OCR Imposes Penalties for Employee’s Unauthorized Viewing of PHI

By Garfunkel Wild, PC

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Early in July, the Department of Health and Human Services Office of Civil Rights (“OCR”) entered into a settlement for $865,500 with UCLA Health System (“UCLAHS”) as a result of complaints alleging that UCLAHS employees repeatedly and without permissible reason looked at the electronic protected health information (“ePHI”) of celebrity patients.

Initial Complaints

Although the complaint was initially made by only two patients, in its investigation OCR determined that from 2005-2008 unauthorized employees of UCLAHS repeatedly looked at the ePHI of numerous other patients as well. In addition to paying the settlement, UCLAHS committed to a correction action plan that includes (1) implementation of policies and procedures; (2) robust training for employees; (3) a commitment to sanction offending employees; and (4) designation of an independent monitor to assess compliance over 3 years.

Assessment

This settlement is the fourth settlement in a year and highlights OCR’s increasing enforcement of violations to HIPAA Privacy and Security Rules. Failure to have an effective HIPAA compliance program can result in significant monetary penalties, and therefore, providers and business associates alike should be evaluating their HIPAA compliance programs to ensure that appropriate safeguards are in place.

Conclusion

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3 Responses

  1. ‘Monetary Enforcement’ Is the New Aim Of OCR

    The $1.5 million settlement that the Office for Civil Rights recently reached with BlueCross BlueShield of Tennessee heralds a new era of “monetary enforcement” by the agency, in contrast to its long-standing approach of what OCR Director Leon Rodriguez termed “hand-holding.” In an interview with Report on Patient Privacy, Rodriguez discussed the settlement and OCR’s plan to refocus its enforcement in pursuit of what he called “high-impact cases.”

    Rodriguez emphasized, as well, that covered entities (CEs) and business associates (BAs) in the future will face sanctions on all lapses discovered during an investigation regardless of whether they are directly related to the incident that sparked OCR’s attention in the first place. And it’s not just CEs that will be the agency’s target. After the final business associate regulations go into effect, OCR will be able to impose settlements and penalties on BAs, but not to the exclusion of CEs, Rodriquez said.

    Source: Report on Patient Privacy [4/13/12]

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  2. If your sweet words don’t work, Leon Rodriguez, what could possibly entice a dentist to choose to become a HIPAA-covered entity if he or she can avoid it? Is it the tremendous return on investment that comes with the NPI number?

    Darrell

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  3. PHI,

    For the record, Gmail and Yahoo and any other free email accounts are NEVER to be used for the communication of ePHI. Only domain email accounts which are encrypted may be used.

    Dr. Sha

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