Good Intentions Often Lead to Bad Privacy Results

April 29th, 2013

Allowing Wall Street privacy law exemption is crazy! Why, you ask? Why, I’m happy to explain. In March, 2012, I wrote “6 Good Reasons NOT To Ask for Facebook Passwords“.  Since that time legislation prohibiting employers from requiring access to their employees’ protected areas of their social media accounts has been introduced or is pending in at least 35 states. Three states–Arkansas, New Mexico and Read the rest of this entry »

The PHI PII Egg Hunt

March 30th, 2013

Locate it to protect it

I love speaking with folks about privacy, information security and compliance.  I am sincerely interested in hearing about their challenges, and then also identifying common challenges amongst them all.  We can then get to solutions. 

One of the consistently common challenges I’ve heard from privacy and security folks in the past several months is trying to Read the rest of this entry »

How Long is the Liability Tail?

March 27th, 2013

Don’t tell me it depends! Well, sorry, but…
I’ve been involved in several interesting discussions (some with lawyers, some with security folks, some with privacy folks, and a few of the folks wearing all three hats) about the liability of organizations that outsource business processing. Since January 17 I’ve also been working on a wide range of documentation changes to reflect the recently released 563 page tome that is the Final HIPAA Omnibus Rule. A significant part of the documentation and writing involves discussion of the increased liability a covered entity (CE) now has for the bad practices and mistakes made by their business associates (BAs).

Organizations want a clear cut answer to “how liable” they are for the actions of their outsourced entities. One CISO at a conference demanded, “Just tell me; are we going to be held responsible for the actions of our business associates or not? Just Read the rest of this entry »

Policy Exceptions are NOT a Taylor Swift Song: You can Never, Ever say Never

February 28th, 2013

Over the past few months I’ve been in increasingly more discussions, online and at in-person group meetings, about information security policies and exceptions; often more like venting sessions. A common theme is that the information security folks were complaining about how their companies’ managers are granting exceptions to their information security policies, or that they are always getting Read the rest of this entry »

How Physical Harm Impacts Can Drive Huge HIPAA Penalties

February 20th, 2013

Are you a covered entity (CE) or business associate (BA) as defined by HIPAA? There are literally millions of organizations in the U.S. that fall under these definitions, and possibly additional millions of BAs outside of the U.S. providing services to U.S.-based CEs. The impact is significant, and truly world-wide. If you are a CE or BA, did you know that your information security and privacy activities, or lack thereof, could cause physical harm to patients and insureds, and that you can receive significant penalties under the new HIPAA rules based upon those impacts? Read the rest of this entry »

Are You Ready to Pay for the Sins of Your Contracted Entities?

February 3rd, 2013

Over the years when working with a wide range of organizations, helping them to identify where all forms of their business information (including customer, client, patient and employee information) is located.  One of the key activities is identifying and documenting all business associates, service providers, business partners, and all other types of outsourced entities that possess or have other types of access to this information. Read the rest of this entry »

Why You Should Use a Right to Audit Clause

January 24th, 2013

A Tale of Two Viewpoints

When I was responsible for information security and privacy at a large financial and healthcare organization throughout the 1990’s I had literally hundreds of business partner organizations to which we outsourced various types of activities that required some type of access to our client and customer information. Add to that several hundred agents and, scarier still because they were not exclusively selling our products, brokers, and you can probably imagine the angst I felt when thinking about the ways in which all those other organizations were putting our information at risk.  The contracts with them had a very brief requirement to “provide appropriate security controls” for the information, but that did not alleviate my worries. But, since at that time there were no data protection regulations in effect, the lawyers said this simple clause was enough.  And then one of the outsourced entities had an incident resulting from lack of controls which allowed a hacker to enter our network.  Read the rest of this entry »

Should You Rush to Execute a BA Agreement Today? Probably Not

January 24th, 2013

The final HIPAA “mega rule” is going to be officially published on the Federal Register tomorrow, January 25, 2013.  Currently the version available (https://s3.amazonaws.com/public-inspection.federalregister.gov/2013-01073.pdf) is “pre-publication” version.

Over the past week I’ve had numerous CEs and BAs contacting me, frantic to change their BA Agreements to “avoid complying with the Mega Rule for another year!” Wait, folks. You are misunderstanding; this is a very specific extension that only applies to the BA Agreements.  Let me explain… Read the rest of this entry »

You Need to Actually Do What Your Policies Say!

December 21st, 2012

This week I spoke with a small (~25 employees) organization (a business associate providing services to healthcare providers) that contacted me looking for help; they had purchased a whiz-bang “HIPAA compliance GRC” solution that included with everything else information security policies, but they couldn’t make any sense of the policies they were given or how they related to the rest of the expensive GRC tool.  Grrr!! There are Read the rest of this entry »

Work Area Reviews are Necessary for Effective Risk Management

December 17th, 2012

There have been a lot online posts and talk lately about risk management and the “proper” or “acceptable” way to do risk assessments. It seems that the overwhelming talk, though, is only about the right and wrong way to do a risk assessment whenever considering a risk management program. Certainly, using the best risk assessment method to fit your business environment is very important; one size, and one method, does not fit all! However, there are so many more activities necessary within a risk management program than just occasionally doing a risk assessment.  Regulatory agencies are Read the rest of this entry »