Healthcare information technology is a growing and promising, tool with the goal of improving quality, safety, and efficiency of the delivery of healthcare. But with this technology comes possible risk of security breaches. It is imperative to run risk analysis and apply technical safeguards to protect confidential healthcare information. The Office of Civil Rights along with the Health Insurance Portability and Accountability Act Privacy Rule protect the public’s rights of nondiscrimination and health information privacy (Sayles, 2013). In addition, the Patient Safety Act and Rule establish a voluntary reporting system to enhance the data available to assess and resolve patient safety and health care quality issues (Sayles, 2013). In the following cases breaches of confidentiality were reported, a violation of the law, and enforcement was set in place. Herein, the cases will be summarized and the principal threats will be highlighted. A sample security plan with for a medium sized organization will be included along with a critique of the plan.
In May of 2014 two health care organizations settled with the Office of Civil Rights for damages regarding a joint breach report. The settlement resulted in $4,800,000 in damages for failing to secure thousands of patient’s personal health information (PHI) (Office of Civil Rights, 2014). The parties involved were New York Presbyterian Hospital (NYPH) and Columbia University; separate entities with a joint arrangement. The university
In the health care business, there are certain standards and laws that have been put in place to protect our patients and their personal health information. When a health care facility fails to protect their patient’s confidential information, the US Government may get involved and facilities may be forced to pay huge sums of money in fines, and risk damaging their reputation.
Healthcare technology has grown and evolved over time. With the conversion to electronic medical records and the creation of social media just to name a few, ensuring patient privacy is of the utmost importance for healthcare facilities in this day and age. In order for an organization to avoid hefty fines, it is imperative that a healthcare administrator maintains compliance with the standards and regulations associated with the Health Insurance Portability and Accountability Act (HIPAA). This paper will provide a summary
The breach of patients’ confidential information does not only jeopardize our reputation and reduce the public trust in our organization, it could also lead to severe financial consequences. Under HIPAA law, if an organization is found guilty of unauthorized disclosure of patient medical record, they could face prison time harsh privacy violation penalty. We are sure that none of us want this to happen to our organization. So how can we prevent medical record security leak and better protect our patients’ privacy while also providing the best care possible to all our patients? The following guidelines and
Hospitals have put in place widespread security and privacy measures to protect patient health information. However, there are still errors being made in data security through the IT standpoint. Some of these errors or issues include:
In a large service-related Healthcare organization with the staff to patient ratio approximately 1:100, there is a greater threat by technology of breaching security records. Medical records include information about ones physical and mental being. They may contain information about ones relationship with family members, sexual behavior, drug or alcohol problems and HIV status ( Burke & Weill, 2005). The confidentiality is threatened when the medical records information is put on the Internet, by use of telemedicine, and by the use of e-mail by healthcare workers. Although this is the fastest way to store and share
Data security is used to prevent anything that is unauthorized, and it helps to protect all of the data from any corruption. Almost daily, media reports highlight the failure of health care organizations to safeguard the privacy and security of patient data, whether electronic or paper. Preventing data breaches has become more complex, and at the same time, the fines being levied against health care organizations for violating the Health Insurance, (Zamosky, 2014).# In this paper, I will discuss the security measures, how the security measures used and how well did the security measure work.
This case presents a prime example of privacy violation. The Federal privacy rule 42 CFR, part 2 mandated addition privacy protection for any health record that is generated in the treatment of patients in the federal alcohol and drug program (Hughes, 2002). The HIPAA privacy rule dictates that healthcare organizations must not disclose any identifying patient information, or alert any entity that a particular patient is participating in alcohol/drug treatment program. This type of privacy breach must be reported promptly to the internal review board (IRB), compliance officer, risk management office and the privacy officer at the healthcare organization. The Health Information Technology for Economic and Clinical Health (HITECH) act and the American Recovery and Reinvestment (ARRA) act also mandated that any healthcare organization or any covered entity under the HIPAA act should promptly notify individual patients about the accidental disclosure of their medical information; the time from discovery of breach of PHI to patient’s notification must not be more than 60 days. In addition, to patient notification, the covered entity must also report such incidents to the Department of Health and Human Services (DHHS) and to the media if the breach affects more than 500 patients, and if the breach affects less than 500 patients, notifying the patients and the
Privacy of health information has become an area of emphasis across the healthcare industry. It is important to understand what data is protected under federal regulations, how it can be shared, and how to prevent any accidental exposure of protected data. It is possible that data that should be protected can be exposed without anyone even realizing a violation has occurred. Exposure of protected healthcare data can result in medical identity theft and is therefore a very important and hot topic. The security and privacy of healthcare data is necessary to ensure consumer confidence in the healthcare industry and to prevent medical identity theft.
Security breaches of EMRs vary from someone without consent viewing the patient’s information, to a hacker using the information to steal one’s identity. According to Privacy Rights Clearing House, more than 260 million data breaches have occurred in the United States, including those of health related records. Approximately 12 percent of data breaches involve medical organizations (Gellman, 2012). According to Redspin, a provider of Health Insurance Portability and Accountability Act risk analysis and IT security assessment services, more than 6 million individual’s health records were compromised during a period from August 2009 and December 2010 (Author Unknown, 2010). A provision of the Health Information Technology for Economic and Clinical Health (HITECH) Act requires all breaches affecting 500 or more people to be reported to the Department of Health and Human Services. This reporting is to be accomplished within 60 days of discovery. The Redspin report covering the period above involved 225 breaches of protected health information. The amount of people with access to an individual’s health record creates concern with confidentiality. According to the Los Angeles
Health care systems must deal with a recurrent battle to improve regulation in order to safeguard the patient health information. However, data breaches continue in the everyday common industry and it is the duty of the health care advisors to make data security the highest importance. According to the NIST standard, the key purposes of risk assessments are to identify "relevant threats" to the organization, including "vulnerabilities, both internal and external," and the "likelihood that harm will occur, (Kaner, 2015).”
The department of Health and Human Services protects and guides the health and well being of individuals here in America (Thacker, 2014). They fulfill these duties providing Americans with adequate and efficient health and human services and monitoring services designed to increase the efficiency of care in the health system (Thacker, 2014). One of the services being monitored by the department of Health and Human Services is the electronic health record system, which carries private and vital information of patient’s health record enabling all eligible participating health workers access to these records (Thacker, 2014). A breach of the protective health information of patients in a health organization creates chaos as these are against the health insurance portability and accountability (HIPAA) law (Thacker, 2014). Hence, measure will have to be put in place to determine what caused the breach and how to rectify it to ensure the breach never happens again (Thacker, 2014).
In a world full of electronics it would only seem logical to have health records electronic. Not only are medical records efficient, reliable, and quick to access, new technology allow patients to access their own personal medical records with a simple to use login and password. “People are asking whether any kind of electronic records can be made safe. If one is looking for a 100% privacy guarantee, the answer is no”(Thede, 2010). At my hospital, upon every admission we ask the patient for a password for friends and family to have to have if they would like an update on the patient 's condition. We do not let visitors come up and see the patient without the patient 's consent. In doing these things, we help to ensure the safety and protection of the patient 's health information and privacy.
In light of available security measures and their widespread acceptance within the information security community, there is no excuse for healthcare organizations to fail in fulfilling their duty to protect personal patient information. Guaranteeing the confidentiality and privacy of data in healthcare information is crucial in safeguarding the data of patients as there should be a legal responsibility to protect medical records from unauthorized access.
Information security and privacy is occupying a most important role in the healthcare territory in order to deliver protected information process to their patients (Appari, & Johnson, 2010). As healthcare department is the organization with vast data and essential information the hospitals has to keep a useful information security technique in their enterprise process (Mishra et al., 2011). Information security is one such phase in the healthcare sphere which is extremely problematic to describe and evaluate even to the individuals who are working on the process. In the healthcare organization, information is of many types which required for the work and even the security is a main control for almost all the practices which are transmitted out in the healthcare field (Appari, & Johnson, 2010). Hospitals, in specific, have been instructed to create a new set of security specialists to protect healthcare data tools techniques upon which exists may rely. Healthcare data is very critical for patients because it is very confidential records. If a medical apparatus is filled with a computer virus it can even exemplify a possibility to patients ' lives. Hence, hospitals should design alertness of the risk, to defend against concerns to healthcare databanks and be concerned about the high risk of infected computers or medical tools being connected to their networks (Mishra et al., 2011).
The rapid changes in technology over the past few decades has left the healthcare industry ill-prepared to operate in today’s environment. Most substantial protections of sensitive consumer information has come as a result of federal regulation, most notably in 1996 with the Health Insurance Portability and Accountability Act and 2009 as part of the American Recovery and Reinvestment Act. Protection of information in the healthcare industry has lagged behind all other industries, perhaps because the records aren’t financial in nature or sensitive government information. Implementing simple steps for many organizations may be enough to limit the vast majority of breaches, although a layered, comprehensive security approach should be the ultimate goal for companies.