I don't doubt that one of your company's biggest priorities now is
regulatory compliance as it relates to the protection of patient
information. If those involved in the health care industry had really been
concerned about protecting this data for the sake of the patients
themselves, wouldn't the safeguards already be in place?

On 2/26/03 10:27, "Christopher Hummert" <[EMAIL PROTECTED]> wrote:



I work for a Insurance company. One of our biggest priorities is the 
protection of patient information. Don't generalize a whole industry. 

-----Original Message----- 
From: [EMAIL PROTECTED] 
[mailto:[EMAIL PROTECTED] On Behalf Of Chris Scharff 
Sent: Wednesday, February 26, 2003 7:26 AM 
To: Exchange Discussions 
Subject: Re: Exchange server level encryption-OT 


Take exception all you like, for the vast majority of companies involved 
in health care, patient information is not a priority. Nice that it is 
in your organization, but yours is the exception rather than the rule I 
assure you. Think insurance companies care about patient 
confidentiality? Hell, they don't even care about patients. 

Security second to the pentagon? Perhaps taking a page from their book 
and setting up public and private networks initially would have solved 
these types of issues. If protecting patient data had been a priority 
from the get go, I'd expect this would already be in place. Instead, 
maintaining that confidentiality was an idea given lip service to while 
measures were put in place which were known to trade off security for 
expediency. 

As noble as your organization's intentions are, a thimble full of wine 
in a barrel of sewer water, still gets you a barrel of sewer water. 
That's why extremely restrictive regulations were enacted. 

On 2/26/03 7:19, "Chinnery, Paul" <[EMAIL PROTECTED]> wrote: 



Chris, I take exception to your comments in your second paragraph that 
the reality is that companies don't really care about protecting patient 
data. I work in a hospital and have met many people from other hospitals 
through seminars, meetings, etc.  To say that we don't care is patently 
false. Patient confidentiality is a priority, second only to patient 
care.  Our hospital has zero tolerance for PHI disclosure.  A nurse 
blabs to someone about a patient and boom! she's fired.  I know, I've 
seen it happen. 

The trouble with HIPAA is that they seem to want hospitals and 
healthcare organizations to be almost as secure as the Pentagon.  Our 
administration hired a big name outfit to give their recomendations.  I 
had to read through 23 documents from them.  And some of them, the 
suggestions, were insane. One suggested (although it said it was 
optional) searching all purses and bags that patients or visitors to the 
hospital.  I guess they're afraid someone would sneak in a floppy to be 
used to copy patient data. 


Paul Chinnery 
Network Administrator 
Mem Med Ctr 


-----Original Message----- 
From: Chris Scharff [mailto:[EMAIL PROTECTED] 
Sent: Tuesday, February 25, 2003 7:10 PM 
To: Exchange Discussions 
Subject: Re: Exchange server level encryption-OT 


Not an expert on the science behind this essay 
http://tnr.com/docprint.mhtml?i=20030224=easterbrook022403 
<http://tnr.com/docprint.mhtml?i=20030224=easterbrook022403
<http://tnr.com/docprint.mhtml?i=20030224&s=easterbrook022403> > , but the 
idea 
of needing to use nuclear power plants to product the levels of hydrogen 

needed for 'clean fuel cells' seems to make the "water is the only 
byproduct" argument a bit disingenuous. Course as I said, I'm not an 
expert 
on the subject so I'm certainly open to knowing where the levels of 
hydrogen 

needed for such a thing would come from. 

Perhaps instead of replacing HIPPA, those companies subject to its 
regulations need to rethink how and why patient data would need to leave 

their environment and design secure systems (which e-mail aint) to 
facilitate that transmittal. Course the reality is companies aren't 
really 
interested in protecting patient data, just in being compliant with the 
various regulatory agencies which govern them. So, following the 
cheapest 
route to compliance they encounter the reality that cheap aint easy. 

On 2/25/03 16:06, "Christopher Hummert" <[EMAIL PROTECTED]> wrote: 



Ok I knew I shouldn't have used that example, cause I knew somewhere we 
were going to get into a debate about it. In addition I should have said 

Hydrogen Fuel Cells which is what I was thinking of when I made the 
statement. As far as the pollution: 

Fuel cells efficiently convert hydrogen fuel and oxygen from the air 
into electricity. Hydrogen fuel cell electric vehicles (HFCEVs) emit 
only water vapor from their exhaust pipes. Demonstrations of HFCEVs have 

been successful and this technology is expected to displace internal 
combustion engines in the 21st Century. 

Which I got from pretty much the first thing I could google up here: 
http://www.hydrogencomponents.com/altfuel.html 


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