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Ophthalmology Patient Portal and Online Communication Editorial

Who said HIPAA had no teeth?

View Prior Editorials

September 10, 2008

Welcome to our first editorial!  Our aim is to provide relevant and regular commentary on contemporary issues facing ophthalmology practices interested in or who are already engaged in online patient communication or ecommerce.  Enjoy.

For anyone who may have thought that the Department of Health and Human Services (HHS) Office for Civil Rights (OCR), responsible for enforcing the HIPAA Privacy Rule, does not take HIPAA seriously, think again.

Since enforcement efforts first began on April 14, 2003, most compliance reviews conducted by OCR have been started through an individual complaint. Unfortunately for the innocent practice, responding to a complaint can bring about its own set of headaches. Even if no violation has occurred, the individual complaint will prompt OCR to ask the covered entity to present

Marc-Francois Bradley

 Marc-François Bradley
 President,
 Sophrona Solutions

information about the incident or problem described in the complaint. Where a complaint pertains to electronic protected health information (PHI) – providing system access logs and documentation of electronic safe guards will be needed. All too often this requires laborious information gathering and research.  In such situations, software with good audit logs and reports can be a real life saver by allowing you to promptly and efficiently respond to OCR.

Getting into gray waters is easy when a practice is unable to track system access or unable to respond promptly.  Lost time and distraction have a significant financial cost for the practice. Furthermore, the inability to respond clearly may lead to a joint OCR review with CMS to determine if the HIPAA Security Rule has been violated.

Click to enlarge

Source: http://www.hhs.gov/ocr/privacy/enforcement/data/historicalnumbers.html#all

Yes, OCR has been active. In 2,199 investigations conducted in 2007, nearly 67% (a total of 1,484 investigations) led to corrective action. While 2008 enforcement results are not yet available, This summer’s complaint resolution in July between HHS and Seattle-based Providence Health & Services was financially significant – a $100,000 financial penalty was paid for loss of computers containing PHI by Providence and a probably much larger cost of lost personnel time within the entire Providence organization.

While patient complaints are somewhat unavoidable, advance planning can help the practice respond promptly, efficiently, and decisively to complaints. Make sure you have HIPAA training logs and documented processes and controls for the sharing of PHI. Finally, verify that your applications containing PHI clearly meet security requirements of the HIPAA Privacy Rule. If you don't know, ask your vendor to confirm that your system complies.  Also ask them to show you how to view reporting functionality in the event of a complaint.

Marc-François Bradley
Email: mfbradley@sophrona.com
President, Sophrona Solutions


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