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 PIAM Practice Bulletin

Is Your Practice Prepared for the New Data Security Laws?

On February 22, 2010, the new Health Information Technology for Economic and Clinical Health (HITECH) Act breach notification requirements became enforceable. HITECH makes significant changes to HIPAA security requirements, requiring notice to individuals whose information is affected by a breach of privacy. There are four tiers of penalties, the most punitive ending at $50,000 per violation with a cap of $1.5 million.

Also, on March 1, 2010, the new MA data security laws went into effect. Massachusetts’ breach notification law, 201 CMR 17.00, allows for civil penalties of up to $5,000 for each violation and $50,000 for each instance of improper disposal of “personal information” (PI). PI is a person’s first name and last name (or first initial and last name) in combination with any one of the following: 1) Social Security number; 2) driver’s license number or other state-issued identification card number; or 3) a financial account number, or credit or debit card number, with or without any required security code, access code, or PIN that would allow account access.

For a medical practice, there are two overlapping issues — the loss of both personal information and health information, as most patient data includes both. A simple loss of an employee’s tote bag containing sensitive patient information, faxing a patient’s test reports to the wrong number, or improperly disposing of old charts in an unsecured dumpster could result in costly ramifications for the practice. A recent article in American Medical News notes that the greatest risks to healthcare providers in the area of maintaining patient privacy aren’t offshore hackers or rogue employees, but rather simple accidents. For physicians, a lost Blackberry, flash drive or laptop can mean legal fees, an arduous process of notification, damage to the practice's reputation, and the risk of heavy penalties.

Breach Notification
If a breach of information is discovered the data owner must provide notice to the MA Attorney General, the Director of the Office of Consumer Affairs and Business Regulation, and written notice to each affected MA resident. If the breach affects 500 or more individuals, major media outlets and the HHS must also be notified. Notification must be provided no later than 60 days following the discovery of a breach.

Individual Notice
The data owner must provide affected individuals notice in writing by first-class mail (or by e-mail if the affected individuals have agreed to receive such notices electronically.) If there is insufficient or out-of-date contact information for 10 or more individuals, the data owner must post the notice on the home page of its web site or publish the notice in major print or broadcast media where the affected individuals likely reside.

Massachusetts’ personal data breach notification law requires that notifications SHALL NOT include:
1) The nature of the breach
2) The number of residents affected by the breach
3) Any steps the Entity has taken or plans to take relating to the incident

Notifications SHALL include:
1) Law enforcement entity notified, case number and contact information, if applicable
2) Information that the consumer has the right to obtain a police report and the contact information needed to request a report, if applicable
3) Information that the consumer has the right to obtain a credit report from any of the three credit bureaus
4) Information that the consumer has the right to obtain a credit freeze, information regarding the costs of a credit freeze, information the consumer would need to provide and contact information of all three credit bureaus

Media Notice
Data owners that experience a breach affecting more than 500 residents of a State or jurisdiction are also required to provide notice to the prominent media outlets of that area. This notification can be provided in the form of a press release to appropriate media outlets serving the affected area.

Notice to HHS
Notice must be given to the Secretary of Helath and Human Services for breaches involving more than 500 individuals. The Secretary will post on an HHS web site a list that identifies each covered entity involved in a breach in which the unsecured PHI of more than 500 individuals is acquired or disclosed.

PIAM has developed a new program with very competitive pricing that will provide coverage for the potential damages that may come from a health data breach. For more information click here or call (800) 522-7426.

Data Breach Insurance

Other articles:
Growth of Alternative Med Mal Coverage

EMR Loan Program

Meaningful Use

Read the whole issue(pdf)

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