Health Information Management

How can we securely allow a provider to access an electronic health record (EHR) through a Web interface? Can we use third-party servers?

HIPAA Weekly Advisor, February 5, 2007

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Before allowing access to an EHR via Web interface, you should reasonably ensure that the interface is secure and uses at least 128-bit encryption (256-bit is preferable).

You may employ a third-party server, but be sure to establish, monitor, and enforce the appropriate security and privacy requirements regarding server access, administration, data transmission, etc. If an entity on contract with you manages the third-party server, execute the appropriate business associate contract prior to allowing any Web-based access to the EHR.

Access to an EHR via Web interface, virtual private network, or any other secure connection requires the owner of the EHR to establish appropriate policies and procedures related to

  • authentication
  • authorization
  • access management
  • role-based access control
  • audits
Also, providers accessing the EHR must adhere to appropriate administrative and technical (as well as privacy) standards. The owner of the EHR typically creates and communicates these standards. The owner should also take reasonable steps to ensure that the EHR access point on the providers' end is secure (e.g., appropriate firewalls are in place, the owner monitors access, etc.).

Editor's note: Chris Apgar, president of Portland, OR-based Apgar & Associates, LLC, answered this question. This is not legal advice. Consult your attorney for legal matters.



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