Craig, technology questions regarding security implementations might
better be directed to the WEDI SNIP Security Workgroup List.

But in any case, you already have practically everything you need to
implement secure messaging among and between your therapists. Encryption
is a standard feature built-in to your e-mail client software, such as
Outlook and Outlook Express, without the need for new licenses or
modifying your Exchange Server configuration.

Actually, I believe Exchange Server does have the capability for
generating digital IDs for each of your e-mail accounts. This saves you
the hassle of dealing with Third Party Certificate Authorities (CAs)
like Verisign or Thawte for obtaining digital IDs (X.509 certificates).
Encryption is of primary importance, which will be available with either
CA generated or self-signed certificates. You can easily live without
authentication (because each of your employees recognize legitimate
e-mails from their colleagues). But you can generate your own
certificates with the company recognized as the "certificate authority"
by all of the e-mail clients.

I communicate regularly using encrypted e-mail with colleagues within
and without Novannet - each of us uses standard e-mail clients like
Outlook or Outlook Express and we haven't spent a dime for this
capability.

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: "Craig Moen" <[EMAIL PROTECTED]>
To: "WEDI SNIP Privacy Workgroup List" <[EMAIL PROTECTED]>
Sent: Tuesday, 04 March, 2003 02:29 PM
Subject: E-mail Microsoft Exchange Server



We are a home health agency that provides PT, OT and ST. We communicate
regularly with our therapists via e-mail. Patient's summary of progress
etc are exchanged and then we copy and paste to a document that we send
to the physician. Currently for patient confidentiality we have the
therapist de-indentify information in e-mail by removing patient name
and using only initials(no address other identiying info is on this
document.) During our risk analysis we determined that this is a
potential risk in patient privacy because a therapist could
inadvertently include the full patient name. With the cost of an
additional exchange server(as our e-mail is handled externally at this
point) is this "reasonable" to continue as we are without encyption? Any
inexpensive alternatives??

If not, does any one have any comments about Microsoft Exchange Server,
where each of our staff would have there own e-mail address and we would
encrypt by default. We are struggling with "reasonable" because of the
cost of the product and the number of licenses we would need to acquire

Thanks for your opinion and helpful comments!

Craig Moen, MPT
Director of Rehabilitation
THERAPY 2000
214-467-9787 office
214-741-3655 fax
[EMAIL PROTECTED]



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