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Vonage HIPAA is a subject I delve deep into. I understand its purpose perfectly well,



HIPAA is a subject I delve deep into. I understand its purpose perfectly well, but the purpose and its actual implementation/policing and associated policies are a joke.

As Lewis Black suez " there is nothing worse than Democrats and Republicans working together; the republican says 'I have a crappy idea , and the DDemocratsays " I can make it crappier'

A client visited by a HIPAA inspection team during the initial roll-over as a guinea-pig. (phase 2) last year:
Made them do the most rridiculousthings, from changing the sign in clipboards - theirs left indentations if a person wrote too hard.

Durning the wrap up I confronted the team about telephony. They never really questioned it.

I pulled out my test set and said follow me: I took them the phone box outside clipped two clips and viola! you could hear the PA talking to a patient on the phone. I pointed to the box and said "see it suez property of Verizon" now how can the HCP protect something that does not belong tot them- HIPAA is concerned over clipboards, but not this? get real. They told me they would look into this and a brief discussion happened - what about dictation systems (dictaphone lanier, dvi, etc) that are telephony based?

Then I saw a doc on his phone - and noticed it was an older analog motorola - went and grabbed my modified scanner and showed them that it is possible to intercept a call there too.

So I suggested that they stipulate that all phones should be removed from hospitals especially those that carry dictation since I have just shown them how insecure they were. :twisted: Especially if they were worried about impressions of a name on a clipboard. A sign in clipboard does not usually carry PHI, but a phone does.

I also showed them that a CGA/EGA monitor (yes they still exist) can be shown on the UFO band of any TV in the immediate area (fuzzy jumpy but readable)

They were dumfounded. Speechless. And on behalf of my client I stated that unless HIPAA wants a really bad name they need to look where the leaks really are! Insurance companies, billing agencies, untrained staff...

Their final analysis was that this facility had excellent HIPPA compliance at this phase.....

HIPAA is to reduce release of PHI in a REASONABLE method, to bypassers and other passive releases.
It is not intended as a totally exhaustive policy to eliminate all illegal thievery. That would be impossible. The SPECTRE program of the past 20+ years has proven that an IBM Selectric can be deciphered 50 feet away.

So the argument is - is Voip a reasonably safe method of communication? The simple answer is yes. In fact the signal is digitized usually BEFORE it leaves the building (unlike POTS) making the reasonable passive release much lower.

Ok. I babbled to much, and before I tell you that my wife has a medical condition that I am not authorized to talk about I will shut up.



Read The Full Thread:

VoIP in health care, HIPAA issues


Many health care organizations in recent years, particularly private non-profits
If the PSTN is considered "safe" enough for HIPAA then VoIP services such as Vonage
MANY healthcare facilities are moving to VoIP, not only for internal phone systems,
Obviously you understand the real life issues and gaps in logic with HIPAA, I appreciated
Email is a store and forward protocol. When your email is sent it is sent to a server
My sister is a physician in private practice. She currently does not have VoIP.
To even further clarify that VoIP is 'as safe as POTS' I offer the following: Most

sdstuckey posted "HIPAA is a subject I delve deep into. I understand its purpose perfectly well," on 09/03/2005

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