HIPAA & Breach Enforcement Statistics for September 2010
Produced By: Health Information Privacy/Security Alert
Published By: Melamedia, LLC
 

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Physical Security Issues Cause Most BA Breaches

 

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Types of Breaches
By Business Associate

Based on HHS data  of Aug. 19, 2010

#of BA
Breaches

Type of Breach

Records Affected

9

Other

132,085

8

Theft

319,252

6

Loss

983,959

4

Unauthorized Access

1,969

1

Hacking/IT Incident

2,000

Total

1,439,265

HIPAA Business Associates accounted for about 20% of health data breaches affecting more than 500 patients, according to a HIP//SA analysis of HHS statistics as of Aug. 19, 2010. Of the 133 total breaches, 28 were related to Business Associates.

Of the 4,764,891 patient records that have been breached, Business Associates accounted for about approximately 1.4 million or 30% of all records.

This number and the percentage are likely to rise because of the proposed HIPAA revisions that expand the range of contractors that will be covered under the breach notification provisions. Privacy and security officers also should note that the statistics do not include breaches under 500 records that must be reported at the end of the year. It is far from clear how many Business Associates will be reporting on themselves at that time, in part, because of confusion among some contractors over who is ultimately covered by HIPAA under the HITECH amendments.

Paper records were the most frequently specified media for BA breaches. However, theft of laptops and portable electronic devices were by far the most damaging.

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HIPAA Privacy Double in June

The HHS Office for Civil Rights (OCR) reported that it received 651 complaints in its HIPAA privacy enforcement program in July for a total of 53,789 since enforcement began in April 2003.

That was half the number it received in June when it received 1,376. In May, it received 652.

The large swing in the number of privacy complaints in June may have been due to the processing of the first annual batch of breach reports affecting less than 500 patients by covered entities.

Of the 17,381 complaints that have fallen within OCR’s jurisdiction, 11,421 required corrective actions by a covered entity (CE).

In other words, the agency reported that it determined that in July 250 addition complaints fell within its jurisdiction and required CE action. In June, it added 321 complaints; in May, it added 207.

Overall, about 21.2% of complaints resulted in some corrective action by a CE. The remaining 5,960 complaints did not uncover a HIPAA violation.

About 34% of the agency investigations did not uncover a HIPAA privacy violation.

The agency also revealed that it had resolved more than 90% of all the complaints it had received.

However, that number included the large number of complaints not within HHS’s jurisdiction.

After more than six years, HHS has not yet imposed a civil monetary penalty. HHS pointedly did not impose civil monetary penalties in its agreements with Providence Health or with CVS Caremark (08/08 HIP/SA, p.1; 02/09 HIP/SA, p.1) or with Rite Aid (see story, p. 8)

It referred more than 474 cases to the Justice Department for possible criminal prosecution. That suggested the agency made three referrals in July.

Referrals to the Justice Department do not necessarily mean that a criminal investigation will be initiated. Instead, it meant that OCR determined that these cases deserved assessment by federal prosecutors.

To date, there has been little evidence suggesting that HIPAA complaints to OCR have prompted any criminal prosecutions by the Justice Department.

Typically, the Justice Department has invoked HIPAA charges only after it had already sought the prosecution of an individual under other federal laws.

Typically, the Justice Department has invoked HIPAA charges only after it had already sought the prosecution of an individual under other laws.

The privacy issues investigated most often were:

  • Impermissible uses and disclosures of protected health information (PHI);
  • Lack of safeguards of PHI;
  • Lack of patient access to their PHI;
  • Uses or disclosures of more than the Minimum Necessary PHI; and
  • Complaints to the covered entity.

The most common types of covered entities that had to take corrective action to get into compliance were:

  • Private Practices;
  • General Hospitals;
  • Outpatient Facilities;
  • Health Plans; and
  • Pharmacies.
 

 

 

 
PRIVACY


HIPAA Complaints Lodged with OCR

Through June 30, 2010*

Month

Monthly

Running Total*

Cases  Under OCR Jurisdiction

Cases Requiring CE
Action

Cases Requiring No CE Action

%  Required CE Action of Total Lodged Complaints

Cases Referrals to DoJ

Running Total for DoJ*

2007
July 880 29,276 7,380 4,952 2,428 17% 3 410
August 718 29,994 7,550 5,066 2,484 17% 1 411
September 608 30,602 7,668 5,149 2,519 17% 1 412
October 592 31,194 7,882 5,299 2,583 17% 3 415
November 762 31,956 8,030 5,397 2,633 17% 3 418
December 531 32,487 8,199 5,509 2,690 17% 1 419
2008

January

790 33,277 8,405 5,653 2,752 17% 0 419

February

639 33,916 8,613 5,775 2,838 17% 3 422
March 855 34,771 8,923 5,971 2,952 17% 4 426
April 759 35,530 9,219 6,159 3.060 17% 5 431
May 844 36,374 9,548 6,392 3.156 18% 4 435
June 849 37,223 9,938 6,648 3,290 18% 1 436
July 981 38,204 10,203 6,811 3,392 18% 1 437
August 608 38,812 10,452 6,985 3,467 18% 1 438
September 780 39,592 10,851 7,227 3,624 18.3% 1 439
October 656 40,248 11,139 7,429 3,710 18.5% 0 439
November 421 40,669 11,355 7,570 3,785 18.6% 4 443
December 438 41,107 11,587 7,729 3,858 19% 5 448
2009

January

700 41,807 11,791 7,861 3,930 19% 3 451

February

581 42,388 11,992 7,992 4,000 19% 2 453

March

664 43,052 12,314 8,212 4,102 19% 1 454

April

639 43,691 12,586 8,402 4,184 19% 2 456

May

545 44,236 12,837 8,571 4,226 19% 1 457

June

675 44,911 13,125 8,756 4,369 19% 2 459

July

719 45,630 13,364 8,918 4,446 19% 1 460

August

690 46,320 13,646 9,095 4,551 19% 4 464

September

653 46,973 13,998 9,318 4,680 19% 0 464

October

659 47,632 14,303 9,601 4,802 20% 0 464

November

591 48,223 14,588 9,656 4,922 20% 2 466

December

545 48,768 14,901 9,854 5,047 20% 1 467
2010

January

850 49,588 15,241 107,050 5.191 20% 2 469

February

622 50,210 15,485 10,206 5.279 20% 1 470

March

779 50,989 15,977 10,515 5,462 21% 0 470

April

773 51,762 16,343 10,749 5,594 21% 0 470

May

773 51,762 16,343 10,749 5,594 21% 0 470

June

1,376 53,138 16,971 11,171 5,800 21% 1 471

July

,651 53,789 17,381 11,421 5,960 21% 3 474

*  Since April 2003/Source: HHS Office for Civil Rights
·
Please credit  Health Information Privacy/Security Alert if you cite any of these statistics.


 

 
 

 

OCR Security Stats

OCR said it received 145 complaints alleging a security rule violation since Oct. 1, 2009. That suggested it received 12 complaints in June. It received 12 in June and 23 in May.

During this period, it closed 50 complaints after investigation and appropriate corrective action. That indicated that OCR closed no cases in July. It closed 10 cases in June and no cases in May.

 
TRANSACTION STANDARD COMPLAINTS
HIPAA Complaints Received by CMS
Through June 30, 2010
Complaint Type Total Open Closed
Transaction and Code Sets 665 27 638
National Provide Identifier 47 1 46
Total 712 28 684
No Civil Penalties Imposed

Open –Outstanding issues remain. Entity may be under a corrective action plan or additional information from either the complainant, the filed against entity, or both is being sought.
Closed–No further action required. All issues have been sufficiently resolved.

  Source: CMS



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