Do you think you've got everything covered with HIPAA? The growing numbers of reported data breaches say otherwise.
Amy Wood is the president and HIPAA privacy officer of ACS Technologies.Let's start with the real reasons why dental professionals are confused by HIPAA. You know you need to do something about HIPAA, so you start with an inexpensive do-it-yourself solution. Seems easy enough, but most are written by lawyers and, unless you went to law school, you probably have no clue what it all means. And how can you, when they ask for information such as: "List all the locations where your protected health information (PHI) is located." Most people typically answer "the server" or "my paper charts."
So, you task a staff member or office manager with being in charge of HIPAA compliance for your practice. Your team member is just as confused, undertakes a couple of tasks from the do-it-yourself solution, and call it good -- leaving your practice with much vulnerability. A trained professional will know where the danger lurks and will ask about such things as email, cellphones, inactive paper charts storage, hard drives from decommissioned computers, and much more.
6 tips
To further complicate the situation, we have unqualified people jumping on the HIPAA bandwagon, because they hear there is money in it, further putting you at risk. So what is a dental practice to do?
1. Acknowledge and accept that it applies to you
HIPAA has applied to covered entities for 20 years, and there are still dentists who avoid complying. Even if practices don't process electronic claims, chances are they provide other "covered transactions," such as emailing referring doctors, transmitting x-rays using Dropbox, using portable drives, or using digital data on computers, servers, or laptops.
It's time for all dentists to acknowledge that they maintain a lot of private information on their patients -- enough information, if breached, that could result in identity theft. Your patients trust you. Shouldn't the logical and ethical thing be to protect that information with an acceptable level of protection?
2. Do something about it
Start a process and stick to it. Far too often, practices will start a program, do a couple of things to address HIPAA and then stall out. While there is some credit given for doing something, it doesn't help in the long term if you don't continue improving. The same goes for HIPAA. It's an ever-evolving process that requires adjustments as technology and vulnerabilities change.
3. Get a risk assessment
Have an experienced risk assessor come into your practice, preferably one who has gone through a data breach with an assessment. This can be scary, since all of your vulnerabilities are suddenly front and center. However, identifying your risks allows you to work a plan to close the gaps before they open the door to a breach.
Self-assessment tools are another option; however, incomplete risk assessments are often listed as one of many deficiencies in a data breach settlement. Whenever possible, hire a professional to guide you through this complex process.
4. Train your staff
Many options are available for HIPAA training. Most training is not exciting and may take several hours; however, a reportable breach is significantly reduced when your employees know how their actions, or inactions, affect the overall compliance of your practice. Many state dental boards require proof of HIPAA training as part of continuing education, and most providers can provide continuing education units.
5. Know your business associates
All individuals and vendors that create, receive, maintain, or transmit protected health information as part of their engagement with a dental practice is required to comply with HIPAA regulations just as you do.
Some examples are listed below:- IT providers
- Vendor support
- Appointment reminder companies
- Email providers
Make sure you have a solid business associate agreement assigning appropriate risk and financial liability if a business associate breaches your patient data. It's also good practice to require a security evaluation for all business associate to determine what level of risk their internal practices pose to you.
6. Hire a healthcare IT provider
Information technology (IT) providers specializing in healthcare have HIPAA regulations and compliance as a business associate. Just as you have the obligation to diagnose and treat the patient's oral health needs with maximum benefits, so is the IT provider obligated to identify any technology security deficiencies in your office and offer you the best solutions to remediate and protect your data.
Many IT companies now offer proactive service models with an affordable monthly fee to manage your network. This will prevent many issues, including those that could cause data breaches and very expensive downtime. With current cybersecurity risks, it is important to work with an experienced provider who understands your risks.
Amy Wood is the president and HIPAA compliance officer of ACS Technologies.
This column first ran on the website of the Dental Integrators Association (DIA). DrBicuspid.com is grateful to DIA for the opportunity to reprint Wood's column.
The comments and observations expressed herein do not necessarily reflect the opinions of DrBicuspid.com, nor should they be construed as an endorsement or admonishment of any particular idea, vendor, or organization.
