained, to establish how a malicious actor breached your network – and how to prevent it from happening again. 

            How LuxSci Helps Mitigate Cyber Risk in the Healthcare Industry

            With more than 20 years of experience, LuxSci has developed the required expertise to make secure communication solutions tailored to meet the stringent cyber risk mitigation needs of the healthcare industry.

            LuxSci’s suite of HIPAA-compliant communication solutions includes:

            • Secure Email: HIPAA compliant email solutions for executing highly scalable, high volume email campaigns that include PHI – 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 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 how LuxSci can help you protect your patient’s ePHI, mitigate cyber risk, and ensure HIPAA compliance for your email and communications? Contact us today!

            Sending HIPAA Compliant Email

            Sending HIPAA Compliant Email the Right Way

            Maintaining HIPAA compliance is a critical requirement for healthcare providers, payers and suppliers dealing with protected health information (PHI). Ensuring your email communications align with those standards can be, well… tricky. With fines reaching into the millions, non-compliance isn’t something you want to risk. We’ve seen it time and time again when engaging with our customers and prospects. Unfortunately, many organizations fall into the trap of believing they’re sending HIPAA compliant emails because they’ve applied what we call “self-certification” strategies—without fully understanding what’s required to be compliant.

            Are you 100% sure that you’re sending HIPAA compliant emails?

            In this blog post, we’ll delve into the risks of being non-compliant, explain why self-certification strategies often lead to problems, and provide a HIPAA-compliant email checklist to help ensure your organization avoids the pitfalls self-compliance.

            The Importance of Sending HIPAA Compliant Emails

            HIPAA (Health Insurance Portability and Accountability Act) was established to ensure the protection and privacy of patients’ PHI. This law mandates that any entity handling PHI must implement strict safeguards to prevent unauthorized access, breaches, and exposure of sensitive patient data.

            In today’s digital world, where healthcare communications often take place over email and other digital platforms, maintaining HIPAA compliance becomes even more complex. It’s not enough to merely think you’re compliant; you must be able to prove it beyond a doubt.

            What Is PHI and Why Does It Need to Be Protected?

            As a quick reminder, PHI refers to any data that can be used to identify an individual and that relates to their past, present, or future health condition. This can include anything from personal identification information to medical records and billing information to email exchanges that reference patient care.

            Examples of PHI include:

            • Names
            • Addresses
            • Birth dates
            • Social Security numbers
            • Medical history and diagnoses
            • Treatment plans & prescriptions
            • Medical device usage and services
            • Appointment information
            • Billing, payments and insurance information

            The Risks of Not Being 100% Sure About HIPAA Compliance

            In addition to losing sleep at night, the consequences of sending non-compliant emails can be significant. Non-compliance can result in hefty penalties, ranging from $100 to $50,000 per violation, depending on the severity and intent. In some cases, these fines can even surpass $1.5 million annually.

            But it’s not just the fines—PHI exposure opens the door to a variety of serious risks, including the reputational damage that can stem from breaches of patient data that can impact peoples’ lives and the future of your business. Patients place immense trust in healthcare providers and organizations to safeguard their sensitive information, which stretches beyond HIPAA-compliance to overall data security and privacy. The loss of patient trust is difficult—if not impossible—to regain once compromised.

            Sending HIPAA Compliant Email

            The Problem with DIY HIPAA Compliance

            Simply put, self-certifying HIPAA compliance is a recipe for disaster. Many companies and healthcare organizations falsely believe that if they conduct an internal review or have implemented basic security measures, they’re fully compliant. But without the right expertise and the right technology in place, especially encryption, it’s easy to overlook crucial details.

            Even if you have encryption in place or think your emails are safe, these minimal steps can create a false sense of security. True HIPAA compliance requires continuous monitoring, updating of policies, and regular training to address potential risks.

            A Checklist for Sending HIPAA Compliant Email

            Sending HIPAA compliant email means ensuring you’ve implemented the following safeguards:

            1. Encryption Standards for HIPAA Compliance

            All emails containing PHI must be encrypted both at rest and in transit—end-to-end. Ensure your email service provider offers high-grade encryption protocols, like TLS (Transport Layer Security), for sending and receiving messages, and flexible options, including dedicated cloud infrastuctures for the highest levels of data protection.

            2. Secure Access and Authentication

            Set up multi-factor authentication (MFA) and role-based access controls to limit who can access emails containing PHI.

            3. Business Associate Agreements (BAA)

            If you’re using a third-party email provider, you must have a signed BAA. This agreement ensures that the provider will uphold HIPAA’s security standards.

            4. Data Backup and Recovery

            Make sure your email system has a secure backup and recovery solution. Data breaches can happen, but having a recovery plan will minimize damage and maintain compliance.

            5. Employee Training and Awareness

            Ensure your employees are regularly trained on HIPAA guidelines. Human error is one of the leading causes of HIPAA violations, so proper education is key.

            6. Regularly Audit Your HIPAA Compliance Strategy & Practices

            HIPAA regulations evolve as technology advances. Conducting regular compliance audits ensures your security protocols are up to date with the latest best practices.

            7. Avoiding Overconfidence in Your Own Processes

            No matter how confident you are in your HIPAA strategy, bringing in an external auditor can provide an unbiased view of your compliance status and help identify overlooked vulnerabilities.

            Don’t Let HIPAA Self-Certification Fool You!

            HIPAA compliance is not something you can afford to be unsure about. The risks—both financially and reputationally—are too great. While it may be tempting to “self-certify” or assume your current measures are sufficient, doing so can leave your organization—and your patients and customers—vulnerable. Instead, ensure that you follow a comprehensive strategy that includes best-in-class email encryption, secure access, regular audits, employee training, and support from external experts.

            Don’t take shortcuts when it comes to protecting sensitive health information and ensuring HIPAA compliance—get it right from the start.

            If you’d like to get your questions on sending HIPAA compliant email answered, don’t hesitate to reach out to talk with one of our experts—and learn more about the healthcare industry’s leading HIPAA-compliant email, text and marketing solutions from LuxSci.

            Contact us here!

            Email HIPAA Compliance

            What Are HIPAA Compliant Email Solutions?

            HIPAA compliant email solutions include a range of technologies, services, and processes that enable healthcare organizations to communicate electronically while protecting protected health information (PHI) according to HIPAA regulations. The best HIPAA compliant email software solutions include encrypted email platforms, secure messaging systems, email gateways, and managed services that provide the administrative, physical, and technical safeguards required for PHI transmission. Healthcare communication needs vary widely across different organization types and sizes. Small practices require different capabilities than large hospital systems, yet all must meet the same regulatory standards for protecting patient privacy and maintaining secure communications.

            Types of Email Security Solutions Available

            Gateway solutions filter and encrypt emails automatically as they pass through organizational email infrastructure. These systems work with existing email platforms like Microsoft Exchange or Google Workspace to add HIPAA compliance capabilities without requiring users to change their communication habits. Hosted email platforms provide complete email infrastructure designed specifically for healthcare compliance. These cloud-based solutions handle all technical requirements while offering user interfaces similar to consumer email services, making adoption easier for healthcare staff. Hybrid approaches combine on-premises email servers with cloud-based security services. Organizations maintain control over their email data while leveraging specialized compliance expertise from third-party providers to ensure proper PHI protection.

            Deployment Models for Different Healthcare Settings

            Small medical practices often benefit from fully managed email solutions that require minimal internal IT support. These turnkey systems include setup, training, and ongoing maintenance while providing fixed monthly costs that help practices budget for compliance expenses. Large healthcare systems typically need enterprise solutions that integrate with existing IT infrastructure and support thousands of users. These deployments require careful planning for user migration, system integration, and staff training across multiple departments and facilities. Multi-location organizations face unique challenges coordinating email security across different sites. The top HIPAA compliant email solutions provide centralized management capabilities while accommodating local operational requirements and varying technical infrastructures.

            Choosing Between Cloud and On-Premises Options

            Cloud-based email solutions offer rapid deployment and reduced internal IT requirements but require careful evaluation of vendor security practices and data location policies. Healthcare organizations must ensure cloud providers offer appropriate business associate agreements and maintain adequate security controls. On-premises solutions provide direct control over email infrastructure and data storage but require significant internal expertise for implementation and maintenance. Organizations choosing this approach must invest in security training, hardware maintenance, and software updates to maintain HIPAA compliance. Cost considerations extend beyond initial implementation expenses to include ongoing maintenance, security updates, and compliance monitoring activities. Cloud solutions offer predictable monthly expenses while on-premises deployments involve variable costs for hardware replacement and staff training.

            Evaluating Vendor Capabilities and Track Records

            Security certifications provide objective evidence of vendor compliance capabilities and commitment to protecting healthcare data. Organizations should look for certifications like SOC 2 Type II, HITRUST, or ISO 27001 that demonstrate comprehensive security management practices. Client references from similar healthcare organizations help evaluate how well solutions perform in real-world environments. Vendors should provide case studies and references that demonstrate successful HIPAA compliance implementations and ongoing customer satisfaction. Breach history and incident response capabilities reveal how vendors handle security challenges and protect client data. Healthcare organizations should investigate any past security incidents and evaluate vendor transparency and response procedures.

            Implementation Planning and Change Management

            User training programs must address both technical aspects of new email systems and HIPAA compliance requirements. Healthcare staff need to understand how to use new tools while maintaining proper PHI handling procedures throughout their daily communications. Data migration strategies ensure that existing email archives and contacts transfer securely to new HIPAA compliant email solutions. Organizations must plan for potential downtime and establish backup communication methods during transition periods. Policy updates help align organizational procedures with new email solution capabilities. Entities should review and revise their HIPAA policies to reflect new technical safeguards and user responsibilities for PHI protection.

            Measuring Success and Return on Investment

            Compliance metrics help organizations track their success in meeting HIPAA requirements and reducing violation risks. Key indicators include user adoption rates, security incident frequency, and audit finding trends that demonstrate improved PHI protection. Operational efficiency improvements often result from implementing modern HIPAA compliant email solutions. Healthcare organizations may experience reduced IT support requirements, faster communication workflows, and improved care coordination capabilities. Risk reduction benefits include lower potential for HIPAA violations, reduced liability exposure, and improved patient trust in organizational privacy practices. These intangible benefits can be impactful but may be difficult to quantify in traditional financial terms.

            Future-Proofing Email Security Investments

            Technology evolution requires email solutions that can adapt to changing security threats and regulatory requirements. Healthcare organizations should select vendors with strong research and development capabilities and track records of staying current with emerging threats. Scalability considerations ensure that HIPAA compliant email solutions can grow with healthcare organizations and accommodate changing communication needs. Solutions should support increasing user counts, message volumes, and integration requirements without requiring complete replacement. Regulatory changes may affect email compliance requirements over time.

            Business Associate Agreement

            Understanding Business Associate Agreements (BAAs) and Shared Responsibility

            Modern-day healthcare organizations rely on a growing array of partners and vendors to provide them with the tools they need to effectively serve patients and customers. 

             

            However, while new digital solutions and healthcare ecosystems often result in greater productivity and efficiency, they also increase the number of third parties a company must communicate with and share protected health information (PHI), requiring a business associate agreement (BAA). Unfortunately, this increases the risk of PHI being exposed, as it increases a healthcare organization’s supply chain network and the number of external organizations with access to their data, significantly raising the risk of a security breach. 

             

            This is where the concept of shared responsibility comes in. 

             

            In this article, we explore the shared responsibility model for data security, explaining the concept, the role of a BAA in shared responsibility, and why healthcare companies need to know how it works and where it factors into their HIPAA compliance efforts. 

            What Is The Shared Responsibility Model? 

            Shared responsibility is a core data security principle that divides the responsibility for protecting data between a company that collects the data and a vendor that supplies the infrastructure or systems used to process said data.

             

            The shared responsibility model grew in prominence as more companies moved to cloud-based environments and applications. In the past, when companies kept their systems and data onsite, they had more control over who could access their data and, subsequently, a better ability to mitigate data security risks.

             

            However, in adopting cloud-based infrastructure and applications, companies have to process and store their data in the cloud – often in shared infrastructure with other vendors using the same cloud – which consequently shifts some of the responsibility of information security to the cloud service provider (CSP) itself. This marked a profound shift in the way data was handled, transmitted, and stored – necessitating an evolved approach to data security. 

             

            This fundamental shift in the way companies consume infrastructure and use apps ushered in the shared responsibility model: Where the cloud vendor provides the infrastructure or application, including HIPAA compliant and high secure environments, but it’s still the responsibility of the client to configure and use it securely. 

            Business Associate Agreements (BAAs) and Shared Responsibility

            By detailing the respective responsibilities of healthcare companies or Covered Entities (CEs) and their vendors or Business Associates (BAs) in securing PHI, a Business Associate Agreement is a prime example of shared responsibility. 

             

            For example, the Business Associate shoulders the responsibility of providing the data safeguards required by HIPAA to secure patient data, such as infrastructure, encryption, audit logging, and even physical onsite security.

             

            The Covered Entity, meanwhile, is responsible for conducting risk assessments, defining access control policies and processes, configuring services accordingly, workforce training, and continuous monitoring.

            Additionally, both parties have the obligation to report security incidents to each other, as well as being independently accountable to the U.S. Department of Health and Human Services (HHS).

            Why Shared Responsibility Is Essential for HIPAA Compliance

            For healthcare companies, having a firm grasp of the shared responsibility model for safeguarding and securing PHI, and how they fit within your overall security posture is essential (for two key reasons).  

            Security Gaps

            Firstly, clearly understanding the shared responsibility decreases the likelihood of security gaps. If CEs are under the impression that the vendor handles all aspects of data security, they won’t be as vigilant. They’ll be less inclined to configure services, educate their staff accordingly, pay appropriate attention to vendor security alerts, etc. 

             

            But the same is also true for BAs: If they assume their client does most of the heavy lifting in securing the data disclosed to them, they could be remiss in their duties to protect it. Without shared responsibility, each side simply assumes the other is covering a safeguard, opening the door for security gaps that malicious actors can exploit.

             

            Fortunately, by detailing both parties’ (CEs and BAs) responsibilities and liabilities regarding data protection, a BAA removes this ambiguity and, more importantly, reduces the risk of security gaps. It’s critical to know the details and work with vendors building products for compliance versus implementing a tick-box approach to compliance that places too much burden on the CE.

            Covered Entities (CEs) Are Ultimately Accountable

            Subsequently, the second reason why it’s essential for CEs to understand the shared responsibility model, and increase their cybersecurity readiness accordingly, is that it’s the CE that’s ultimately held accountable for data breaches. 

             

            Mistakenly thinking that a BAA automatically makes them compliant may result in healthcare companies underinvesting in training, monitoring, and incident response. Conversely, understanding that even with a BAA in place, they’re the ones primarily accountable for protecting PHI gives them a greater sense of urgency to properly implement HIPAA compliant security measures. 

            The Covered Entity’s Role Within Shared Responsibility

            Let’s look at the ways that healthcare companies have to hold up their end in the shared responsibility model. 

            Choose Compliance-Conscious Vendors 

            First and foremost, companies have to choose the right vendors to supply them with HIPAA compliant services and solutions.

             

            Look for companies that market themselves as HIPAA compliant and display a detailed understanding of HIPAA requirements, particularly the HIPAA Security Rule. Do your due diligence and perform deeper dives on potential vendors, researching their stated security features, reviews from existing clients, whether they have certifications like HITRUST – and if they’ve been involved in any data breaches. 

             

            Naturally, a core prerequisite of being a HIPAA compliant vendor is being willing to sign a BAA, so you can immediately rule out any vendors not willing to do so. For instance, some healthcare companies may assume they can use widely adopted solutions such as SendGrid, Mailchimp, but they don’t offer a BAA. 

             

            Once you’ve confirmed a vendor offers a BAA, look through it to establish its terms and determine if it covers the services you’re interested in. 

            Configuration 

            Another core component of shared responsibility is comprehensive configuration management. While the BA’s responsibility is to provide a secure solution that satisfies HIPAA requirements, it’s the CE’s responsibility to configure it securely to fit within their IT ecosystem. 

            Features that often require configuration include: 

             

            • Access control: Role-based access, Zero Trust, Multi-Factor Authentication (MFA).
            • Encryption settings: Enabling encryption, choosing encryption type, enforcing forced TLS, enabling storage encryption.
            • Feature restrictions: Disabling default configurations that enable integration with non-compliant tools. 
            • Audit logging: Enabling audit logging and configuring log formats.
            • Retention settings: How long to retain audit logs and who is permitted to review them.

            Finally, establishing a patch management strategy, i.e., when and how your organization applies software updates, is an important element of configuration.  While the vendor must release updates to fix security vulnerabilities discovered in their solutions, it’s up to healthcare companies to deploy the patches. 

            Training

            Regardless of how many security features a vendor bakes into their solutions, once deployed by a healthcare company, the tool is only as secure as the practices of their least security-conscious employee. Consequently, companies must train their staff on how to properly use a solution to process protected health information and sensitive data. The more an employee is required to handle PHI, the more thorough and frequent their training should be. 

             

            Key aspects of comprehensive cybersecurity training include:

             

            • Common cyber threats: what the most prevalent cyber threats are and how to recognize them.
            • Incident response: how to report a suspected security incident, i.e., who to contact and when. 
            • Specific solution training: how to securely use systems that process PHI
            • Scope awareness: knowing which services within your organization’s IT ecosystem are HIPAA-compliant and which are not

            Reporting 

            Although both healthcare companies and BAs have notification obligations to the HHS in the event of a data breach involving PHI, it’s the CE that bears most of the investigative burden. 

             

            Firstly, while a BA may report a security incident, it’s the CE’s responsibility to conduct a risk assessment to determine the probability of compromise of PHI, assess risk, and determine whether an official notification of a breach to HHS is necessary.

             

            Secondly, BAs must notify the CE without unreasonable delay and no later than 60 days after discovery. Although BAs often wait to complete internal investigations before notifying the CE, the CE’s 60-day clock starts upon the BA’s discovery, not upon the BA’s report. Therefore, BA delays can create compliance risks for the CE.

             

            To prevent this, where possible, you can include stricter contractual reporting timelines in the BAAs. This constantly keeps your company in the loop, ensuring you have sufficient lead time to complete your own investigations and your HIPAA-regulated deadlines.

            LuxSci – Secure Healthcare Communications

            Developed specifically to fulfil the stringent regulatory and ever-evolving data security needs of the healthcare sector, LuxSci’s secure email, text, marketing and forms solutions help companies protect PHI and personalize communications.  

             

            Equally as importantly, instead of leaving you to “figure it out” – pushing additional responsibility back onto your company – LuxSci has a reputation for the best customer support in the business, offering onboarding, detailed documentation, secure default configurations, and ongoing support to help navigate the murky waters of HIPAA compliance, while getting best-in-class performance out of your solution.

             

            Contact LuxSci today to learn more or get a demo.