HIPAA & Breach Enforcement Statistics for February  2012

Produced by Health Information Privacy/Security Alert
Published by Melamedia, LLC
 
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The Ripple Effects of HHS Proposed Requirements
for Accounting of Disclosures

July 12
, 2011

Patient Data Stewardship in the New World of ACOs
May 17, 2011

Putting HIPAA Medical Privacy and Security Enforcement in Perspective
March 25, 2011

In Harms Way: Approaches to Harm Assessments under the HITECH Act
Dec. 1, 2010

Managing the Consolidated Responsibilities Under
Meaningful Use and HIPAA

Sept. 14, 2010

The Nuts & Bolts of Insurance & Covering
The Costs of Health Data Breaches

Aug. 3, 2010

Breach Notification in the Real World: Lesson Learned So Far
May  18, 2010

Practical Approaches to BA Contracts
April 29, 2010

Best Practices & New Issues in Data De-Identification for Healthcare & EHRs
Dec.1, 2009

The New Patient Privacy Challenge: Where Breach Notification, HIPAA & HR Meet
Nov. 12, 2009

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Education Page
for a complete list of seminars


20 Incidents Account for 79% of Breached Patient Records Publicized by OCR

 

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Reasons for BA Breaches
As of Jan. 17, 2012

# of
Breaches

Cause of Breach

29

Theft

26

Unauthorized Access/Disclosure

18

Loss

4

Hacking/IT Incident

3

Unauthorized Access/Disclosure & Hacking/IT Incident

2

Improper Disposal

Source: HHS Office for Civil Rights

Breaches involving more than 500 patients reached 385 affecting 19,016,807 individuals, according to an analysis by Health Information Privacy/Security Alert of OCR statistics from Dec. 17 through Jan. 17.

That represented an increase of five reported breaches affecting an additional 956,976. In the previous month (Nov. 17 – Dec. 17). OCR reported 16 new breaches affecting 94,762 individuals.

The month-to-month differences reflect the wide range and effect of the reported breaches.

The analysis found that 303 (79%) of the reported breaches affected under 10,000 patients for a total of 1,577,767 or 3.9% of the total number of patients.

Twenty breaches accounted for the vast majority of affected patients (16,694,299).

The statistics do not include the tens of thousands of self-reported breaches affecting fewer than 500 patients that suffer from many of the same issues as the larger breaches.

Paper records continue to be the most frequent source of patient information, accounting for the sole location of a breach for at least 91 incidents affecting 494,363. Paper records were involved in six other breaches as well.

Laptops were the sole location for 78 breaches affecting 1,751,631 patients. Laptops were involved in an additional 13 incidents.

The loss or theft of backup tapes represented the single source of the most affected patients (5,969,483).

Physical security – not electronic hacking – was far and away the leading reason for a breach. Theft alone accounted for 187 breaches affecting 7,623,538; the loss of patient data was the sole reason for 50 breaches affecting 7,239,015 patients.

Electronic attacks were the sole reason for 22 incidents affecting 546,223 patients.

From a strictly HIPAA privacy perspective, 67 violations were solely attributable to unauthorized access/disclosure and affected 636,748 patients.

Business Associates accounted for 84 breaches with theft (29), unauthorized access (26) and loss (18) accounting for most of the breaches.

The full analysis of the health data breaches is available in Health Information Privacy/Security Alert. Take advantage of a special offer for a one-year e-subscription to Health Information Privacy/Security Alert click here.

 

Privacy Complaints Remain High in December

 

The HHS Office for Civil Rights (OCR) reported it received more than 66,736 complaints, suggesting that it received 821 complaints in December. It received 874 complaints in November and 915 in October.

The overall level of complaints in the 800-plus range in the last few months suggest that OCR may be consistently receiving complaints at a higher level per month than in previous years. The increase in complaints could be the result of more alerts by covered entities to their patients that breaches have occurred. Nothing stops a patient from filing a complaint upon being informed of a breach by a covered entity.

Of the 23,070 HIPAA complaints that fell within OCR’s jurisdiction, 15,176 required corrective actions by covered entities (CEs).

An analysis by HIP/SA found that the agency determined that an additional 251 HIPAA complaints required actions by covered entities in December. In November, 157 covered entities had to make changes and 241 covered entities made changes in October.

The remaining 7,725 complaints within OCR’s jurisdiction found no violation.

The agency said it had resolved more than 91% of all the complaints it had received. However, that statistic included a large number of complaints (37,275) that did not fall within HHS’s jurisdiction.

Overall, about 23% of total complaints resulted in some corrective action by CEs.

The statistics do not reflect investigations that OCR initiated on its own in response to the tens of thousands of smaller incidents reported by CEs under the HITECH breach notification rules.

OCR referred more than 499 cases to the Justice Department for possible criminal prosecution. That suggested the agency made no referrals in December.

The Justice Department has not calculated how many of the referrals have resulted in action or how many had been returned to OCR. It told a Senate panel in November that it would start work on specifically tracking how many of these referrals were pursued.

However, in recent months, the Justice Department has shown more interest in using HIPAA as a criminal enforcement tool as the FBI and federal prosecutors become more comfortable with the law – particularly after the HITECH Act clarified that the criminal penalties do apply to individuals and not only to covered entities.

The privacy areas 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.

 
   

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PRIVACY


HIPAA Complaints Lodged with OCR

Through Dec. 31,  2011*

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*

2009

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 10,050 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

652 52,414 16,343 10,956 5,694 21% 1 471

June

1,376 53,138 16,971 11,171 5,800 21% 0 471

July

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

August

731 54,562 17,750 11,632 6,118 21% 1 475

September

778 55,350 18,286 11,979 6,307 21.6% 3 478

October

773 56,119 18,581 12,161 6,420 21.7% 4 482

November

635 56,754 18,836 12,336 6,500 21.7% 1 483

December

621 57,375 19,161 12,573 6,588 22% 0 483
2011

January

774 58,119 19,460 12,781 6,679 22% 1 484

February

792 58,911 19,787 13,003 6,784 22% 3 487

March

834 59,745 20,200 13,294 6,906 22% 4 491

April

805 60,550 20,200 13,503 7,022 22% 1 492

May

783 61,333 20,877 13,745 7.132 22% 1 493

June

783 62,039 21,214 13,972 7.132 23% 0 493

July

706 62,708 21,430 14,105 7.325 23% 1 494

August

735 63,443 21,749 14,309 7.440 23% 0 494

September

683 64,126 22,075 14,527 7.548 23% 1 495

October

915 65,041 22,407 14,768 7.639 23% 3 498

November

874 65,915 22,650 14,925 7.725 23% 1 499

December

821 66,736 23,070 15,176 7,894 22% 0 499

*  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 514 complaints alleging a security rule violation since Oct. 1, 2009. That suggested it received 17 in December. It received seven in November and nine in October. OCR closed a total of 323 complaints after investigation and appropriate corrective action. That suggested that OCR closed 64 cases in December – a very high number. It closed 14 in November and nine in October.

OCR also reported that it had 266 open complaints and compliance reviews down from 303 in November.

 
     
 

CMS Transaction Complaint Statistics

TRANSACTION STANDARD COMPLAINTS
HIPAA Complaints Received by CMS
Through Dec. 31, 2011
Complaint Type Total Open Closed
Transaction and Code Sets 748 16 732
National Provide Identifier 59 0 59
Total 807 16 791
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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