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The New Trend in Healthcare IT




                                                      Mobile Devices and
                                                      Applications in Healthcare:
                                                      Security & Compliance Risks



  We will be starting in a moment …                                             Visit us at www.ehr20.com


               info@ehr20.com                           802-448-2255



© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
Mobile Devices and Applications in Healthcare                                                        The New Trend in Healthcare IT




     Security & Compliance Risks

      30 May, 2012




© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
The New Trend in Healthcare IT




    Webinar Objectives

   • To review mobile security and compliance
        requirements
   • To share trends and challenges in mobile
        devices and applications deployment
   • To provide guidelines for preparing and
        securing sensitive ePHI data
                                                                                                                           3
© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
The New Trend in Healthcare IT




     Who we are …

        EHR 2.0 Mission: To assist healthcare organizations
        develop and implement practices to secure IT systems
        and comply with HIPAA/HITECH regulations.
        o   Education(Training, Webinar & Workshops)
        o   Consulting Services
        o   Toolkit(Tools, Best Practices & Checklist)

        Goal: To make compliance an meaningful and painless experience, while
        building capability and confidence.

© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
The New Trend in Healthcare IT



      HIPAA Titles - Overview




                                                                                                                           5
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The New Trend in Healthcare IT




      HIPAA Security Rule




                                                                                                                           6
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The New Trend in Healthcare IT




      HIPAA Information Security Model

                                                              Confidentiality
                                                              Limiting information access and
                                                              disclosure to authorized users (the right
                                                              people)

                                                              Integrity
                                                              Trustworthiness of information
                                                              resources (no inappropriate changes)

                                                              Availability
                                                              Availability of information resources (at
                                                              the right time)


                                                                                                                           7
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The New Trend in Healthcare IT



      PHI(Protected Health Information)

                                                   Health
                                                Information



                                                Individually
                                                Identifiable
                                                   Health
                                                Information




                                                      PHI




                                                                                                                           8
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ePHI – 18 Identifiers                                                   The New Trend in Healthcare IT




                          Identifiers                                             Examples
        Name                                              Max Bialystock
                                                           1355 Seasonal Lane
        Address                                            (all geographic subdivisions smaller than state,
                                                          including street address, city, county, or ZIP code)
        Dates related to an individual                    Birth, death, admission, discharge
                                                          212 555 1234, home, office, mobile etc.,
        Telephone numbers
                                                          212 555 1234
        Fax number
        Email address                                     LeonT@Hotmail.com, personal, official
        Social Security number                            239-68-9807
        Medical record number                             189-88876
        Health plan beneficiary number                    123-ir-2222-98
        Account number                                    333389
        Certificate/license number                        3908763 NY
        Any vehicle or other device serial number         SZV4016
        Device identifiers or serial numbers               Unique Medical Devices
        Web URL                                            www.rickymartin.com
        Internet Protocol (IP) address numbers             19.180.240.15
        Finger or voice prints                              finger.jpg
        Photographic images                                 mypicture.jpg
        Any other characteristic that could uniquely
                                                           Social Media Profile
        identify the individual
                                                                                                                              9
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Trends in Healthcare IT                                              The New Trend in Healthcare IT




                                 Informatics                        Collaboration




                                    Mobile                                  EHR
                                  Computing                                 HIE


                                                                                                                         10
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The New Trend in Healthcare IT
                                  Technology/Communication Devices

                             Communication Devices to enable WiFi Connectivity




                                  Desktop/Laptop with WiFi Connectivity




            Mobile Phones                                                      Mobile Tablet Devices




© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
The New Trend in Healthcare IT
                                Mobile Devices and Apps in Healthcare
                                                   Desktop/Laptop
                                            •   Applications ranging from CPOE & appointment
                                                scheduler to medical billing & nursing suite
                                            •   Web Applications



               Mobile Phones                                                   Mobile Tablet Devices




                                                                                •   Scheduling
                                                                                •   Dictation
                                                                                •   Image Processing: X-Ray
           •    Scheduling                                                          Review
           •    Patient Alert                                                   •   Web Applications
           •    Dictation                                                       •   Primary Care/Ambulatory
           •    Web Applications                                                    Care
                                                                                •   Professional Nursing Suite
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The New Trend in Healthcare IT
                                 Trends in Mobile Devices (Healthcare)
                                                                      Mobile Devices
                                              •       Declining Desktop Market
                                              •       Proliferation of more smart phone devices & tablets
                                                      from various manufacturers (Apple, Samsung, LG,
                                                      Nokia, etc)
                                              •       Access to Web based healthcare Applications

                                                                   Using known Devices
                                              •       Bring Your Own Device (BYOD)
                                                       • Making significant inroads as 90% of employees
                                                           prefer
                                                       • Make healthcare professionals more productive


                                                           Data Processing using Cloud Computing


                                                          Sophisticated Network Switches & Gears
                                                  •    Address higher network bandwidth
                                                  •    Provide better security & Access Control
© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
The New Trend in Healthcare IT
                            Challenges in Mobile Devices & Applications

                                                                   Need Standardization

                                              •   Need better standardization on choice of devices
                                              •   Unable to block BYOD trend
                                              •   Standard practices for picking web applications


                                                          Data Structure, Volume, & Complexity
                                              •   Increased Volume of Data needs higher network
                                                  bandwidth
                                              •   Require sophisticated network switches and gears to
                                                  accommodate the increased demand in data and
                                                  improve “Quality of Service (QoS)”
                                              •   Existence Structured, Unstructured, & Semi-
                                                  structured data challenges data security measures

                                                                          More users
                                              •   Ease of use of application increases more users
                                              •   Users with different roles and responsibilities pose
                                                  segregation of duties and conflict of interest issues
                                              •   Need better security & Access Control mechanism
© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
The New Trend in Healthcare IT
              Compliance & Security Requirements for Mobile Applications

                                                           Choice of Devices & Applications

                                              •    Need to impose healthcare policy to manage BYOD
                                                   trend
                                              •    Security & Compliance best practices to be imposed on
                                                   choice of devices and choosing applications

                                                               Security & Compliance Policies

                                                  • Need to comply with HIPAA/HITECH
                                                    requirements for addressing
                                                     •    Regulatory Standards and Conventions
                                                     •    Authentication & Access Control
                                                     •    Mis-configurations
                                                     •    Data Security Standards
                                                     •    Information Processing Standards
                                                     •    Provider Privacy
                                                     •    Patient Privacy




© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
The New Trend in Healthcare IT
        Security & Compliance Recommendations & Best Practices for Mobile Apps

                                                   Security & Compliance Best Practices
                                         • HIPAA/HITECH validated checklist of best
                                           practices for addressing
                                               •           Standard for choosing mobile devices and
                                                           applications
                                                      • Mobile applications:
                                                             • Authentication & Access Control
                                                             • Segregation of Duties (SoD) and Conflict
                                                                  of Interest (CoI) issues
                                                             • Data Validation
                                                             • Data Security Standards
                                                             • Data Confidentiality
                                                             • Data Loss (51% due to insecure mobile
                                                                  usage)
                                                             • Mis-configurations
                                                             • Best practices against Phishing & Mobile
                                                                  Malware
                                                      • Cryptography
                                                      • Denial of Service (DoS)
                                                      • WiFi Security best practices
                                                      • Control access to Apple’s random apps like
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                                                           this document, please email info@ehr20.com.
The New Trend in Healthcare IT




      Top 5 Mobile Security Guidelines

      Areas                      Description
      Access Control             Controls in place over authorizing the user of the device

      Encryption                 Technology in place to protect data at rest.

      Backups                    How, when and where backups are handled.

                                 How the device is managed remotely, if at all. This includes the
      Remote
                                 ability to restrict application access, web access, encrypt data,
      Management
                                 remotely wipe, etc.

                                 Ensuring that sensitive data transported over the network is
                                 encrypted. This data includes usernames and passwords, but
      Insecure
                                 encrypted. also session management information and other
      Transport
                                 data. Does the application force the use of encrypted
                                 technologies?


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The New Trend in Healthcare IT




    Where do you start?

      Identify mobile ePHI systems,
      processes and people involved


             Conduct Risk Assessment
             - Platform, Solution, etc.

                     Use Best Practices
                      - Patching, AV, Remote Wipe,
                     Encryption

                             Assess and Improve
                              - Monitor, Evaluate and adjust
© 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.                           18
The New Trend in Healthcare IT



      Additional Resources


      NIST – Guidelines on Cellphone and PDA Security
           - SP800-124




                                                                                                                         19
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Risk Assessment of Technology
                                                                                                          The New Trend in Healthcare IT




                                                           • Laptops, Desktops
                                                           • Storage Devices
                                                           • Networking devices (Routers,
                                                             Switches & Wireless)
                                                           • Medical Devices
                                                           • Scanners, fax and photocopiers
                                                           • VoIP
   Any device that
                                                           • Smart-phones, Tablets (ipad,
   electronically stores or
   transmits information                                     PDAs)
   using a software                                        • Cloud-based services
   program
                                                                                                                         20
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The New Trend in Healthcare IT



      EHR 2.0 Services

                                Toolkit
                                • BA, HIPAA/HITECH Assessment, OCR
                                • Self-prepare, Prepare and Prepare Plus

                                Education
                                • Workshop, Training, Private Webinars
                                • 1-4 hours, Role-based and Customized

                                Consulting
                                • Security, Compliance and HC Experts
                                • Project Specific
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The New Trend in Healthcare IT




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      •    Visit us at www.ehr20.com

            802-448-2255                           info@ehr20.com




                                                                                                                         22
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The New Trend in Healthcare IT




                                        Questions?
               E-mail: info@ehr20.com
                         Call: 802-448-2255


                                                                                                                         23
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The New Trend in Healthcare IT




Thank you!!!


                              24

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Mobile devices and applications in healthcare: Security and Compliance Risks

  • 1. The New Trend in Healthcare IT Mobile Devices and Applications in Healthcare: Security & Compliance Risks We will be starting in a moment … Visit us at www.ehr20.com info@ehr20.com 802-448-2255 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 2. Mobile Devices and Applications in Healthcare The New Trend in Healthcare IT Security & Compliance Risks 30 May, 2012 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 3. The New Trend in Healthcare IT Webinar Objectives • To review mobile security and compliance requirements • To share trends and challenges in mobile devices and applications deployment • To provide guidelines for preparing and securing sensitive ePHI data 3 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 4. The New Trend in Healthcare IT Who we are … EHR 2.0 Mission: To assist healthcare organizations develop and implement practices to secure IT systems and comply with HIPAA/HITECH regulations. o Education(Training, Webinar & Workshops) o Consulting Services o Toolkit(Tools, Best Practices & Checklist) Goal: To make compliance an meaningful and painless experience, while building capability and confidence. © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 5. The New Trend in Healthcare IT HIPAA Titles - Overview 5 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 6. The New Trend in Healthcare IT HIPAA Security Rule 6 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 7. The New Trend in Healthcare IT HIPAA Information Security Model Confidentiality Limiting information access and disclosure to authorized users (the right people) Integrity Trustworthiness of information resources (no inappropriate changes) Availability Availability of information resources (at the right time) 7 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 8. The New Trend in Healthcare IT PHI(Protected Health Information) Health Information Individually Identifiable Health Information PHI 8 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 9. ePHI – 18 Identifiers The New Trend in Healthcare IT Identifiers Examples Name Max Bialystock 1355 Seasonal Lane Address (all geographic subdivisions smaller than state, including street address, city, county, or ZIP code) Dates related to an individual Birth, death, admission, discharge 212 555 1234, home, office, mobile etc., Telephone numbers 212 555 1234 Fax number Email address LeonT@Hotmail.com, personal, official Social Security number 239-68-9807 Medical record number 189-88876 Health plan beneficiary number 123-ir-2222-98 Account number 333389 Certificate/license number 3908763 NY Any vehicle or other device serial number SZV4016 Device identifiers or serial numbers Unique Medical Devices Web URL www.rickymartin.com Internet Protocol (IP) address numbers 19.180.240.15 Finger or voice prints finger.jpg Photographic images mypicture.jpg Any other characteristic that could uniquely Social Media Profile identify the individual 9 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 10. Trends in Healthcare IT The New Trend in Healthcare IT Informatics Collaboration Mobile EHR Computing HIE 10 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 11. The New Trend in Healthcare IT Technology/Communication Devices Communication Devices to enable WiFi Connectivity Desktop/Laptop with WiFi Connectivity Mobile Phones Mobile Tablet Devices © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 12. The New Trend in Healthcare IT Mobile Devices and Apps in Healthcare Desktop/Laptop • Applications ranging from CPOE & appointment scheduler to medical billing & nursing suite • Web Applications Mobile Phones Mobile Tablet Devices • Scheduling • Dictation • Image Processing: X-Ray • Scheduling Review • Patient Alert • Web Applications • Dictation • Primary Care/Ambulatory • Web Applications Care • Professional Nursing Suite © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 13. The New Trend in Healthcare IT Trends in Mobile Devices (Healthcare) Mobile Devices • Declining Desktop Market • Proliferation of more smart phone devices & tablets from various manufacturers (Apple, Samsung, LG, Nokia, etc) • Access to Web based healthcare Applications Using known Devices • Bring Your Own Device (BYOD) • Making significant inroads as 90% of employees prefer • Make healthcare professionals more productive Data Processing using Cloud Computing Sophisticated Network Switches & Gears • Address higher network bandwidth • Provide better security & Access Control © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 14. The New Trend in Healthcare IT Challenges in Mobile Devices & Applications Need Standardization • Need better standardization on choice of devices • Unable to block BYOD trend • Standard practices for picking web applications Data Structure, Volume, & Complexity • Increased Volume of Data needs higher network bandwidth • Require sophisticated network switches and gears to accommodate the increased demand in data and improve “Quality of Service (QoS)” • Existence Structured, Unstructured, & Semi- structured data challenges data security measures More users • Ease of use of application increases more users • Users with different roles and responsibilities pose segregation of duties and conflict of interest issues • Need better security & Access Control mechanism © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 15. The New Trend in Healthcare IT Compliance & Security Requirements for Mobile Applications Choice of Devices & Applications • Need to impose healthcare policy to manage BYOD trend • Security & Compliance best practices to be imposed on choice of devices and choosing applications Security & Compliance Policies • Need to comply with HIPAA/HITECH requirements for addressing • Regulatory Standards and Conventions • Authentication & Access Control • Mis-configurations • Data Security Standards • Information Processing Standards • Provider Privacy • Patient Privacy © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 16. The New Trend in Healthcare IT Security & Compliance Recommendations & Best Practices for Mobile Apps Security & Compliance Best Practices • HIPAA/HITECH validated checklist of best practices for addressing • Standard for choosing mobile devices and applications • Mobile applications: • Authentication & Access Control • Segregation of Duties (SoD) and Conflict of Interest (CoI) issues • Data Validation • Data Security Standards • Data Confidentiality • Data Loss (51% due to insecure mobile usage) • Mis-configurations • Best practices against Phishing & Mobile Malware • Cryptography • Denial of Service (DoS) • WiFi Security best practices • Control access to Apple’s random apps like © 2012 EHR 2.0. All rights reserved.To purchase reprints ofAppStore this document, please email info@ehr20.com.
  • 17. The New Trend in Healthcare IT Top 5 Mobile Security Guidelines Areas Description Access Control Controls in place over authorizing the user of the device Encryption Technology in place to protect data at rest. Backups How, when and where backups are handled. How the device is managed remotely, if at all. This includes the Remote ability to restrict application access, web access, encrypt data, Management remotely wipe, etc. Ensuring that sensitive data transported over the network is encrypted. This data includes usernames and passwords, but Insecure encrypted. also session management information and other Transport data. Does the application force the use of encrypted technologies? © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 18. The New Trend in Healthcare IT Where do you start? Identify mobile ePHI systems, processes and people involved Conduct Risk Assessment - Platform, Solution, etc. Use Best Practices - Patching, AV, Remote Wipe, Encryption Assess and Improve - Monitor, Evaluate and adjust © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com. 18
  • 19. The New Trend in Healthcare IT Additional Resources NIST – Guidelines on Cellphone and PDA Security - SP800-124 19 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 20. Risk Assessment of Technology The New Trend in Healthcare IT • Laptops, Desktops • Storage Devices • Networking devices (Routers, Switches & Wireless) • Medical Devices • Scanners, fax and photocopiers • VoIP Any device that • Smart-phones, Tablets (ipad, electronically stores or transmits information PDAs) using a software • Cloud-based services program 20 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 21. The New Trend in Healthcare IT EHR 2.0 Services Toolkit • BA, HIPAA/HITECH Assessment, OCR • Self-prepare, Prepare and Prepare Plus Education • Workshop, Training, Private Webinars • 1-4 hours, Role-based and Customized Consulting • Security, Compliance and HC Experts • Project Specific © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 22. The New Trend in Healthcare IT Upcoming Events • Next Live Webinars  EHR Adoption Challenges(6/6)  Meaningful Use Risk Analysis (6/13) Sign-up at ehr20.com/webinars • Visit us at www.ehr20.com 802-448-2255 info@ehr20.com 22 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 23. The New Trend in Healthcare IT Questions? E-mail: info@ehr20.com Call: 802-448-2255 23 © 2012 EHR 2.0. All rights reserved.To purchase reprints of this document, please email info@ehr20.com.
  • 24. The New Trend in Healthcare IT Thank you!!! 24