Bud,

We do a lot of HIPPA related networking work and I believe what they may be
asking for is a completely encrypted version of e-mail that will allow you
to send confidential patient data via e-mail.

Unless you encrypt the actual e-mail message using a KEY, this is not an
option.

If you encrypt the message with a KEY, then both the SENDER and the
RECIPIENT will have to be set up to use the same method of encryption and
decryption.

All e-mail is sent a plane text between the e-mail servers.  Even if you
connect between the client and the e-mail server using an SSL level of
security, the message itself, once it leaves the mail server to be delivered
to the intended destination, will NOT be secure.

Our clients are re-certified by the Joint Commission on Accreditation every
two years.  The issue of HIPPA compliant e-mail has never prevented their
re-certification by that commission.

According to the link at
http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=2003_register&doci
d=fr20fe03-4, which generally covers, "standards for the security of
electronic protected health information to be implemented by health plans,
health care clearinghouses, and certain health care providers"

The only real requirement of e-mail at this time is AUTHENTICATION, and it
is clearly stated that this "MAY meet the security standards"

"For example, in order to comply with the Privacy Rule requirements to make
reasonable efforts to limit the access of members of the work force to
specified categories of protected health information, covered entities may
implement some of the administrative, physical, and technical safeguards
that the
entity's risk analysis and assessment would require under the Security Rule.
E-mail authentication procedures put into place for privacy protection may
also meet the security standards, thereby eliminating the need for
additional investments to meet these standards. As a result, covered
entities that have moved forward in implementing the privacy standards are
also implementing security measures at the same time. Since the proposed
security standards proposed rule represents the most authoritative guidance
now available on the nature of these standards, some entities have been
using them to develop their security measures. Those entities should face
minimal incremental costs in implementing the final version of these
standards."

There's a lot about HIPPA in general that is subject to interpretation.  It
is not fully implemented yet, but anyone who works in the Health Care
industry must make every reasonable effort to protect the confidentiality of
patient data.

Hope this helps.


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of Bud Durland
Sent: Friday, April 23, 2004 08:22
To: [EMAIL PROTECTED]
Subject: Re: [IMail Forum] HIPAA complient email system


info wrote:

>
> can anyone tell me if I can make imail HIPAA compliant. and if it can
> not can anyone tell me what email system can be used to provide that
> type of service or what I can do to make imail compliant.
>

What is an e-mail system required to do in order to be HIPAA compliant?

--
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Bud Durland, CNE     [EMAIL PROTECTED] fax: 518-561-0017
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For sale: Parachute.  Like new, used once.  Small stain.
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