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Security: An HIE Success Factor

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Making Sure Privacy, Security Are 'Not an=20 Afterthought'

June 14, 2010 - Howard Anderson, Managing Editor, = HealthcareInfoSecurity.com

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A key to the success of emerging healthcare information exchanges is = to build=20 trust among physicians and consumers alike by paying close attention to = privacy=20 and security issues, says Irene=20 Koch, executive director of the Brooklyn Health Information = Exchange.=20

Privacy and security are "absolutely essential to everything that a = health=20 information exchange does," she stresses. The issues should be tackled = as HIEs=20 develop and deploy new functions and technical features, she contends.=20

Treating privacy and security as an afterthought, she stresses, "is a = real=20 mistake."=20

Up and Running

This spring, BHIX,=20 initiated in 2007, relaunched using new technologies from Initiate = Systems, now=20 a unit of IBM Corp.; InterSystems Corp.; and Dell Inc.=20

Participants include seven hospitals, four home health agencies, = eight=20 nursing homes and four payer organizations, among others.=20

In the first phase of the relaunch, users gain access to patient = information=20 through a centralized portal. For example, physicians can gain read-only = access=20 to key information on patients they're treating in a hospital emergency=20 department.=20

In the months to come, the exchange will enable physicians to "push a = button"=20 within their electronic health records system to retrieve data from = others via=20 BHIX.=20

Security Measures

The exchange encrypts all messages and verifies the identities of all = senders=20 and recipients.

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Eventually, BHIX will link to other emerging HIEs in New York. So the = leaders=20 of all the exchanges are discussing how to ensure those links are = secure, Koch=20 says.=20

"And as we think of the national health information network that's=20 developing, we really need to make sure that the privacy and security = issues=20 that get resolved in each region and each state then get harmonized with = one=20 another so that we can actually effectuate the kind of exchange we need = to do,"=20 Koch says.=20

Under the HITECH=20 Act, part of the federal economic stimulus package, states have = received=20 grants to help support HIE efforts. This support of exchanges is in = tandem with=20 federal incentive payments to physicians and hospitals for the use of = electronic=20 health records.=20

A new federal task=20 force is creating recommendations for privacy and security = policies for=20 HIEs.

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