Presenting a live 90 ‐ minute webinar with interactive Q&A Portable Electronic Devices in Healthcare: Portable Electronic Devices in Healthcare: Latest Legal Threat for Providers Protecting Private Information in Text Messages, Emails and Other Electronic Transmissions TUES DAY, DECEMBER 11, 2012 1pm Eastern | 12pm Central | 11am Mountain | 10am Pacific T d Today’s faculty features: ’ f l f Brian C. Vick, Partner, Williams Mullen , Raleigh, N.C. W. Clifford Mull, Benesch Friedlander Coplan & Aronoff , Cleveland Dianne J. Bourque, Member, Mintz Levin Cohn Ferris Glovsky and Popeo , Boston Dianne J. Bourque, Member, Mintz Levin Cohn Ferris Glovsky and Popeo , Boston The audio portion of the conference may be accessed via the telephone or by using your computer's speakers. Please refer to the instructions emailed to registrants for additional information. If you have any questions, please contact Customer Service at 1-800-926-7926 ext. 10 .
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Recent Trends In The Use Recent Trends In The Use Of Mobile Devices In Health Care Settings Brian C. Vick 919.981.4023 b i k@ illi bvick@williamsmullen.com ll December 11 2012 December 11, 2012
Mobile Device Use Is On The Rise • 85% of adults in the U.S. own a mobile phone 85% f d lt i th U S bil h • 82% use their phone to take pictures • 80% use their phone to send text messages • 56% use their phone to access the internet • 50% use their phone for email • 44% use their phone to record video 44% use their phone to record video • 43% use their phone to download apps. * Pew Internet & American Life Project - 2012 5
2011 HIMSS Mobile Technology Survey A survey of 164 hospitals and health systems revealed that mobile devices were being used by: • 89% of physicians 89% f h i i • 84% of non-physician clinicians • 70% of healthcare executives • 62% of administrative / support staff 6
Clinicians Are Using Mobile Devices To: • Access non-PHI health information Access non PHI health information • View patient information • Educational / training purposes g p p • Clinical notifications • Tracking worklists • Communicate regarding patients • Data collection • Analysis of patient data A l i f ti t d t • Monitor medical device data * 2011 HIMSS Mobile Technology Survey, December 5, 2011 7
The Use Of Mobile Devices In Healthcare Will The Use Of Mobile Devices In Healthcare Will Increase Dramatically In The Coming Years • The current push towards quality-based health care delivery systems is increasing the importance of communication and information access • Mobile access to EMR systems and clinical data will help improve patient safety, reduce medical errors, and increase clinical outcomes • Remote monitoring and real-time management of chronic diseases (i.e., diabetes, heart disease) • Physicians are demanding greater mobile access to EMR systems and clinical data • Studies have shown that mobile devices can improve clinical outcomes by facilitating better patient communications • Stage 2 Meaningful Use Rules emphasize the importance of electronic communication But . . . information governance practices surrounding mobile devices have not kept pace with technological developments 8
HIMSS 2011 Mobile Technology Survey: • 97% of respondents were using mobile devices of some type • 77% allowed mobile access over a public network • 75% allowed mobile access of patient information • 41% allowed employees to use their own mobile devices • 38% had a Mobile Technology Policy in place 38% had a Mobile Technology Policy in place 9
This Has Lead To Poor Information Governance • Between 2009 and 2012, hundreds of HIPAA breaches involving mobile devices were reported to HHS 10/10 two USB drives contained PHI on 1469 patients lost by a California hospital p 11/10 unencrypted laptop containing PHI on 4486 patients stolen from the home of an employee of a Texas medical practice 2/11 personal laptop containing PHI on 1700 individuals stolen from business p p p g associate of Arkansas social services agency in Arkansas 4/11 physician practice in Texas lost unencrypted USB drive containing PHI on 1,105 patients 4/11 unencrypted laptop containing PHI on 1500 patients stolen from Texas hospital 7/12 Alaska Medicaid agrees to pay HHS $1.7 million to resolve HIPAA breach after portable hard drive containing PHI was stolen from employee’s car 9/12 Massachusetts practice agrees to pay HHS $1.5 million to settle HIPAA breach based on inadequate management of PHI on mobile devices 10
Mobile Device Misuse Is Also On The Rise • California 2007 9 hospital employees fired for taking or looking at cellphone pictures of patient x-rays • Wisconsin 2009 Nurse fired for posting a cell-phone picture of a patient x-ray on Facebook • Oregon 2012 O 2012 N Nurse sentenced to 8 days in jail after posting t d t 8 d i j il ft ti “disturbing” photos of elderly patients on Facebook • C lif California 2012 i 2012 5 nurses fired for discussing patients on Facebook 5 fi d f di i ti t F b k 11
Por table E le c tr onic De vic e s in He althc ar e : L ate st L e gal T hr e at for Pr ovide r s : L e gal Risks for Hospitals and Pr ovide r s De c e mbe r 11, 2012 W. Cliffor d Mull Be ne sc h, F , rie dlande r, Co plan & Aro no ff L , p L P 200 Public S quare , S uite 2300 Cle ve land, OH 44114-2378 Dire c t: 216.363.4198 | F ax: 216.363.4588 | Mo bile : 216.287.9940 c mull@be ne sc hlaw.c o m | www.be ne sc hlaw.c o m | www.be ne sc hhe althlaw.c o m Cleveland | Columbus | Indianapolis | Philadelphia | Shanghai | White Plains | Wilmington www.beneschlaw.com
ia b ility Pa tie nt Priva c y Pro fe ssio na l L 13 ntro duc tio n ti e gal Risks e gal Risks d I t • • • I L L
Patie nt Pr ivac y: HIPAA Pr ivac y and Se c ur ity Re gulations Re gulations • Ge ne r ally Co ve re d E ally . Co ve re d E ntitie s re q uire d to ntitie s re q uire d to Ge ne r pro te c t e PHItha t the y use o r disc lo se to b usine ss a sso c ia te s tra ding pa rtne rs o r b usine ss a sso c ia te s, tra ding pa rtne rs, o r o the r e ntitie s. • Co ve re d E Co ve re d E ntitie s. He a lth Pla ns, He a lth ntitie s. He a lth Pla ns, He a lth Ca re Cle a ring ho use s, a nd He a lth Ca re Pro vide rs. 14
Patie nt Pr ivac y: HIPAA Pr ivac y and Se c ur ity Re gulations Re gulations • • e me nts . Re q uire Co ve re d E e me nts Re q uire Co ve re d E ntitie s to limit use s a nd ntitie s to limit use s a nd Pr Pr ivac y Re quir ivac y Re quir disc lo sure s o f PHI , to e mplo y a dministra tive me a sure s to pro te c t PHI a nd to do c ume nt c o mplia nc e . • • e me nts Re q uire Co ve re d E e me nts . Re q uire Co ve re d E ntitie s to a do pt a nd ntitie s to a do pt a nd Se c ur Se c ur ity Re quir ity Re quir imple me nt a ppro pria te a dministra tive , te c hnic a l a nd physic a l sa fe g ua rds tha t: • E • E nsure the c o nfide ntia lity inte g rity a nd a va ila b ility o f e PHI nsure the c o nfide ntia lity, inte g rity a nd a va ila b ility o f e PHI ; ; • Pro te c t a g a inst re a so na b ly a ntic ipa te d thre a ts o r ha za rds to the se c urity o r inte g rity o f e PHI ; • Pro te c t a g a inst re a so na b ly a ntic ipa te d use s o r disc lo sure s o f Pro te c t a g a inst re a so na b l a ntic ipa te d se s o r disc lo s re s o f e PHI no t pe rmitte d b y the Priva c y Rule ; a nd • E nsure c o mplia nc e with a ll suc h pro te c tio n b y the Co ve re d ntity’ s wo rkfo rc e . E 15
Patie nt Pr ivac y: Polic ie s and Pr oc e dur e s Ide ntifie d by OCR for Ide ntifie d by OCR for Por Por table De vic e s table De vic e s • De ve lo p a nd I D l d I mple me nt Po lic ie s a nd Pro c e dure s l t P li i d P d Autho rizing e PHI Ac c e ss • De ve lo p a nd I De ve lo p a nd I mple me nt Po lic ie s a nd Pro c e dure s mple me nt Po lic ie s a nd Pro c e dure s to pro te c te d e PHI sto re d o n re mo te o r po rta b le de vic e s o r o n po te ntia lly tra nspo rta b le me dia • De ve lo p a nd imple me nt a ppro pria te po lic ie s a nd pro c e dure s to se c ure e PHI tha t is b e ing tra nsmitte d o ve r a n e le c tro nic c o mmunic a tio ns ne two rk 16
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