Remote-access Guide

hipaa and insecure remote access

by Abagail Emmerich Published 2 years ago Updated 2 years ago
image

Standardizing remote vendor access ensures HIPAA compliance. Here's how Medical Center Hospital did it. Without a standardized method, vendors move through health system networks with a wide range of methodologies including modems, VPN

Virtual private network

A virtual private network extends a private network across a public network, and enables users to send and receive data across shared or public networks as if their computing devices were directly connected to the private network. Applications running on a computing device, e.g. …

accounts, desktop sharing tools and more. This disorganized access is insecure and compromises HIPAA compliance.

Full Answer

Is working remotely a HIPAA compliance risk?

While there are several advantages of working remotely, there’s a monstrous risk for those that are obligated to comply with HIPAA: keeping clients’ protected health information (PHI) safe. Not convinced it’s a big deal?

Is telecommuting a HIPAA compliance risk?

This can save a company as much as $11,000 annually per telecommuting worker. While there are several advantages of working remotely, there’s a monstrous risk for those that are obligated to comply with HIPAA: keeping clients’ protected health information (PHI) safe.

Who is responsible for a home personal computer accessing ePHI?

The employee is responsible for demonstrating that a home personal computer complies with all the applicable requirements set forth in this document; and A home personal computer accessing EPHI over a VPN must also comply with the University of Wisconsin – Milwaukee’s HIPAA Guideline: Remote Access to EPHI Guideline. 3.

How do you manage remote access to your business?

Keep logs of remote access activity, and review them periodically. IT should disable any accounts inactive for more than 30 days. Mandate that any employees in violation of these procedures will be subject to the company’s Sanction Policy and/or civil and criminal penalties.

image

Is Remote Desktop Connection HIPAA compliant?

Windows Remote Desktop Protocol can be used for remote access, but RDP is not HIPAA compliant by default. Without additional safeguards, RDP fails to satisfy several provisions of the HIPAA Security Rule.

What are the 3 types of HIPAA security rule safeguards?

The HIPAA Security Rule requires three kinds of safeguards: administrative, physical, and technical. Please visit the OCR for a full overview of security standards and required protections for e-PHI under the HIPAA Security Rule.

Is it against HIPAA to look up patients on social media?

The HIPAA Privacy Rule prohibits the disclosure of ePHI on social media networks without the express consent of patients. This includes any text about specific patients as well as images or videos that could result in a patient being identified.

Is it a HIPAA violation to work from home?

Is it a HIPAA Violation to Work from Home? No. Even before the pandemic, WFH was possible without committing a HIPAA violation. But, there are 10 measures that need to be taken to ensure that medical staff remain HIPAA compliant while working remotely.

What are the 4 main rules of HIPAA?

The HIPAA Security Rule Standards and Implementation Specifications has four major sections, created to identify relevant security safeguards that help achieve compliance: 1) Physical; 2) Administrative; 3) Technical, and 4) Policies, Procedures, and Documentation Requirements.

What is not covered by HIPAA security Rule?

Electronic Protected Health Information. The Security Rule does not apply to PHI transmitted orally or in writing.

What are the 4 most common HIPAA violations?

5 Most Common HIPAA ViolationsThe 5 Most Common HIPAA Violations.HIPAA Violation 1: A Non-Encrypted Lost or Stolen Device. ... HIPAA Violation 2: Lack of Employment Training. ... HIPAA Violation 3: Database Breaches. ... HIPAA Violation 4: Gossiping and Sharing PHI. ... HIPAA Violation 5: Improper disposal of PHI.

Is Googling a patient a HIPAA violation?

Googling your patients does not violate HIPAA. You are acting as an observer of information rather than posting a patient's information online yourself. Regardless of the fact that doing some online research into your patients' pasts isn't technically illegal, it still should not be taken lightly.

What violates HIPAA on social media?

Common examples of social media HIPAA compliance violations include: Posting verbal "gossip" about a patient to unauthorized individuals, even if the name is not disclosed. Sharing of photographs, or any form of PHI without written consent from a patient.

What are three potential challenges to HIPAA that could come up with remote work?

Here are our top 3 privacy and security concerns HIPAA covered entities should consider for their newly remote workforce.Access to Protected Health Information (PHI) by Unauthorized Individuals. ... Bring Your Own Device (BYOD) May Lessen Technical Safeguards. ... A Business Associate Agreement is Required for Certain Vendors.

Is having an Alexa a HIPAA violation?

Amazon Alexa is now HIPAA compliant. The company recently launched six Alexa voice health tools built by providers, payers, pharmacy benefit managers and digital health coaching companies that allow organizations to securely transmit private patient information.

What are remote coding security issues?

Such risks include: Theft of unencrypted portable devices. Increase in identity theft. Poor security practices at home that might lead to inappropriate access by family members (e.g., failure to log out, improper disposition of confidential waste, unauthorized printing and saving of PHI)

What are the security rules of HIPAA?

The HIPAA Security Rule requires physicians to protect patients' electronically stored, protected health information (known as “ePHI”) by using appropriate administrative, physical and technical safeguards to ensure the confidentiality, integrity and security of this information.

Which of the following are types of data security safeguards?

The 3 categories for data protection safeguards are administrative, physical, and technical which are intended to ensure the confidentiality, integrity and availability of data files and records.

What are the five categories of HIPAA security Rule standards?

The HIPAA Security Rule outlines the requirements in five major sections: Administrative Safeguards. Physical Safeguards. Technical Safeguards.

What are HIPAA administrative safeguards?

The Security Rule defines administrative safeguards as, “administrative actions, and policies and procedures, to manage the selection, development, implementation, and maintenance of security measures to protect electronic protected health information and to manage the conduct of the covered entity's workforce in ...

What is total HIPAA?

Total HIPAA specializes in creating customized HIPAA-related documentation and training for our clients. We provide documents like Security Policies and Procedures, Disaster Recovery Policies, Confidentiality Agreements, and Bring Your Own Device (BYOD) Policies. For questions about policies, documentation, or best practices for remote employees, call us at 800.344.6381 or complete this form:

How to protect client's PHI?

How To Protect Your Clients’ PHI When Working Remotely 1 Make a list of remote employees. 2 Indicate the level of information to which they have access.

What is required to secure a network?

Devices must be encrypted, password protected, and installed with software firewalls and anti-virus software is installed.

Why do you need to sign a confidentiality agreement?

Have each employee sign a Confidentiality Agreement to assure the utmost privacy when handling PHI.

What is the mandate of a company for employees in violation of the procedures?

Mandate that any employees in violation of these procedures will be subject to the company’s Sanction Policy and/or civil and criminal penalties.

Do remote employees have to have rules?

First and foremost, if you have remote employees, you must set rules for them in your Security Policies and Procedures.

Is working remotely a risk?

While there are several advantages of working remotely, there’s a monstrous risk for those that are obligated to comply with HIPAA: keeping clients’ protected health information (PHI) safe. Not convinced it’s a big deal? HHS levies hefty financial penalties when entities fail to properly manage their telecommuters’ access and protection of PHI.

What is required for covered entities to restrict access to only what is necessary?

In order to restrict access to only what is necessary, covered entities should make lists of all employees and specify what level of information each employee should have access to.

How to protect PHI from family?

Protect PHI from friends and family within your house by using a privacy screen on your computer, locking the screen when you walk away, restricting their access to the devices that contain PHI, and being careful not to say PHI aloud in a place where anyone could overhear.

What happens when employees use their own devices?

When employees are using their own devices, there is a significant increase in the risk of a HIPAA breach. These own devices can also be more susceptible to malware attacks.

Why should IT security teams monitor VPN limits?

Especially in light of widespread stay at home orders, IT security teams should monitor and test VPN limits to prepare for any increases in the number of users. Team members should also be aware of the potential need to make changes to adjust to their bandwidth requirements.

What is PHI in healthcare?

Access to Protected Health Information ( PHI) by unauthorized individuals

What is the best way to protect network access?

Ensure that laptops are equipped with firewalls and antivirus software to protect network access.

Is remote work HIPAA compliant?

While a remote work environment can provide many benefits to all of the parties involved, it also can present significant challenges for organizations that need to remain HIPAA compliant. There are many privacy and security measures that need to be implemented in order to address the concerns and risks of maintaining HIPAA compliance in ...

What devices can you use to access PHI?

Encrypt and password protect personal devices you may use to access PHI such as cell phones and tablets.

How to limit PHI?

Limit email transmissions of PHI to only those circumstances when the information cannot be sent another way. At a minimum, use encryption tools (most businesses provide tools to send encrypted emails).

Can you share PHI with others?

Lock your screens when walking away from your computer. Do not share sensitive PHI with others who shouldn’t have access, including co-workers and personal acquaintances. Only access a patient’s record if needed for work.

Is HIPAA being waived?

Although certain HIPAA sanctions are being waived during the current health crisis, that does not excuse us from mishandling patients’ protected health information ( PHI ). We must take the same physical and security measures to safeguard the PHI we are trusted with in our work. Here are some best practices to follow:

What are the HIPAA rules?

The HIPAA Security and Privacy Rules require all covered entities to protect the EPHI that they use or disclose to business associates, trading partners or other entities. New standards and technologies have significantly simplified the way in which data is transmitted throughout the healthcare industry and created tremendous opportunities for improvements in the healthcare system. However, these technologies have also created complications and increased the risk of loss and unauthorized use and disclosure of this sensitive information.

What is the HIPAA security rule for laptops?

All covered entities are required to be in compliance with the HIPAA Security Rule1, which includes, among its requirements, reviewing and modifying, where necessary, security policies and procedures on a regular basis. This is particularly relevant for organizations that allow remote access to EPHI through portable devices or on external systems or hardware not owned or managed by the covered entity.

What does covered entity need to do to protect EPHI?

Covered entities must develop and implement policies and procedures to protect EPHI that is stored on remote or portable devices, or on potentially transportable media (particularly backups).

What is the HIPAA Privacy Rule for EPHI?

It is important that only those workforce members who have been trained and have proper authorization are granted access to EPHI.

What is the procedure for a covered entity to lose EPHI?

Should a covered entity experience loss of EPHI via portable media, the entity’s security incident procedures must specify the actions workforce members must take to manage harmful effects of the loss. Procedures may include securing and preserving evidence; managing the harmful effects of improper use or disclosure; and notification to affected parties. Needless to say, such incidents should be evaluated as part of the entity’s ongoing risk management initiatives.

What is the HIPAA Privacy Rule?

As the preeminent standard on individuals’ rights regarding access to their person data, the Privacy Rule has a number of rules that ensure data is protected.

What are the requirements for HIPAA?

This shows both the glaring failures in many companies’ data security policies, and it reveals the major need to HIPAA’s Security Rule. Imagine how much PHI could be at risk if your file storage solution was compromised. This risk shows how imperative it is to follow the mandates outlined in the Security Rule, including: 1 Installing periodic security updates 2 Outlining procedures for protecting against malicious software 3 Enabling log alerting on critical systems 4 Establishing and enforcing password standards 5 Conducting security training for everyone in your company

Why is remote access so easy for hackers?

It’s simply that easy for hackers, especially because while there tend to be rules in place for employees using remote access, the same rules are not always applied to external parties.

Is remote access secure?

It's critical to look at how to effectively govern company use of remote access technologies. When implemented and managed properly, remote access can be secure. Here are a number of best practices recommended to protect your organization against hackers:

What is the HIPAA guidelines for University of Wisconsin?

All applicable safeguards detailed in University of Wisconsin – Milwaukee’s HIPAA Guidelines: Workstation Use and Security Guideline must be applied to portable devices. This includes restricting visibility of display in public areas.

When should encrypted connections be used?

Encrypted connections should be used for device management. SSH should be used in place of Telnet, and HTTPS should be used rather than HTTP.

What is the purpose of the ephi guideline?

The purpose of this guideline is to describe expected employee behavior regarding the secure use of technology resources and methods accessing/storing EPHI, as well as to provide recommendations for securing workstations.

What is the purpose of account creation and access control?

Guideline Name: Account Creation and Access Control. 2. Purpose: The purpose of this guideline is to provide recommendations for creating user accounts on, and defining access control to, computer systems in order to reduce the risk of data access by unauthorized subjects.

Does HIPAA require network device security?

While there is no specific requirement under HIPAA that Covered Departments have a network device security policy, compliance with the following regulations is achieved by the implementation of this Guideline:

Is remote access restricted to authorized users?

Remote access must be restricted to individual authorized users for appropriate and authorized use only. Access controls must follow the University of Wisconsin–Milwaukee’s HIPAA Security Guidelines: Account Creation and Access Control Guideline.

Who should write a rights assignment request?

An administrative authority (such as a supervisor or manager) should write such a request. Rights assignments must be reviewed regularly. The assignment of roles including supervisor, appropriate administrative manager, and data custodian require approval by the management of the Covered Department.

image

More and More Employees Are Working Remotely

Image
In the last 10 years, the number of people telecommuting in the U.S. has increased by a staggering 115 percent.1Ever-evolving technology is making it easier for employees interested in working remotely. This can save a company as much as $11,000 annually per telecommuting worker. While there are several advantages …
See more on totalhipaa.com

Real Life Examples

  • Cancer Care Group agreed to a settlement of $750,000, after a remote employee lost a laptopand backup drive to car theft. The laptop contained more than 50,000 patients’ PHI. OCR determined that prior to the breach, Cancer Care Group was in widespread non-compliance with the HIPAA Security Rule. They failed to conduct an enterprise-wide risk analysis when the breach originally …
See more on totalhipaa.com

How to Protect Your Clients’ Phi When Working Remotely

  • What can you do to safeguard your organization from HIPAA violations? We compiled a list of documentation requirementsand preventative actions you need to observe to protect you and your clients. First and foremost, if you have remote employees, you must set rules for them in your Security Policies and Procedures. Use the following checklistas a guide for what to inclu…
See more on totalhipaa.com

Conclusion

  • Remote employees aren’t exempt from following HIPAA rules. It’s in your best interest to define all remote employee guidelines and to ensure all signed documents involving remote work are up-to-date, signed, and safely stored. Taking these steps will ensure you’re compliant should HHS come calling! Need help securing your own or your employees home...
See more on totalhipaa.com

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9