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Mobile Device Security 
Wednesday, 
August 
27, 
2014 
Disclaimer: 
Nothing 
that 
we 
are 
sharing 
is 
intended 
as 
legally 
binding 
or 
prescrip7ve 
advice. 
This 
presenta7on 
is 
a 
synthesis 
of 
publically 
available 
informa7on 
and 
best 
prac7ces.
HIPAA 
Privacy 
Rule 
The 
HIPAA 
Privacy 
Rule 
establishes 
na6onal 
standards 
to 
protect 
individuals’ 
medical 
records 
and 
other 
personal 
health 
informa6on 
and 
applies 
to 
health 
plans, 
health 
care 
clearinghouses, 
and 
those 
health 
care 
providers 
that 
conduct 
certain 
health 
care 
transac6ons 
electronically. 
The 
Rule 
requires 
appropriate 
safeguards 
to 
protect 
the 
privacy 
of 
personal 
health 
informa6on, 
and 
sets 
limits 
and 
condi6ons 
on 
the 
uses 
and 
disclosures 
that 
may 
be 
made 
of 
such 
informa6on 
without 
pa6ent 
authoriza6on. 
The 
Rule 
also 
gives 
pa6ents 
rights 
over 
their 
health 
informa6on, 
including 
rights 
to 
examine 
and 
obtain 
a 
copy 
of 
their 
health 
records, 
and 
to 
request 
correc6ons.
HIPAA 
Security 
Rule 
The 
HIPAA 
Security 
Rule 
establishes 
na6onal 
standards 
to 
protect 
individuals’ 
electronic 
personal 
health 
informa6on 
that 
is 
created, 
received, 
used, 
or 
maintained 
by 
a 
covered 
en6ty. 
The 
Security 
Rule 
requires 
appropriate 
administra6ve, 
physical 
and 
technical 
safeguards 
to 
ensure 
the 
confiden6ality, 
integrity, 
and 
security 
of 
electronic 
protected 
health 
informa6on.
Department 
of 
Health 
and 
Human 
Services 
hGp://www.healthit.gov/providers-­‐professionals/your-­‐mobile-­‐ 
device-­‐and-­‐health-­‐informa6on-­‐privacy-­‐and-­‐security
What 
is 
a 
mobile 
device? 
• Laptop 
Computer 
• Smart 
Phones 
• USB 
Thumb 
Drives 
• External 
Hard 
Drives 
• Tablet 
Computers 
• E-­‐Readers 
• Others?
You, 
Your 
Organiza6on, 
and 
Your 
Mobile 
Devices 
• Does 
your 
organiza6on 
have 
a 
mobile 
device 
use 
policy? 
• Does 
your 
organiza6on 
allow 
you 
to 
use 
your 
personally 
owned 
mobile 
device 
for 
work? 
• Do 
you 
know 
who 
your 
organiza6on's 
Privacy 
Officer 
and 
Security 
Officer 
are? 
• Does 
your 
organiza6on 
require 
you 
to 
register 
your 
mobile 
device 
with 
the 
organiza6on? 
• Does 
your 
organiza6on 
have 
a 
Virtual 
Private 
Network 
(VPN) 
that 
allows 
you 
to 
access, 
receive, 
or 
transmit 
health 
informa6on 
securely 
with 
your 
mobile 
device? 
• Does 
your 
organiza6on 
have 
a 
policy 
about 
storing 
health 
informa6on 
on 
your 
mobile 
device? 
• Does 
your 
organiza6on 
require 
you 
to 
backup 
health 
informa6on 
from 
your 
mobile 
device 
to 
a 
secure 
server? 
• Does 
your 
organiza6on 
require 
you 
to 
enable 
remote 
wiping 
and/or 
remote 
disabling 
on 
your 
mobile 
device? 
• Does 
your 
organiza6on 
offer 
mobile 
device 
privacy 
and 
security 
awareness 
and 
training?
What 
Are 
Some 
Risks 
to 
Know 
About 
Before 
Using 
a 
Mobile 
Device 
for 
Pa6ent 
Care? 
• Lost 
Device 
• Stolen 
Device 
• Inadvertent 
download 
of 
virus 
or 
other 
malware 
• Uninten6onal 
disclosure 
to 
unauthorized 
users 
when 
sharing 
devices 
with 
friend/ 
family 
• Unsecure 
Wi-­‐fi
What 
Are 
Some 
Ac6vi6es 
That 
Make 
Mobile 
Devices 
Vulnerable? 
• So^ware 
Downloads 
• Visi6ng 
Malicious 
Websites 
• Direct 
AGack 
Through 
the 
Communica6on 
Network 
• Physical 
AGack
What 
Are 
Some 
Common 
Sources 
of 
Threats 
to 
Mobile 
Devices 
or 
the 
PHI 
on 
them? 
• Botnet 
Operators 
• Cybercriminals 
• Hackers
Other 
Topics 
and 
Risks 
to 
Consider 
• Device 
Ownership 
• BYOD 
vs. 
Organiza6on 
Provided 
• Loca6on 
When 
Using 
Your 
Mobile 
Device 
• Home 
vs. 
Hospital 
vs. 
Public 
Places 
(ie: 
coffee 
shop) 
• Communica6ng 
with 
Pa6ents 
• Portals 
vs. 
Calls 
vs. 
Texts 
• Bluetooth 
Capabili6es 
• Accessing 
Your 
EHR 
and 
HIE 
• VPN 
Tunnels 
• What 
Do 
I 
Do 
With 
My 
Old 
Devices?
How 
Can 
You 
Protect 
and 
Secure 
ePHI 
When 
Using 
a 
Mobile 
Device? 
• Use 
a 
password 
or 
other 
user 
authen6ca6on 
• Install 
and 
enable 
encryp6on 
so^ware 
• Install 
and 
ac6vate 
remote 
wiping 
and/or 
remote 
disabling 
• Disable 
and/or 
do 
not 
install 
or 
use 
file 
sharing 
applica6ons 
• Install 
and 
enable 
a 
firewall 
• Install 
and 
enable 
security 
so^ware 
• Keep 
your 
security 
so^ware 
up 
to 
date 
• Research 
mobile 
applica6ons 
before 
downloading
What 
if 
I 
Suspect 
a 
Breach? 
Breach 
No9fica9on 
Rule 
The 
HIPAA 
Breach 
No6fica6on 
Rule, 
45 
CFR 
§§ 
164.400-­‐414, 
requires 
HIPAA 
covered 
en66es 
and 
their 
business 
associates 
to 
provide 
no6fica6on 
following 
a 
breach 
of 
unsecured 
protected 
health 
informa6on. 
Similar 
breach 
no6fica6on 
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 
sec6on 
13407 
of 
the 
HITECH 
Act.
Department 
of 
Health 
and 
Human 
Services 
Informa6onal 
Video
Helpful 
Links 
and 
Website 
Sources
Q 
& 
A 
Sarah.Bajsta@quirkhealthcare.com 
Shawna.Matonis@quirkhealthcare.com 
Dan.Holleran@quirkhealthcare.com

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Mobile Device Security

  • 1. Mobile Device Security Wednesday, August 27, 2014 Disclaimer: Nothing that we are sharing is intended as legally binding or prescrip7ve advice. This presenta7on is a synthesis of publically available informa7on and best prac7ces.
  • 2. HIPAA Privacy Rule The HIPAA Privacy Rule establishes na6onal standards to protect individuals’ medical records and other personal health informa6on and applies to health plans, health care clearinghouses, and those health care providers that conduct certain health care transac6ons electronically. The Rule requires appropriate safeguards to protect the privacy of personal health informa6on, and sets limits and condi6ons on the uses and disclosures that may be made of such informa6on without pa6ent authoriza6on. The Rule also gives pa6ents rights over their health informa6on, including rights to examine and obtain a copy of their health records, and to request correc6ons.
  • 3. HIPAA Security Rule The HIPAA Security Rule establishes na6onal standards to protect individuals’ electronic personal health informa6on that is created, received, used, or maintained by a covered en6ty. The Security Rule requires appropriate administra6ve, physical and technical safeguards to ensure the confiden6ality, integrity, and security of electronic protected health informa6on.
  • 4. Department of Health and Human Services hGp://www.healthit.gov/providers-­‐professionals/your-­‐mobile-­‐ device-­‐and-­‐health-­‐informa6on-­‐privacy-­‐and-­‐security
  • 5. What is a mobile device? • Laptop Computer • Smart Phones • USB Thumb Drives • External Hard Drives • Tablet Computers • E-­‐Readers • Others?
  • 6. You, Your Organiza6on, and Your Mobile Devices • Does your organiza6on have a mobile device use policy? • Does your organiza6on allow you to use your personally owned mobile device for work? • Do you know who your organiza6on's Privacy Officer and Security Officer are? • Does your organiza6on require you to register your mobile device with the organiza6on? • Does your organiza6on have a Virtual Private Network (VPN) that allows you to access, receive, or transmit health informa6on securely with your mobile device? • Does your organiza6on have a policy about storing health informa6on on your mobile device? • Does your organiza6on require you to backup health informa6on from your mobile device to a secure server? • Does your organiza6on require you to enable remote wiping and/or remote disabling on your mobile device? • Does your organiza6on offer mobile device privacy and security awareness and training?
  • 7. What Are Some Risks to Know About Before Using a Mobile Device for Pa6ent Care? • Lost Device • Stolen Device • Inadvertent download of virus or other malware • Uninten6onal disclosure to unauthorized users when sharing devices with friend/ family • Unsecure Wi-­‐fi
  • 8. What Are Some Ac6vi6es That Make Mobile Devices Vulnerable? • So^ware Downloads • Visi6ng Malicious Websites • Direct AGack Through the Communica6on Network • Physical AGack
  • 9. What Are Some Common Sources of Threats to Mobile Devices or the PHI on them? • Botnet Operators • Cybercriminals • Hackers
  • 10. Other Topics and Risks to Consider • Device Ownership • BYOD vs. Organiza6on Provided • Loca6on When Using Your Mobile Device • Home vs. Hospital vs. Public Places (ie: coffee shop) • Communica6ng with Pa6ents • Portals vs. Calls vs. Texts • Bluetooth Capabili6es • Accessing Your EHR and HIE • VPN Tunnels • What Do I Do With My Old Devices?
  • 11. How Can You Protect and Secure ePHI When Using a Mobile Device? • Use a password or other user authen6ca6on • Install and enable encryp6on so^ware • Install and ac6vate remote wiping and/or remote disabling • Disable and/or do not install or use file sharing applica6ons • Install and enable a firewall • Install and enable security so^ware • Keep your security so^ware up to date • Research mobile applica6ons before downloading
  • 12. What if I Suspect a Breach? Breach No9fica9on Rule The HIPAA Breach No6fica6on Rule, 45 CFR §§ 164.400-­‐414, requires HIPAA covered en66es and their business associates to provide no6fica6on following a breach of unsecured protected health informa6on. Similar breach no6fica6on 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 sec6on 13407 of the HITECH Act.
  • 13. Department of Health and Human Services Informa6onal Video
  • 14. Helpful Links and Website Sources
  • 15. Q & A Sarah.Bajsta@quirkhealthcare.com Shawna.Matonis@quirkhealthcare.com Dan.Holleran@quirkhealthcare.com