Medical data breach

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Medical data, including patients' identity information, health status, disease diagnosis and treatment, and biogenetic information, not only involve patients' privacy but also have a special sensitivity and important value, which may bring physical and mental distress and property loss to patients and even negatively affect social stability and national security once leaked. However, the development and application of medical AI must rely on a large amount of medical data for algorithm training, and the larger and more diverse the amount of data, the more accurate the results of its analysis and prediction will be. However, the application of big data technologies such as data collection, analysis and processing, cloud storage, and information sharing has increased the risk of data leakage. In the United States, the rate of such breaches has increased over time, with 176 million records breached by the end of 2017. [1] [2] There have been 245 data breaches of 10,000 or more records, 68 breaches of the healthcare data of 100,000 or more individuals, 25 breaches that affected more than half a million individuals, and 10 breaches of the personal and protected health information of more than 1 million individuals.

Contents

Black market for health data

In February 2015 an NPR report claimed that organized crime networks had ways of selling health data in the black market. [1]

In 2015 a Beazley Group employee estimated that medical records could sell on the black market for US$40-50. [2]

Crime is the primary cause of medical data breaches. [3]

How data is lost

Theft, data loss, hacking, and unauthorized account access are ways in which medical data breaches happen. [4] Among reported breaches of medical information in the United States networked information systems accounted for the largest number of records breached. [5] There is a large number of data breaches happening in the US health care system, [6] among business associates of the health care providers that continuously gain access to patients' data. [7]

List of data breaches

Regulation

In the United States, the Health Insurance Portability and Accountability Act and Health Information Technology for Economic and Clinical Health Act require companies to report data breaches to affected individuals and the federal government. [13]

See also

Related Research Articles

Identity theft Deliberate use of someone elses identity, usually as a method to gain a financial advantage

Identity theft occurs when someone uses another person's personal identifying information, like their name, identifying number, or credit card number, without their permission, to commit fraud or other crimes. The term identity theft was coined in 1964. Since that time, the definition of identity theft has been statutorily defined throughout both the U.K. and the United States as the theft of personally identifiable information. Identity theft deliberately uses someone else's identity as a method to gain financial advantages or obtain credit and other benefits, and perhaps to cause other person's disadvantages or loss. The person whose identity has been stolen may suffer adverse consequences, especially if they are falsely held responsible for the perpetrator's actions. Personally identifiable information generally includes a person's name, date of birth, social security number, driver's license number, bank account or credit card numbers, PINs, electronic signatures, fingerprints, passwords, or any other information that can be used to access a person's financial resources.

Medical privacy or health privacy is the practice of maintaining the security and confidentiality of patient records. It involves both the conversational discretion of health care providers and the security of medical records. The terms can also refer to the physical privacy of patients from other patients and providers while in a medical facility, and to modesty in medical settings. Modern concerns include the degree of disclosure to insurance companies, employers, and other third parties. The advent of electronic medical records (EMR) and patient care management systems (PCMS) have raised new concerns about privacy, balanced with efforts to reduce duplication of services and medical errors.

Health Insurance Portability and Accountability Act United States federal law concerning health information

The Health Insurance Portability and Accountability Act of 1996 is a United States federal statute enacted by the 104th United States Congress and signed into law by President Bill Clinton on August 21, 1996. It modernized the flow of healthcare information, stipulates how personally identifiable information maintained by the healthcare and healthcare insurance industries should be protected from fraud and theft, and addressed some limitations on healthcare insurance coverage. It generally prohibits healthcare providers and healthcare businesses, called covered entities, from disclosing protected information to anyone other than a patient and the patient's authorized representatives without their consent. With limited exceptions, it does not restrict patients from receiving information about themselves. It does not prohibit patients from voluntarily sharing their health information however they choose, nor – if they disclose medical information to family members, friends, or other individuals not a part of a covered entity – legally require them to maintain confidentiality.

Medical record Medical term

The terms medical record, health record and medical chart are used somewhat interchangeably to describe the systematic documentation of a single patient's medical history and care across time within one particular health care provider's jurisdiction. A medical record includes a variety of types of "notes" entered over time by healthcare professionals, recording observations and administration of drugs and therapies, orders for the administration of drugs and therapies, test results, x-rays, reports, etc. The maintenance of complete and accurate medical records is a requirement of health care providers and is generally enforced as a licensing or certification prerequisite.

Personal data, also known as personal information or personally identifiable information (PII), is any information related to an identifiable person.

Information privacy, data privacy or data protection laws provide a legal framework on how to obtain, use and store data of natural persons. The various laws around the world describe the rights of natural persons to control who is using its data. This includes usually the right to get details on which data is stored, for what purpose and to request the deletion in case the purpose is not given anymore.

Health technology is defined by the World Health Organization as the "application of organized knowledge and skills in the form of devices, medicines, vaccines, procedures, and systems developed to solve a health problem and improve quality of lives". This includes pharmaceuticals, devices, procedures, and organizational systems used in the healthcare industry, as well as computer-supported information systems. In the United States, these technologies involve standardized physical objects, as well as traditional and designed social means and methods to treat or care for patients.

Health information exchange (HIE) is the mobilization of health care information electronically across organizations within a region, community or hospital system. Participants in data exchange are called in the aggregate Health Information Networks (HIN). In practice the term HIE may also refer to the health information organization (HIO) that facilitates the exchange.

Protected health information (PHI) under the U.S. law is any information about health status, provision of health care, or payment for health care that is created or collected by a Covered Entity, and can be linked to a specific individual. This is interpreted rather broadly and includes any part of a patient's medical record or payment history.

Security breach notification laws or data breach notification laws are laws that require individuals or entities affected by a data breach, unauthorized access to data, to notify their customers and other parties about the breach, as well as take specific steps to remedy the situation based on state legislature. Data breach notification laws have two main goals. The first goal is to allow individuals a chance to mitigate risks against data breaches. The second goal is to promote company incentive to strengthen data security.Together, these goals work to minimize consumer harm from data breaches, including impersonation, fraud, and identity theft.

Data breach Intentional or unintentional release of secure information

A data breach is a security violation, in which sensitive, protected or confidential data is copied, transmitted, viewed, stolen or used by an individual unauthorized to do so. Other terms are unintentional information disclosure, data leak, information leakage, and data spill. Incidents range from concerted attacks by individuals who hack for personal gain or malice, organized crime, political activists or national governments, to poorly configured system security or careless disposal of used computer equipment or data storage media. Leaked information can range from matters compromising national security, to information on actions which a government or official considers embarrassing and wants to conceal. A deliberate data breach by a person privy to the information, typically for political purposes, is more often described as a "leak".

The Health Information Technology for Economic and Clinical Health Act, abbreviated the HITECH Act, was enacted under Title XIII of the American Recovery and Reinvestment Act of 2009. Under the HITECH Act, the United States Department of Health and Human Services resolved to spend $25.9 billion to promote and expand the adoption of health information technology. The Washington Post reported the inclusion of "as much as $36.5 billion in spending to create a nationwide network of electronic health records." At the time it was enacted, it was considered "the most important piece of health care legislation to be passed in the last 20 to 30 years" and the "foundation for health care reform."

Health care analytics is the health care analysis activities that can be undertaken as a result of data collected from four areas within healthcare; claims and cost data, pharmaceutical and research and development (R&D) data, clinical data, and patient behavior and sentiment data (patient behaviors and preferences,. Health care analytics is a growing industry in the United States, expected to grow to more than $31 billion by 2022. The industry focuses on the areas of clinical analysis, financial analysis, supply chain analysis, as well as marketing, fraud and HR analysis.

The Anthem medical data breach was a medical data breach of information held by Anthem Inc.

Third-party management is the process whereby companies monitor and manage interactions with all external parties with which it has a relationship. This may include both contractual and non-contractual parties. Third-party management is conducted primarily for the purpose of assessing the ongoing behavior, performance and risk that each third-party relationship represents to a company. Areas of monitoring include supplier and vendor information management, corporate and social responsibility compliance, Supplier Risk Management, IT vendor risk, anti-bribery/anti-corruption (ABAC) compliance, information security (infosec) compliance, performance measurement, and contract risk management. The importance of third-party management was elevated in 2013 when the US Office of the Comptroller of the Currency stipulated that all regulated banks must manage the risk of all their third parties.

Privacy in education refers to the broad area of ideologies, practices, and legislation that involve the privacy rights of individuals in the education system. Concepts that are commonly associated with privacy in education include the expectation of privacy, the Family Educational Rights and Privacy Act (FERPA), the Fourth Amendment, and the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Most privacy in education concerns relate to the protection of student data and the privacy of medical records. Many scholars are engaging in an academic discussion that covers the scope of students’ privacy rights, from student in K-12 and even higher education, and the management of student data in an age of rapid access and dissemination of information.

Health data is any data "related to health conditions, reproductive outcomes, causes of death, and quality of life" for an individual or population. Health data includes clinical metrics along with environmental, socioeconomic, and behavioral information pertinent to health and wellness. A plurality of health data are collected and used when individuals interact with health care systems. This data, collected by health care providers, typically includes a record of services received, conditions of those services, and clinical outcomes or information concerning those services. Historically, most health data has been sourced from this framework. The advent of eHealth and advances in health information technology, however, have expanded the collection and use of health data—but have also engendered new security, privacy, and ethical concerns. The increasing collection and use of health data by patients is a major component of digital health.

Federal and state governments, insurance companies and other large medical institutions are heavily promoting the adoption of electronic health records. The US Congress included a formula of both incentives and penalties for EMR/EHR adoption versus continued use of paper records as part of the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the, American Recovery and Reinvestment Act of 2009.

Project Nightingale is a data storage and processing project by Google Cloud and Ascension, a Catholic health care system comprising a chain of 2,600 hospitals, doctors' offices and other related facilities, in 21 states, with tens of millions of patient records available for processing health care data. Ascension is one of the largest health-care systems in the United States with comprehensive and specific health care information of millions who are part of its system. The project is Google's attempt to gain a foothold into the healthcare industry on a large scale. Amazon, Microsoft and Apple Inc. are also actively advancing into health care, but none of their business arrangements are equal in scope to Project Nightingale.

Vastaamo was a Finnish private psychotherapy service provider founded in 2008. On 21 October 2020, Vastaamo announced that its patient database had been hacked. Some of the information has been used to extort both the service

References

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  2. 1 2 Abelson, Reed; Goldstein, Matthew (5 February 2015). "Anthem Hacking Points to Security Vulnerability of Health Care Industry". The New York Times . New York. ISSN   0362-4331 . Retrieved 17 February 2015.
  3. Richards, Robbie (16 November 2015). "Healthcare data breaches present a $6 billion threat". royaljay.com. Retrieved 16 November 2015.
  4. Millman, Jason (19 August 2014). "Health care data breaches have hit 30M patients and counting". The Washington Post . Washington DC: WPC. ISSN   0190-8286 . Retrieved 17 February 2015.
  5. McCoy, Thomas H.; Perlis, Roy H. (September 25, 2018). "Temporal Trends and Characteristics of Reportable Health Data Breaches, 2010-2017". JAMA. 320 (12): 1282–1284. doi:10.1001/jama.2018.9222. ISSN   1538-3598. PMC   6233611 . PMID   30264106.
  6. "HIPAA Compliance Checklist". NetSec.News. Retrieved 2021-12-08.
  7. YARAGHI, NIAM; GOPAL, RAM D. (March 2018). "The Role of HIPAA Omnibus Rules in Reducing the Frequency of Medical Data Breaches: Insights From an Empirical Study". The Milbank Quarterly. 96 (1): 144–166. doi:10.1111/1468-0009.12314. ISSN   0887-378X. PMC   5835681 . PMID   29504206.
  8. Noonan, Laura; Shotter, James. "Irish patients' data stolen by hackers appears online". www.ft.com. Retrieved 2021-05-19.{{cite web}}: CS1 maint: url-status (link)
  9. "CMS Reports Data Breach in ACA Agent and Broker Portal". www.ajmc.com.
  10. Koczkodaj, Waldemar W.; Mazurek, Mirosław; Strzałka, Dominik; Wolny-Dominiak, Alicja; Woodbury-Smith, Marc (2018). "Electronic Health Record Breaches as Social Indicators". Social Indicators Research. 141 (2): 861–871. doi:10.1007/s11205-018-1837-z. S2CID   148750993.
  11. 1 2 3 4 5 6 7 Fischer, Kristen (28 September 2014). "The 7 Biggest Health Data Breaches in the US (So Far)". healthline.com. Retrieved 17 February 2015.
  12. "Columbia Medical Center, Hospital To Pay $4.8M Fine for Data Breach". iHealthBeat. California HealthCare Foundation. 8 May 2014. Archived from the original on 7 February 2016. Retrieved 17 February 2015.
  13. Office of Civil Rights (26 July 2013). "Breach Notification Rule". U.S. Department of Health & Human Services.

Further reading