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Article #401: Securing the Medical Office with Taceo

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OVERVIEW individual patients medical advice via
Operating a medical practice is assiduous email
work requiring great attention to detail To provide added value, a healthcare
on a variety of fronts. Patient privacy provider wishes to establish an easy and
has always Been an important concept in affordable way to give their patients
the medical profession. New laws are medical advice over the web. The provider
taking this notion a step further, making must have the ability to send and receive
it mandatory for medical facilities to protected medical advice from work or
protect individually identifiable health home and cannot afford the installation,
information. Government regulations such maintenance and expensive licensing fees
as the Health Insurance Portability and associated with available server-based
Accountability Act (HIPAA) and others solutions. Furthermore, the caregiver's
stipulate the how your digital records patients are largely non-technical and
containing sensitive patient information will not bother with cumbersome key
should be kept secure, but caring for exchange, s/mime and other requirements
your patient's privacy is just good commonly associated with widely available
business. encryption technologies.
One of the most time and labor consuming Additionally, encryption software does
tasks in maintaining an electronic not protect content after it has been
medical record is importing non-digital delivered. Once opened, the patient's
patient information such as radiology identifiable medical information is
reports, hospital dictation and totally exposed; email can be
consultation/referral letters is an accidentally forwarded, laptops and PCs
extremely time and labor consuming task can be lost or sold with PHI remaining on
in maintaining an electronic medical the hard-drive, patient info could be
record. This is unfortunate because most leaked via virus, spy-ware or Trojan
of this information is already in digital worm. Unauthorized individuals gain
format at the sender's location but access and doctor-patient confidentiality
printed to paper for transit. is breached. The caregiver must be able
Transmitting digital information to ensure that received documents remain
securely, however, can be problematic at encrypted and can be deleted from the
best. Simply emailing a document to an patient's computer after a given time.
intended recipient would potentially How can the healthcare provider utilize
violate a patient's privacy since the the power of email to give medical advice
mail could be intercepted in transit or while keeping sensitive patient data
read by unauthorized persons on the secure?
destination email server before it is Taceo helps healthcare professionals meet
downloaded. Also, it would be impossible HIPAA requirements for the secure
to tell whether or not the document was storage, transmission and delivery of
tampered with or was sent by someone identifiable patient information. Taceo
electronically pretending to be someone makes the sending and receiving of
else. For example, to promote office secured email and documents quick and
efficiency, medical offices that want to easy. From the desktop or MS
allow physicians to provide electronic Outlook®, providers can encrypt and
mail as a means to transmit information apply usage permissions to control and
are forced to have an "email disclaimer" prevent actions as forwarding, cut/copy
that can not guarantee the privacy of paste, printing and disabling the Print
information contained in an email. The Screen key. Email and documents can also
information may be confidential and be set to "expire" and will become
subject to protection under the law, but unreadable at a given time and date.
the fact remains that no real protection Taceo is by no means a comprehensiven
is provided as a preventative for overall HIPAA security solution, however
security breach of your information. if used properly can help your business
Whether you are a healthcare provider, to inexpensively meet most of the
payer or pharmaceutical company you have critical rules.
electronic information that must be TACEO FEATURES AND BENEFITS
protected. Essential Taceo virtually • Protect EPHI from theft, misdirection
eliminates the costs associated with and unauthorized distribution. • Allows
safeguarding Protected Health Information primary care providers and specialists to
(PHI). With Taceo you are now free to instantly and securely share patient
email medical advice to your patients, records with little cost. • Enables
send prescription requests to the patients to easily access and securely
smallest of pharmacies and safely deliver reply to protected emails containing
patient records to referral doctors. medical advice, prescription information
HEALTH INSURANCE PORTABILITY AND and more from their home or work
ACCOUNTABILITY ACT (HIPAA) computers. • Gives off-site providers
The Health Insurance Portability and an easy method to access and reply to
Accountability Act (HIPAA) of 1996 was secure email sent across disparate
designed to create a new national computing environments • Affordable
standard for protecting the privacy of security beyond the office firewall.
patient's health information. HIPAA also Taceo can ensure the proper use and
focused on improving the efficiency and protection of EPHI no matter where it
effectiveness of the Healthcare system, travels or where it is stored. • Helps
by encouraging the development and ensure authenticity of EPHI with digital
adoption of Electronic Data Interchange signatures. • Improve productivity by
(EDI) between healthcare providers, using the web to instantly & securely
payers and pharmaceutical organizations. share sensitive data. • Taceo offers an
HIPAA also stipulates the strict affordable way to securely store
requirement for organizations to sensitive information on site. •
establish safeguards to protect the Prevent unauthorized access to your
integrity and confidentiality of an documents. • Prevent unauthorized
individual's Protected Health Information distribution (no forwarding) • Prevent
(PHI). HIPAA applies to individual document editing (no cut, copy, paste)
healthcare providers, health plans, and • Set expiration time/date on email &
healthcare insurance providers. The law documents. • Ensures confidentiality
also pertains to organizations that deal and privacy. • Securely and permanently
with the electronic PHI of customers, delete files to Department of Defense
employers and patients. Civil and standards (DOD 5220.22-M). • Patients
criminal penalties can result from can download Taceo for free. • Meet
noncompliance and security violations. regulatory compliance requirements for
PENALTIES FOR HIPAA VIOLATIONS privacy - HIPAA, PIPEDA, 21 CFR Part 11,
HIPAA calls for civil and criminal Sarbanes-Oxley
penalties for security and privacy REDUCING YOUR VULNERABILIIES
breaches. General failure to comply is No security software in the world is 100%
$100 per penalty; violations of an unbreakable, even the most advanced
identical requirement may not exceed digital encryption techniques can be
$25,000 per year. For example: it would broken or circumvented by some person or
be considered a violation to email claim organization with enough motivation, time
or file with identifiable patient and money. Taceo does not totally negate
information that is not encrypted. Even the risk of information leakage, for
though one requirement may not exceed example a malicious individual could take
$25,000, HIPAA has more than 15 named a digital photo of the screen or re-type
security standards, which if repeatedly the content into another document and
violated could quickly grow to more than distribute it. However, Taceo
$375,000. More severe criminal penalties considerably reduces the risk that
also apply to more flagrant HIPAA sensitive data can be disseminated to
violations. Wrongful disclosure of PHI unauthorized individuals or groups. Taceo
can result in a $50,000 penalty and up to Safeguards remain with the data no matter
one year in prison. Offense with intent where it travels or where it is stored.
to sell of misuse patients protected Even if a CD or USB thumb-drive
health information is punishable with a containing protected data is stolen, the
maximum $250,000 fine and/or 10 years information contained therein will remain
Imprisonment. encrypted and cannot be opened by
TACEO: HELPING TO NAVIGATE THE HIPAA unauthorized recipients.
MINEFIELD - COMMON HIPAA SCENARIOS AND THE ANALOGUE TO DIGITAL MIGRATION
TACEO Although it is often difficult to make
Medical office wishes to refer and the initial switch to using digital
identifiable PHI to another healthcare patient records, the cost savings can be
provider. profound, especially when amortized over
A primary care physician examines an a number of years. Benefits include
individual and determines that he would better accuracy in health records, less
like to send the patient to another time spent transcribing patient notes,
provider for further diagnosis or filling prescriptions and receiving
treatment. The physician then asks his quicker payment from insurance companies.
her assistant to assemble and email the For the most part many healthcare
patient's history and physical (H&P), practitioners have been slow to adopt
imaging reports, labs, progress notes, digital medical records, as of April 2005
etc. to the off-site healthcare provider only 16.4% of doctors in the United
for review. Unfortunately, the physician States had made the switch. Reasons most
and his assistant are in now violation of often cited for the slow adoption has
HIPAA regulations. been the costs in time and money. Fear of
Unprotected email is like sending a complicated regulations also slow the
post-card through cyber-space. While transition; once records are in the
transiting it is routed through multiple digital realm HIPAA standards must be
servers, an email containing patient PHI strictly adhered.
can be easily read by people other than Although the task appears daunting,
the designated recipient (the off-site individual and smaller medical practices
provider). Furthermore, the patient's can cost-effectively make the digital
records, because of an accidental transition with largely low cost,
keystroke, could be unintentionally off-the-shelf components.
misdirected to an unknown party, thereby Taceo, from Essential Security Software
increasing the severity of the security should be an integral part of any digital
breach. The physician's assistant could migration plan. Taceo can help your
have used Taceo to protect the email and office secure the storage and
attachments. With the quick click of a transmission of PHI. Because Taceo can be
button the worker could have prohibited used on almost any PC, it can be used to
the patient records from being printed, "bridge the gap" with offices of other
forwarded and edited. The outgoing healthcare providers that have not yet
documents would be encrypted and made the switch to digital records.
un-accessible to anyone besides the Whether digital or analog, all
intended recipient healthcare provider. organizations that deal with patient
(Even if the receiving healthcare medical information are subject to HIPAA
provider is not fully set-up to work with ordinances.
electronic patient healthcare SUMMARY
information, they can still securely view Any healthcare provider or organization
patient records without violating patient that works with patient healthcare data
confidentiality.) is at risk for losing control of this
On-line Pharmaceutical Provider information. Unprotected electronic files
A pharmaceutical provider fills containing sensitive data can easily be
prescriptions via on-line ordering, but accessed, altered, stolen and
cannot meet HIPAA secure transmission re-distributed to unauthorized parties.
requirements for emailing regarding Electronic protected health information
prescriptions and medications, order (EPHI) is subject to stringent HIPAA
confirmation, and other information to regulations; penalties for violation of
their patients. The organization could HIPAA rules can result in stiff fines and
resort to analog methods such as calling jail time. Loss of EPHI can place
each individual customer or sending healthcare organizations at great
information to the customers via standard financial and legal risk.
post, however these methods are very Taceo, from Essential Security Software
inefficient and cost prohibitive. To meet can help small to mid-size healthcare
HIPAA regulations the on-line providers mitigate these risks. Taceo can
prescription provider must shoulder the also help organizations meet HIPAA
burden of hiring and training a number of requirements for the secure transmission,
new employees at great cost. What is the access and integrity of EPHI. Taceo is
on-line pharmacy to do? effective, affordable and easy-to-use
With Taceo, the pharmaceutical provider software that enables healthcare
can securely send prescription providers to securely store, transmit and
information, order confirmations and more receive sensitive data. Taceo can encrypt
to their clientele. The confidentiality and help control access to almost any
and integrity of emails containing file. Protected email and documents are
protected health information (PHI) is safeguarded against unauthorized
enforced and maintained even after forwarding, editing, coping, and printing
delivery. Nearly any customer with a PC1 or screen capture. Taceo opens up a new
can easily download the free version of realm of possibilities never available
Taceo, enabling them receive and reply before with such ease and affordability.
protected email. Healthcare providers can securely email
Taceo's usage permissions interface medical information to their patients.
provides the company with an effective Pharmacies can use Taceo to send
way to assign flexible rights management prescription order information to doctors
controls based on the profile of the and customers alike.
client. Emails Containing prescription Caregivers can quickly and securely
information can be set to expire when no collaborate with off-site specialists
longer valid. thereby ensuring patients receive good
Healthcare giver wishes to provide treatment and much more.






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