HIPAA Email Compliance

Protected Health Information (PHI) deserves more than a password. Here's what HIPAA and the HITECH Act actually require for email, and exactly how MDOfficeMail meets every one of those requirements.

01

Protected Health Information (PHI)

What HIPAA actually protects, in plain terms.

Definition

HIPAA defines PHI as the health information of an individual that identifies the individual, or for which there is a reasonable basis to believe it can be used to identify the individual. Individually identifiable health information includes many common identifiers such as name, address, birth date, social security number, etc.

Individually identifiable health information relates to the past, present, or future information regarding:

  • Physical or mental health or condition of the individual,
  • Provision of healthcare to the individual, or
  • Payment for the provision of healthcare to the individual.

For more information, please visit hhs.gov – Summary of the HIPAA Privacy Rule.

02

HITECH Technical Safeguards

The main technical safeguards HIPAA HITECH legislation requires for email.

Business Associate Agreement

A BAA has to be signed by the service provider and the covered entity.

Access Control

This includes Unique User Identification, Two-Factor Authentication (2FA), Emergency Access Control, Automatic Logoff, and Encryption and Decryption.

Audit Controls

To track user access and file access.

Person or Entity Authentication

Transmission Security

Including Integrity Controls and Encryption.

Device and Media Controls

Including data backup, data storage, and data disposal.

03

How MDOfficeMail Is HIPAA Compliant

MDOfficeMail is HIPAA compliant by virtue of the following features.

HIPAA Business Associate Agreement

A HIPAA Business Associate Agreement is signed with clients.

SSL connection strictly enforced

SSL connection is strictly enforced for all services, both at the sender's and recipient's end. This cannot be modified even by the Account Administrators.

Encryption strictly enforced

Encryption is strictly enforced for all outbound messages unless the user manually over-rides it.

SSL required to view messages

Messages can be viewed or downloaded only by establishing an SSL connection.

Secure replies, no account needed

Recipients can reply securely without having a secure email account.

Facility to validate new recipient

A new recipient needs to enter a 6-digit code to access email received. This randomly generated, recipient-specific code can be provided only by the sender.

Password strength enforced

Minimum password length and complexity is enforced.

Automatic Webmail session timeout

Automatic Webmail session timeout is enforced.

Force-expire sent messages

Encrypted emails sent can be force expired at any time.

Automatic deletion

Encrypted emails sent will automatically get deleted after a fixed time.

MDVault session timeout

Automatic session timeout is enforced for the message viewing page of MDVault.

Legal archiving, up to 7 years

All emails are archived remotely for a specified length of time, up to 7 years. These emails cannot be edited or deleted. As long as the user is active, archived messages can be viewed and downloaded.

Emergency Access Procedure

PHI in email communications can be accessed from any location via the internet. There are also mechanisms for authorized administrators to access account data.

Audit Controls

Audit reports of all logins to WebMail, POP, IMAP, and SMTP services are available to administrators. Reports include the date, time, and the IP address from which logins were made.

04

Frequently Asked Questions

A few more details worth knowing.

The HITECH legislation is Title XIII of the 2009 American Recovery and Reinvestment Act. It can be found on page 112 of the official document.

The Security Rule of the original HIPAA legislation permits covered entities to use email as a way to electronically transmit protected health information (PHI), and requires that steps be taken to protect those transmissions.

As the subject line of an email message is not encrypted, users should never include PHI in the subject line.

Though MDOfficeMail is hosted on dedicated servers, there is no explicit requirement to do so. HIPAA law is "technology neutral," meaning it makes no specific requirements for the implementation of technical security — e.g. the level of encryption (128-bit or 256-bit), the encryption type (RSA, AES, etc.), or the level of auditing. The security restrictions MDOfficeMail enforces ensure that all hosted accounts meet the Technical Safeguards of the HIPAA Security Rule.

See how MDOfficeMail keeps your practice HIPAA compliant

Sign a Business Associate Agreement, get encrypted email by default, and give your patients' information the protection it needs.

See Pricing & Signup