Final week, the Workplace for Civil Rights (“OCR”) issued two items of steering on the privateness and safety of protected well being data (“PHI”) when utilizing telehealth companies. One of many paperwork is meant to assist well being care suppliers clarify to sufferers, in plain language, the privateness and safety dangers of utilizing distant communication applied sciences for telehealth (the “Supplier Telehealth Steering”). The opposite offers tricks to sufferers on how one can safeguard their PHI when utilizing video apps and different applied sciences for telehealth (the “Affected person Telehealth Steering”).
The COVID-19 public well being emergency (“PHE”) and OCR’s relaxed HIPAA enforcement and restrictions for telehealth communications in the course of the PHE helped catalyze the widespread use of telehealth by well being care suppliers, resulting in extra potential threat to PHI when utilizing telehealth companies. The 2 items of steering proof OCR’s continued consideration to the HIPAA implications of utilizing telehealth companies.
The Supplier Telehealth Steering clarifies that the Well being Insurance coverage Portability and Accountability Act (collectively, with its implementing laws, “HIPAA”) doesn’t require well being care suppliers to teach sufferers about telehealth dangers. Nonetheless, because the Supplier Telehealth Steering notes, making certain the privateness and safety of PHI can facilitate more practical communication, thereby enhancing the standard of care. As such, the Supplier Telehealth Steering is meant to information well being care suppliers who wish to voluntarily clarify to sufferers the privateness and safety dangers of telehealth, in addition to methods to cut back these dangers.
The Supplier Telehealth Steering presents the next recommendation:
- Previous to the telehealth session, clarify what telehealth is and the distant communication applied sciences used, which can embrace phone, video conferencing apps, messaging applied sciences, and distant affected person monitoring applied sciences.
- Clarify why well being data privateness and safety are necessary, together with prevention of identification theft (medical or monetary), embarrassment, bias, and discrimination.
- Clarify the potential dangers to PHI when utilizing distant communication applied sciences and how one can mitigate the dangers.
- Present details about any related distributors’ privateness and safety practices.
- Inform sufferers that they’ll file a privateness grievance.
The Affected person Telehealth Steering is meant to supply suggestions on to sufferers on how one can shield and safe their PHI, together with:
- Be sure you’re in a personal location to your telehealth appointment.
- Flip off close by units that will overhear or document data.
- Use a private pc or cell system.
- Set up out there safety updates.
- Use robust, distinctive passwords.
- Flip in your lock display screen operate.
- Delete well being data in your units when it’s not wanted.
- Activate multi-factor authentication the place out there.
- Activate encryption.
- Keep away from utilizing public wi-fi networks and USB ports.
Because the Supplier Telehealth Steering notes, educating sufferers on the privateness and safety dangers of telehealth companies isn’t required underneath HIPAA. Nonetheless, doing so might theoretically mitigate the chance of a affected person grievance within the occasion that one thing occurs to the affected person’s PHI throughout or due to a telehealth appointment. Since complaints are one of many two main pathways to an OCR investigation and potential enforcement motion, offering this training to sufferers might mitigate enforcement threat.
