Hospitals get ready for HIPAA security compliance [part 2]

February 18, 2008 at 6:11 pm (archive email, business, cms, data retention, electronic communication, electronic document retention, Email Archiving, email audit, email compliance, email management, email retention, email security, health care, healthcare, HIPAA, hipaa compliance, hipaa privacy, hipaa security, legal, message archiving, news, oig, politics, thoughts, tony trenkle)

According to report on patient privacy (RPP), the industry’s most practical source of news on HIPAA patient privacy provisions, the compliance reviews which began last month “are separate and unrelated to audits being conducted by the HSS Office of Inspector General (OIG).” Tony Trenkle, director of the CMS Office of E-Health Standards and Services, told RPP that “the focus is broader than just hospitals, although they are included. In the future we may work with OIG, but these are two separate proceses.” Trenkle’s senior policy advisor, Lorraine Tunis Doo, added: “we will interview the people who are appropriate to the documentation and policy and procedures that we need to evaluate. Whoever is relevant will need to be there. It could be different at every review.” In regards to the 283 security complaints logged by the CMS as of December 2007, Trenkle said: “the majority of allegations are of inappropriate access and risk of inappropriate disclosure.”

Well, as the Centers for Medicare and Medicaid Services (CMS) start to integrate the compliance review process there are a bunch of pertinent questions that come to my mind. Firstly, how will the CMS reviews impact the current state of electronic patient health care data and email management? Would a serious HIPAA violation change the way that electronic information is managed by health care providers? What is the difference between a HIPAA security compliance review and an OIG audit? Would the agency doing the testing (OIG or Office of E-Health Standards and Services) impact the stringency required for the security and privacy of an email archiving system? Will the OIG and CMS Office for E-Health Standards and Services be working together in the future? If the answer is yes, would this create a uniform policy and method for testing electronic patient health care data? Would the OIG merely be setting the stage for Tony Trenkle by doing preliminary investigation work? How many entities will be reviewed? What other health care providers and facilities will be subject to HIPAA email compliance regulations besides hospitals? Stay tuned for updates.

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