In the last week of March 2020, the healthcare industry experienced a 154% rise in the number of telehealth appointments compared to March 2019. So far, experts have witnessed significant growth in the telemedicine industry, which is projected to grow even further at a CAGR of 18.2% from 2021 to 2027.
Telemedicine solutions have numerous benefits for both healthcare providers and patients. However, they also pose a significant risk to information security due to the fact that they access tons of sensitive patient data. As such, it can be difficult to ensure that these apps comply with all legal data protection requirements.
In this article, we dive deeper into the HIPAA health platform at large, and how to make telemedicine apps HIPAA-compliant.
What is Telemedicine Platform and How Does It Work?
In its raw definition, telemedicine refers to the provision of healthcare services remotely. This means that doctor and patient consultations take place away from the healthcare facility, usually on a telecommunication app.
Telemedicine uses email, text messages, voice & video chats, and phone calls in the delivery of healthcare services. With these communication tools, patients can schedule appointments, consult with their doctors, receive prescriptions, talk about their health insurance coverage, and discuss other payment options for healthcare services.
To ensure the successful development of HIPAA-compliant telemedicine apps, two main approaches are:
- The single app with 3 profiles (patients, doctors, admin)
- Separate patient and doctor apps with shared backend, accommodating different user needs.
Patients can use a telemedicine app to create their profiles, browse available doctors, review the physicians’ qualifications, schedule appointments, enter a virtual consultation, and pay for the services received.
Here are some of the features of most patient-facing apps:
Patient’s profile creation:
- Registration
- Search and filters
- Appointment scheduling and calendar
- Real-time video visits
- Chat with the doctor
- Geolocation
- Payments
- Insurance plan integration
- Ratings and feedback
Doctors can use a telemedicine app to accept or decline appointment requests, browse information about the patient, review the results of previous examinations, host a video or voice call with the patients, send prescriptions, leave notes, and schedule future visits.
How to create a HIPAA-compliant telemedicine platform for the best possible user experience? To maintain a flawless user experience for doctors, the app should include the following features:
- Registration
- Doctor’s profile creation
- Appointment scheduling and calendar
- Push notifications
- Real-time video visits
- Session recording
- E-Prescription
- EMR/EHR integration
- Analytics
- Notes
Both the patient-facing and doctor-facing apps deal with highly sensitive information such as health-related data, insurance plans, and payment details. With that in mind, we can conclude that HIPAA compliance for the telemedicine platform is inevitable in the prevention of data breaches, financial losses, and reputational damage.
Why Telemedicine Apps Must Be HIPAA-Compliant
Safeguarding Patient Data
HIPAA compliance ensures strict security measures to protect sensitive patient information, such as medical history and personal details, from data breaches and unauthorized access.
Building Trust and Credibility
HIPAA compliance signifies a commitment to patient privacy, fostering trust among users and healthcare providers, leading to increased adoption and loyalty.
Mitigating Legal and Financial Risks
Non-compliance with HIPAA can lead to severe penalties and legal consequences. Investing in compliance helps avoid hefty fines and reputational damage.
Strengthening Telemedicine Ecosystem
Compliance fosters a secure telemedicine environment, encouraging more telemedicine app developers, healthcare providers, and patients to participate in the ecosystem.
Enhancing Competitive Advantage
HIPAA compliance sets telemedicine apps apart from non-compliant competitors, attracting healthcare organizations that prioritize data security and compliance.
HIPAA Compliance Requirements Telemedicine Providers Should Know
The Health Insurance Portability and Accountability Act was introduced back in 1996 and signed by President Bill Clinton. It was introduced to protect sensitive patient data from illegal disclosure without the patient’s consent. Today, this act is more important now than ever as cybercrime and black data markets continue to thrive.
When developing a HIPAA-compliant telemedicine platform, it is important to follow this list of HIPAA rules:
The HIPAA Privacy Rule
The HIPAA Privacy Rule was made to limit the use of personal health information; it mainly restricts the disclosure of PHI (Protected Health Information). Patients can grant or deny practitioners permission to obtain and share information, change and update the given data, or request a copy of it.
The HIPAA Security Rule
The HIPAA Security Rule makes it obligatory to store and share information securely. It also provides three grounds upon which to provide security to user data, i.e., on technical, physical, and administrative rounds. For electronic Protected Health Information (ePHI), the healthcare entity should set up several layers of technical security including firewalls, antimalware, anti-ransomware, user authorization, etc.
The HIPAA Enforcement Rule
The Enforcement Rule stresses that all privacy and security measures are obligatory, and non-compliance will have consequences in the form of penalties. An avoidable breach would cost a healthcare institution up to $1.5 million if all violations of the rule were made at once. These violations include ignorance of HIPAA rules, insufficient vigilance, or willful neglect.
The Breach Notification Rule
The rule states that a healthcare institution should notify the occurrence of a breach immediately. If the medical data of less than 500 people was leaked, the notification must be submitted to the Secretary of breaches of unsecured protected health information. The media should be notified as well.
The Omnibus Rule
The Omnibus Rule was developed in order to cover all that was not mentioned before or specify some definitions and procedures. For example, it explains who BA or Business Associates are, includes a final amendment, and the statement that should never be used for marketing purposes.
Common HIPAA Violations in Telemedicine Platforms
It seems like building a HIPAA-compliant telemedicine software is less expensive than handling PHI responsibly. Before we learn how to prevent the violation, let’s take a look at more “practical” violations in telemedicine.
Electronic Health Record (EHR) Breach
If a telemedicine platform works with EHR but lacks the software tools to prevent unauthorized users from accessing the EHR, it will be a problem. Hackers prefer to steal from the EHR because the data obtained here is arguably more expensive on the market than SSN or card information: it contains all identifiers, family information, location, SSN, card info and payments, and a list of treatments and diseases that may harm someone’s reputation.
EHR breaches may be caused by hacking, disclosure of the wrong contact, malware or ransomware attacks, etc.
Unencrypted Data
Encryption turns readable information into a mix of symbols. Any person or any machine will not be able to decipher it unless they have an encryption key. This makes encrypted data more protected since while a hacker can steal it, they will not be able to use it.
Data encryption is no easy task. It may require development teams and sophisticated tools, which translate into a hefty expense. Many institutions end up avoiding the upfront cost of the investment and land into trouble later.
Unattended, Lost, and Unsecured Devices
Medical workers often forget to log out. Many don’t save their passwords on their devices and desktops in hospitals. However, telemedicine apps are often used on personal mobile phones, and users can be careless with their personal items.
An attack on a mobile phone is much easier in the sense that users often don’t have to log out. Their passwords are still in place. To make the matter worse, many people visit sketchy websites and follow random links without knowing it.
Access by Unauthorized Users
Sometimes, doctors reveal crucial information about their patients in their social life. Although this might be unintentional, they could discuss the patients’ conditions with unauthorized guests or other employees at the workplace.
Either way, only authorized people should access the information for treatment (and other authorized purposes). In all the other cases, it will be a violation.
Improper Disposal of PHI
Disposing of personal health information presents yet another overlooked cause of the breach. It is not enough to just hit the “delete” button. The information will still be accessible from the trash can or other kinds of archives for 30 days or longer. When disposing of PHI, the person responsible should completely wipe it off from hard drives and backups.
How to Develop a HIPAA-Compliant Telemedicine Software
Here is a list of things you should take care of if you want to avoid penalties imposed by HIPAA and remain relevant for healthcare institutions and patients across the US. Our experts prepared a HIPAA compliance checklist for telemedicine app development.
Secure Connection
How can I make a HIPAA-compliant telemedicine software? A secure connection is one of the most basic requirements when building a compliant software solution. By secure connection, we refer to the connection between a physician and a patient – from messaging, voice, or video chat.
It would be best if you did not rely on third parties for such a task. Zoom, Skype, and e-mail apps are not HIPAA-compliant. If something goes wrong on their side, the effects will extend to your doorstep. Therefore, it would be better to develop your own communication system.
Proper Data Storage
There are three main points to consider when it comes to data storage. First, do not store unnecessary information, such as test results or the information of a deceased person. If useless information is discarded, it will both increase accessible storage space and reduce the amount of information that could be stolen.
Secondly, watch out for duplicate information. Duplicates in the system often mean bugs in the system that hackers can use to get in. They also mean more information to steal. Thirdly, create a heavily regulated access system and only give access to authorized users for that particular patient.
Data Encryption
As mentioned earlier, encryption is a near-perfect way to share and store data and make a telemedicine platform HIPAA-compliant.
User Authorization
One of the main rules of HIPAA is to give access to PHI only to those who need it. Do not provide personal health information to a physician who has nothing to do with the patient’s treatment. Also, do not hand the information to the whole billing team if only one person is responsible for processing the patient’s treatment payment.
Authorization Monitoring
It is important to monitor when and where the information was accessed. Doing this makes it easier to identify who breaches the data. Every employee in a healthcare entity also has behavioral patterns that will be picked up by the system. The next time they log in at a time they don’t usually log in or perform some suspicious activity, admins can get notified early enough to prevent a possible breach.
Need help developing HIPAA compliant telemedicine app?
Reach out to LangateAutomatic Log-Off
Employees often forget to log off their desktops and leave their computers unattended. The risk is even higher when the facility sees a long day with many patients and tons of work. While human error is inevitable at some point, an automatic log-off wouldn’t hurt.
Automatically logging off users after a period of inactivity enhances data security by preventing unauthorized access long after the employee left their computer unattended.
Appointing a HIPAA Compliance, Privacy, and Security Officer
Having a committed compliance, privacy, and security officer streamlines the process. He/she should have expertise in IT since their monitoring will be much more productive and useful. The administration already has enough responsibilities and may not be able to create strategies for security and perform assessments.
Employee Training on Basic Data Security Measures
Around 53% of all healthcare cybersecurity incidents happen because of unintentional personnel actions. Some basic training (in video, audio, or written format) should educate employees not to open sketchy links on email or messages on the platform, not to leave their devices unattended, and use strong passwords to secure the information.
It is also important for telemedicine users to learn how to protect their personal devices that they may use for work.
Consider Langate Your Trusted Partner
If you are looking to develop a HIPAA-compliant telemedicine platform, seize your fortunate opportunity to bring your vision to life with Langate! Our team collaborates with healthcare institutions of all sizes to innovate and create platforms that optimize clinical processes. We work closely with clients to ensure our solutions comply with all HIPAA regulations and additional standards to ensure patient data confidentiality, integrity, and availability.
Contact us today to make a difference! We will consult you on a HIPAA-compliant telemedicine software creation.
Concluding Remarks
HIPAA compliance in telemedicine applications is of paramount importance in health-related technology. But, like many other tech products, telemedicine solutions often suffer from EHR breaches, lack of encryption, and employee neglect. That is why developers have to think about security measures such as a secure connection, proper storage, automatic log-off, authorization, and other things whilst creating a HIPAA-compliant telemedicine app.
If you’re looking for a reliable vendor to develop a telemedicine platform HIPAA-compliant solution, you’ve come to the right place. Langate is a HIPAA-compliant development center with over 17 years of experience in the creation of health tech solutions. Our security officers will put up all levels of data protection needed for a HIPAA-compliant solution, guaranteeing a successful, legal, and risk-free solution that would best suit you.
