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Security
Safeguards Privacy
The
nexus between network security and consumer privacy
is increasingly being seen in measures health care
organizations are taking to comply with the federal
Health Insurance Portability and Accountability Act.
Systems deployed last April to meet HIPAA's privacy
deadline will help achieve compliance with a security
deadline in April 2005.
At
Children's Hospital, in Boston, the IT department
this year implemented an integrated system of password
management and user provisioning that meets HIPAA's
privacy mandates without impeding the staff's access
to data, said Scott Ogawa, chief technology officer
at the hospital.
"We
were stuck between a rock and a hard place,"
Ogawa said last week at the Inside ID conference here.
"Our job is not to stand in the way of the caregiving
process. Clinicians demand immediate access to their
data."
One
of the greatest challenges the hospital faced was
securing the network password system, which, according
to Ogawa, presents one of the top 10 threats to security.
Easy-to-guess passwords are common, he said.
"It
would probably shock you, but before HIPAA, you'd
walk around in ICU, and you would see several notes
[with passwords] on each of the monitors," Ogawa
said, adding that resetting passwords costs the hospital
$160,000 per year and that employees who forgot passwords
could face long delays before regaining access to
the network.
The
integrated password management and user provisioning
system not only improves security, it also improves
access to data, Ogawa said. Overall help desk calls
dropped by 80 percent, and the hospital is saving
$207,000 per year.
Enterprise
identity management for public-facing systems can
be more complicated, and the growing pool of users
alone creates new challenges for privacy, said Paula
Arcioni, identity management services manager at the
New Jersey Office of Information Technology, in Trenton.
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