Re: doctors office database



tina wrote:
> keep in mind the HIPAA privacy and security requirements, Pat. an
> Access database cannot be completely secured, so you have to consider
> whether it will satisfy HIPAA regulations, and the potential
> ramifications to the doctor, his practice, and his patients, if it
> does not.

We see this a lot and I wonder if anyone has actually researched the
requirements. The weaknesses in Access security are only a factor when you are
trying to secure the data from *authorized users* of the application. If access
to the application file (mdb) is controlled with network security then it is
just as secure from *unauthorized users* as any other file.

Would HIPAA regulations dictate that NO electronic file can contain patient data
unless there is air-tight security actually built into the file itself or only
that appropriate steps are taken to prevent unauthorized access to the file? I
mean most medical records are still in plain old fashioned paper folders. Are
medical organizations required to use a secret code when writing on medical
charts or are they only required to take steps so that only authorized people
get their hands on them? I assume it is the latter. I fail to see why the bar
should be any higher for electronic versions of that same data.

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