when a physicians laptop is stolen how do you report the breach of patient information

by Rogers Watsica II 5 min read

HIPAA: Are You Prepared for a Lost Laptop or Smartphone?

20 hours ago  · Since 2010, federal HIPAA fines have ranged from $50,000 to more than $1.9 million for lost and stolen devices. 2015 breach costs have risen to $398 per patient record, mostly due to loss of business when patients switch physicians after a breach (2015 Ponemon Study). Cyber liability insurance policy claims may be denied due to negligence if ... >> Go To The Portal


Covered entities will notify the Secretary by visiting the HHS web site and filling out and electronically submitting a breach report form. If a breach affects 500 or more individuals, covered entities must notify the Secretary without unreasonable delay and in no case later than 60 days following a breach.

Full Answer

How do I report a breach of protected health information?

In addition to notifying affected individuals and the media (where appropriate), covered entities must notify the Secretary of breaches of unsecured protected health information. Covered entities will notify the Secretary by visiting the HHS web site and filling out and electronically submitting a breach report form.

Do I have to report a lost device as a breach?

In almost all situations, there are only two reasons a lost device may not have to be reported as a breach under the HIPAA Breach Notification Rule: (1) no PHI was on the device, or (2) the PHI is unusable - encrypted with FIPS 140-2 encryption (a U.S. government security standard).

What happens if your medical records are stolen?

Having your records stolen in a healthcare data breach can be can be a prescription for financial disaster.

What are the costs of lost and stolen devices under HIPAA?

Depending on the situation, you can face significant costs and an U.S. Office for Civil Rights HIPAA investigation. Since 2010, federal HIPAA fines have ranged from $50,000 to more than $1.9 million for lost and stolen devices.

Is a stolen laptop a HIPAA violation?

If you have ever lost your laptop, you have something in common with one of the most frequent violations of the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

When must a breach of PHI be reported?

within 60 daysAny breach of unsecured protected health information must be reported to the covered entity within 60 days of the discovery of a breach. While this is the absolute deadline, business associates must not delay notification unnecessarily.

What are five examples of breach of confidentiality involving the unauthorized release of patient information to a third party?

Top 10 Most Common HIPAA ViolationsKeeping Unsecured Records. ... Unencrypted Data. ... Hacking. ... Loss or Theft of Devices. ... Lack of Employee Training. ... Gossiping / Sharing PHI. ... Employee Dishonesty. ... Improper Disposal of Records.More items...•

What is a reportable HIPAA breach?

HIPAA's Breach Notification Rule requires covered entities to notify patients when their unsecured protected heath information (PHI) is impermissibly used or disclosed—or “breached,”—in a way that compromises the privacy and security of the PHI.

What is the correct order of steps that must be taken if there a breach of HIPAA information or data?

Below are steps that you may follow to help identify and timely respond to HIPAA breaches.Stop the breach. ... Contact the privacy officer. ... Respond promptly. ... Investigate appropriately. ... Mitigate the effects of the breach. ... Correct the breach. ... Impose sanctions.More items...•

When a breach occurs healthcare providers are required to do what?

The Breach Notification Rule was added to HIPAA in 2009 to say that in the event of a breach of PHI, covered entities and their business associates are required to notify all affected individuals.

Which are the correct reporting options if you know of a privacy violation or breach?

Filing a Complaint If you believe that a HIPAA-covered entity or its business associate violated your (or someone else's) health information privacy rights or committed another violation of the Privacy, Security, or Breach Notification Rules, you may file a complaint with the Office for Civil Rights (OCR).

What are the breach Notification Rule requirements?

If a breach affects 500 or more individuals, covered entities must notify the Secretary without unreasonable delay and in no case later than 60 days following a breach. If, however, a breach affects fewer than 500 individuals, the covered entity may notify the Secretary of such breaches on an annual basis.

What are the three exceptions to the definition of breach?

There are 3 exceptions: 1) unintentional acquisition, access, or use of PHI in good faith, 2) inadvertent disclosure to an authorized person at the same organization, 3) the receiver is unable to retain the PHI. @

Who should be notified upon discovery of a breach or suspected breach of PII?

1. Notifying the Chief Privacy Officer (CPO); Chief, Office of Information Security (OIS); Department of Commerce (DOC) CIRT; and US-CERT immediately of potential PII data loss/breach incidents according to reporting requirements.

Who should be notified of an unprotected protected health information breach?

Submitting Notice of a Breach to the Secretary A covered entity must notify the Secretary if it discovers a breach of unsecured protected health information. See 45 C.F.R.

What is the most common HIPAA violation?

Snooping on healthcare records of family, friends, neighbors, co-workers, and celebrities is one of the most common HIPAA violations committed by employees.

Why are laptops so common in medical practice?

Laptops have become extremely common in medical practices. Their portability allows for physicians to take them from room to room to chart patient visits. But their portability is also what makes them a potential HIPAA nightmare.

What happened to the CCG laptop?

In July 2012, a laptop belonging to an employee from Cancer Care Group (CCG) was stolen from the employee’s car. The stolen laptop contained records of over 55,000 current and previous patients of CCG. This data included patient names, addresses, insurance information, Social Security numbers, birth dates, and clinical information.

Is encryption required for HIPAA?

While encryption is not required under HIPAA, it can help to prevent breaches of this kind. If you are using a supported version of Microsoft Windows, then you likely already have the necessary software built into Windows. You can enable drive encryption on all of your laptops at no additional cost.

Can ephi be left unencrypted?

Unencrypted devices or media that contained ePHI should never have been allowed to leave the practice . A Risk Assessment, had it been performed, would have discovered the possibility of a breach should one of these devices been lost or stolen.

When was the Advocate Health Care computer stolen?

The computers, which were taken on July 15, 2013, contained names, addresses, social security numbers, and dates of birth.

What is the new standard for reporting breach?

The new standard presumes that a reportable breach has occurred unless the covered entity or business associate, through the use of a multi-factor risk assessment, determines that there is a low probability that PHI has been compromised by the unauthorized use or disclosure.

Who is the director of the Office for Civil Rights?

Leon Rodriguez, director of the Office for Civil Rights (“OCR”), the agency responsible for investigating HIPAA data breaches and violations has promised an increase in investigations and monetary penalties for health care organizations that have failed to take patient privacy seriously.

Does HHS require breach notification?

The Rule lowers the standard for breach notification. Under the previous rule, breaches were not required to be reported to the Department of Health and Human Services (“HHS”) unless they posed a “significant risk of reputational, financial or other harm” to individuals.

Is it necessary to delete protected health information before reusing a device?

Deleting all stored protected health information before reusing or discarding a device. Although these recommendations are not required by HIPAA, they lay the foundation for best practices and should likely be analyzed and documented as part of any risk assessment undertaken in accordance with the HIPAA security rule.

How long does it take for a patient to report a breach to the ICO?

A notifiable breach must be reported to the ICO without undue delay but no later than 72 hours (not 72 working hours) after becoming aware of it.

Why is the security of patient information important?

Anyone responsible for the information needs to apply security measures appropriate to the level of risk to the data subject (the person whose data is being collected, ...

What is personal data breach?

A personal data breach is a breach of security leading to the accidental or unlawful destruction, loss, alteration, unauthorised disclosure of or access to, personal data. Under new data protection legislation (GDPR and Data Protection Act 2018) certain personal data breaches need to be notified to the Information Commissioner.

How long has it been since MDU discovered data loss?

The MDU adviser told the student to contact her consultant immediately to tell them what had happened, as it had been nearly 72 hours since she had discovered the data loss. The consultant would know the trust's process to inform the relevant people of the breach.

How to notify a covered entity of a breach of unsecured health information?

Covered entities must notify affected individuals following the discovery of a breach of unsecured protected health information. Covered entities must provide this individual notice in written form by first-class mail, or alternatively, by e-mail if the affected individual has agreed to receive such notices electronically. If the covered entity has insufficient or out-of-date contact information for 10 or more individuals, the covered entity must provide substitute individual notice by either posting the notice on the home page of its web site for at least 90 days or by providing the notice in major print or broadcast media where the affected individuals likely reside. The covered entity must include a toll-free phone number that remains active for at least 90 days where individuals can learn if their information was involved in the breach. If the covered entity has insufficient or out-of-date contact information for fewer than 10 individuals, the covered entity may provide substitute notice by an alternative form of written notice, by telephone, or other means.

What is breach in health care?

A breach is, generally, an impermissible use or disclosure under the Privacy Rule that compromises the security or privacy of the protected health information. An impermissible use or disclosure of protected health information is presumed to be a breach unless the covered entity or business associate, as applicable, ...

What is unsecured health information?

Unsecured protected health information is protected health information that has not been rendered unusable, unreadable, or indecipherable to unauthorized persons through the use of a technology or methodology specified by the Secretary in guidance.

What is HIPAA breach notification?

The HIPAA Breach Notification Rule, 45 CFR §§ 164.400-414, requires HIPAA covered entities and their business associates to provide notification following a breach of unsecured protected health information. Similar breach notification provisions implemented and enforced by the Federal Trade Commission (FTC), apply to vendors of personal health records and their third party service providers, pursuant to section 13407 of the HITECH Act.

How long does a business associate have to notify the covered entity of a breach?

A business associate must provide notice to the covered entity without unreasonable delay and no later than 60 days from the discovery of the breach.

How long does a breach of privacy notice have to be provided?

Like individual notice, this media notification must be provided without unreasonable delay and in no case later than 60 days following the discovery of a breach and must include the same information required for the individual notice.

What information should a business associate provide to the covered entity?

To the extent possible, the business associate should provide the covered entity with the identification of each individual affected by the breach as well as any other available information required to be provided by the covered entity in its notification to affected individuals.

How to protect electronic health information?

If encryption isn't a reasonable option, here are some reasonable steps you can take to protect electronic health information: 1 Laptops and other handheld devices are easy targets for theft. Do not leave them unattended. 2 Set strong account passwords to protect laptops form being accessed by unauthorized individuals or entities. 3 Install anti-theft software, such as Norton Anti-Theft, for laptops, smartphones and tablets. 4 When your laptop or other mobile device is not in use, lock it up. For example, instead of leaving the laptop in plain sight when you leave at night, lock it up in a locking drawer or cabinet. 5 Consider using the encryption technology bundled with the Windows or Macintosh operations systems to at least provide a layer of protection against casual thieves. 6 Access vs storage: some devices, such as tablet PCs and digital phones, can be configured with software that only serves to capture and retrieve data, not store it. In this case, loss or theft of the device is less of a concern from an ePHI perspective. Be aware that if the device is wireless, the device could still be used to gain access to ePHI if the locations of the wireless access points are known (see HIPAA Security Reference Guide: Device and Media Controls for more information).

How much did OCR pay?

In a news release last week it was reported that two entities have paid the U.S. Department of Health and Human Services Office for Civil Rights (OCR) $1,975,220 collectively to resolve potential HIPAA Privacy and Security violations.