Small HIPAA Breach (Affecting Fewer Than 500) Leads to Substantial Penalties

The U.S. Department of Health and Human Services’ (HHS) reported today its first settlement involving a breach of unprotected electronic protected health information (ePHI) affecting fewer than 500 individuals. According to a statement from the Office for Civil Rights Director Leon Rodriguez, “This action sends a strong message to the health care industry that, regardless of size, covered entities must take action and will be held accountable for safeguarding their patients’ health information.”

The breach occurred in June 2010, when an unencrypted laptop belonging to the Hospice of North Idaho (HONI) that contained ePHI of 441 patients was stolen. The Office for Civil Rights (OCR) learned of the incident when HONI reported it to OCR pursuant to the annual reporting requirement for breaches affecting fewer than 500 individuals under the Health Information Technology for Economic and Clinical Health (HITECH). When OCR investigated, it discovered "that HONI had not conducted a risk analysis to safeguard ePHI." OCR also reported that HONI did not have in place policies or procedures to address mobile device security as required by the HIPAA Security Rule. 

HONI agreed to pay HHS $50,000 to settle potential violations of the Security Rule.

 

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New Jersey Supreme Court Rules on Personal E-mail Privacy: Stengart v. Loving Care

Co-author: Joseph J. Lazzarotti

The New Jersey’s highest Court has concluded that an employee, Marina Stengart, could reasonably expect that e-mail communication with her lawyer through her personal, password-protected, web-based e-mail account would remain private, and that sending and receiving them using a company laptop did not eliminate the attorney-client privilege that protected them. The Court went on to say that her employer’s counsel had violated the rules of professional conduct by reading her e-mails. The Supreme Court decided Stengart v. Loving Care on March 30, 2010 upholding the June 2009 decision of the state Appellate Division. 

This case makes two important points for employers: 

1) The Court stated that even a more clearly written and unambiguous policy regarding employer monitoring of emails would not be enforceable. That is, a clear policy stating that the employer could retrieve and read an employee’s attorney-client communication, accessed through a personal, password-protected e-mail account using the company’s computer system will not overcome an employee’s expectation of privacy and the privilege would remain. 

2) The Court's opinion seems to suggest that employers cannot discipline employees for simply spending some time at work receiving personal, confidential legal advice from a private lawyer, although the Court noted that an employee who “spends long stretches of the workday” doing so may be disciplined. 

Loving Care's employee handbook’s “Electronic Communication” policy governed employees’ use of company computers. The policy stated, among other things, “internet use and communication … are considered part of the company’s business” and “such communication are not to be considered private or personal to any individual employee.” However, the policy also provided, “[o]ccasional personal use is permitted.”

The Court found the Policy does not give express notice to employees that messages exchanged on a personal, password-protected, web-based e-mail account are subject to monitoring if company equipment is used. Although the Policy states that the company may review matters on “the company’s media systems and services,” those terms are not defined. The prohibition of certain uses of “the e-mail system” appears to refer to a company e-mail account, not personal accounts. Similarly, the Policy does not warn that the contents of personal, web-based e-mails are stored on a hard drive and can be forensically retrieved and read. The Court also found the Policy creates ambiguity by declaring that e-mails “are not to be considered private or personal,” while also permitting “occasional personal use” of e-mail.

The Court determined that an employee’s reasonable expectation of privacy in a particular work setting must be addressed on a case-by-case basis, but stated that by using a personal e-mail account and not saving the password, Stengart had a subjectively reasonable expectation of privacy in the e-mails exchanged with her attorney on her personal, password-protected, web-based e-mail account, which was accessed on a company laptop. This subjective expectation of privacy was objectively reasonable in light of the ambiguous language of the Policy and the attorney-client nature of the communication.

This decision, and others highlighted previously in this blog, present numerous issues for employers.  While it may not be enforceable in New Jersey, we recommend, in light of the reasoning in this decision, that employers consider modifying their existing electronic communication policies to include:

  • Clear notice that personal, web-based emails accessed using company networks and stored on company networks or company computers can be monitored and reviewed by the company (of course, care should be taken here to avoid concerns under the Electronic Communications Privacy Act and the Stored Communications Act);
  • Definitions of the specific technologies and devices to which the policies apply;
  • Warnings that web-based, personal e-mail can be stored on the hard-drive of a computer and forensically accessed;
  • No ambiguities about personal use. 

See our sample electronic communication policy outline for more information. However, even with such a policy in place, employers and their lawyers must be aware of the potential liability they face for improperly accessing information on the employers' systems which may later be deemed “private” or subject to a privilege.

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Blue Cross Blue Shield Data Breach Highlights Need for Employee Training/Awareness

Today, Connecticut Attorney General Richard Blumenthal announced his office will investigate a data breach that occurred in late August that affected approximately 18,817 Connecticut health care professionals. The American Medical Association reported earlier that this breach involved the personal information, including Social Security numbers, of an estimated 850,000 physicians nationwide. What is most troubling about this breach is that it probably was avoidable.

Like many data breaches, this one involved a stolen laptop, in this case from the employee’s car. However, as NewsTimes.com reported, despite the employer’s encryption policy, the employee downloaded the file to a laptop, without the required encryption, in order to work from home.

Even the best firewalls and other technology-based information system protections cannot save us from ourselves. It was possible here that not only did the employee violate the company’s encryption policy, but he or she also may have exercised poor judgment in leaving the laptop in a car. The ease with which employees acquire, handle and transport massive amounts of sensitive personal information make it critical that businesses ensure their employees have greater awareness of the sensitivity of this information and receive regular training about how to be more cautious handling it. This should be a part of any written information security plan. 

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