{"id":21461,"date":"2021-01-14T15:41:43","date_gmt":"2021-01-14T20:41:43","guid":{"rendered":"http:\/\/www.carecloud.com\/continuum\/?p=21461"},"modified":"2025-10-08T04:20:40","modified_gmt":"2025-10-08T04:20:40","slug":"exceeding-hipaa-compliance-technical-requirements-in-the-age-of-telehealth","status":"publish","type":"post","link":"https:\/\/carecloud.com\/continuum\/exceeding-hipaa-compliance-technical-requirements-in-the-age-of-telehealth\/","title":{"rendered":"Exceeding HIPAA Compliance &#038; Technical Requirements in the Age of Telehealth"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The Health Insurance Portability and Accountability Act (HIPAA) was designed to protect the privacy, security, and integrity of protected health information (PHI). This goal seems simple enough, but compliance has always been notoriously complex, especially since healthcare organizations entered the digital age and embraced innovations, such as cloud computing and mobility and <a href=\"https:\/\/www.carecloud.com\/telehealth\/\">telehealth solutions<\/a>.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">COVID-19 upended both the healthcare industry and HIPAA compliance. Virtually overnight, hospitals and other providers found themselves scrambling to implement telehealth options and, where possible, remote work. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In an effort to ease the burden on providers as they strove to protect staff and patients, the <\/span><a href=\"https:\/\/www.hhs.gov\/hipaa\/for-professionals\/special-topics\/emergency-preparedness\/notification-enforcement-discretion-telehealth\/index.html\"><span style=\"font-weight: 400;\">U.S. Department of Health and Human Services (HHS)<\/span><\/a><span style=\"font-weight: 400;\"> chose to exercise \u201cenforcement discretion\u201d and stated that it would not impose penalties \u201cin connection with the good faith provision of telehealth during the COVID-19 nationwide public health emergency.\u201d<\/span><\/p>\n<h3><strong>Relaxed HHS Enforcement is a Temporary Measure<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">However, this does not mean that healthcare providers can use COVID-19 as an excuse to let HIPAA compliance and data security fall by the wayside. The relaxed HHS enforcement is a temporary measure to give providers time and breathing room to review their security protections and update them accordingly.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The pandemic has spread healthcare facilities\u2019 financial and human resources thin, and cybercriminals are taking advantage of tighter budgets and overworked IT staff. On average, it takes <\/span><a href=\"https:\/\/www.darkreading.com\/vulnerabilities---threats\/advanced-threats\/average-cost-of-a-data-breach-in-2020-$386m\/a\/d-id\/1338660\"><span style=\"font-weight: 400;\">nearly a year (329 days)<\/span><\/a><span style=\"font-weight: 400;\"> for a healthcare organization to discover and contain a breach, so organizations may already be compromised without even knowing it, leaving them wide open to data breaches and malware infections, particularly ransomware. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">In Q4 2019, ransomware attacks on healthcare providers rose by 350%, and <\/span><a href=\"https:\/\/healthitsecurity.com\/news\/report-over-1-in-10-ransomware-attacks-results-in-data-theft\"><span style=\"font-weight: 400;\">one in every 10 ransomware attacks<\/span><\/a><span style=\"font-weight: 400;\"> includes data theft.<\/span><\/p>\n<h3><strong>Complying with HIPAA in a telehealth-focused, digitized world<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">The HIPAA Security Rule includes a number of technical specifications to protect PHI, which includes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Implement access controls<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">To ensure that only authorized personnel can access PHI.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Implement audit controls<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">This includes activity logs to record actual and attempted access to PHI, as well as what is done with the PHI once it has been accessed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Implement integrity controls<\/b> <span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">To ensure that PHI cannot be improperly altered or destroyed.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Encrypt all PHI to <\/b><a href=\"https:\/\/www.nist.gov\/cyberframework\"><b>NIST standards<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/a><span style=\"font-weight: 400;\">Both in transit and at rest, whenever it travels beyond the organization&#8217;s firewalled servers.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Ensuring automatic log-off features<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Both desktop and mobile devices should have automatic log-off features to prevent unauthorized access to PHI, if a device is left unattended.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Even after the world gets past COVID-19, innovations such as telemedicine and remote work are here to stay. However, in this new environment, there are significant risks of PHI being saved in less secure locations, such as on local devices and on misconfigured cloud servers, or transmitted insecurely through unencrypted email or messaging apps. Access control is also an issue in an environment without a clearly defined network perimeter.<\/span><\/p>\n<h3><strong>Going Beyond HIPAA Securities to Protect PHI<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Organizations must review their existing security procedures and controls, with a focus on the technical requirements of the HIPAA Security Rule. That said, it\u2019s important that healthcare organizations not depend solely on HIPAA requirements to protect PHI. HIPAA compliance is only a starting point for data security; it is not a replacement for a comprehensive cybersecurity program.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Here are some steps you can take to\u00a0 tighten up your\u00a0 data security beyond\u00a0 HIPAA compliance:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Cybersecurity training<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Have all employees undergo mandatory cybersecurity awareness training, especially training on how to avoid phishing emails. Since the cyber threat environment is in continuous flux, training sessions should be conducted at regular intervals to address new and emerging threats.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Password requirements<\/b><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Ensure that all employees are using strong, unique passwords for every account and implementing multi-factor authentication (MFA\/2FA) on all accounts that support it. Mandate the use of a <a href=\"https:\/\/cybernews.com\/best-password-managers\/\" style=\"color: black; text-decoration: none;\">password manager<\/a> so that IT administrators can monitor employee password habits and enforce these rules.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Subscribe to a Dark Web monitoring service.<\/b> <span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">These services search Dark Web forums for compromised credentials, then alert IT administrators if any employee credentials are found so that they can force password resets.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Partner with an expert in HIPAA compliance<\/b> <span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">These assessments help organizations identify, prioritize, and mitigate security and regulatory vulnerabilities with HIPAA Gap and Security Assessments<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"font-weight: 400;\">Article contributed by: <\/span><a href=\"https:\/\/www.secnap.com\/hipaa\/\"><span style=\"font-weight: 400;\">SECNAP Network Security<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">SECNAP Network Security helps healthcare organizations and other companies that handle PHI, secure their networks and comply with HIPAA\u2019s cybersecurity requirements.<\/span><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Health Insurance Portability and Accountability Act (HIPAA) was designed to protect the privacy, security, and integrity of protected health information (PHI). This goal seems simple enough, but compliance has always been notoriously complex, especially since healthcare organizations entered the digital age and embraced innovations, such as cloud computing and mobility and telehealth solutions. COVID-19 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":42861,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[69,34],"tags":[],"class_list":["post-21461","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-show","category-telehealth"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>HIPAA Compliance &amp; Technical Requirements in Telehealth<\/title>\n<meta name=\"description\" content=\"Virtually overnight, hospitals and other providers found themselves scrambling to implement telehealth options and, where possible, remote work.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/carecloud.com\/continuum\/exceeding-hipaa-compliance-technical-requirements-in-the-age-of-telehealth\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HIPAA Compliance &amp; 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