Not to worry, my customers beat me up much harder Z.
You have very good points regarding the security.  A simple enough method to 
mitigate it is not install Email on the device and require them to use Outlook 
via the Terminal Server.  RDP would be the method, and yes if they stole the 
device, implanted a root kit, keylogger etc on it they could obtain the 
information.   We are looking at Authentication tokens required to TS into it, 
but the vendors are small.  Wyse has an app, but we have not tested two-factor 
yet.  Good thing its available on Droid or Ipad.  Doctors do get what they 
want, they drive the money to the practice, but for all their yelling and 
complaining when the Practice Admin says fine, this is what you now get paid, 
they start back pedaling.. :)  In the end we can simply as we always do define 
the risks/benefits, remind them of compliance and offer them software/hardware 
to meet that compliance..but in the end its their decision.  Not mine.
Some practices enforce those policies, others choose not too.  When it hits the 
fan it will hit them in the pocketbook and I will waive my signed document of 
disclosure and release of liability and help them clean up the mess.



Greg Sweers
CEO
ACTS360.com<http://www.acts360.com/>
P.O. Box 1193
Brandon, FL  33509
813-657-0849 Office
813-758-6850 Cell
813-341-1270 Fax

From: Ziots, Edward [mailto:ezi...@lifespan.org]
Sent: Monday, December 06, 2010 10:58 AM
To: NT System Admin Issues
Subject: RE: IPAD vs Android tablets

Is the traffic between the EMR site and the tablet encrypted? ( Proves 
Confidentiality of the information being transferred between the client and the 
EMR)? (IPSEC or TLS/SSLv3)

If emails get stored on the devices, then electronic communications within the 
non-encrypted emails, could contain PHI/PII or other sensitive company 
communications  that if divulged to the public or a malicious third party could 
bring about information disclosure, or breach notification laws.  Not trying to 
beat you up Greg, but just because you say the users aren't sending information 
with HIPAA related information anymore, doesn't mean they still aren't doing 
it. ( We all know folks are ignorant of policies, and/or circumvent them for 
various reasons)

Also, I am not sure there is any forensically sound data wiping utilities for 
the IPAD/Iphone/ ( Other mobile device) therefore if they obtain the device 
itself ( Physical Theft) its only a matter of time that all the information on 
the device will be obtained. Either that or a more sinister plot is to plant a 
rootkit on the device, or a backdoor as a legit application, and re-introduce 
it back to the users and monitor all the information crossing said device and 
gleam the information form afar, thus having complete control over the device 
and obtaining multiple different sets of information, credentials, to conduct 
more nefarious deeds.

There has been plenty of attacks against RDP accordingly ( MITM, namely) that 
could be brought to bear, but I would assume that's a low risk type of attack, 
if they got the network between you and the EMR, you basically toasty anyways.

Z

Edward E. Ziots
CISSP, Network +, Security +
Network Engineer
Lifespan Organization
Email:ezi...@lifespan.org
Cell:401-639-3505

From: greg.swe...@actsconsulting.net [mailto:greg.swe...@actsconsulting.net]
Sent: Monday, December 06, 2010 9:42 AM
To: NT System Admin Issues
Subject: RE: IPAD vs Android tablets

Heard and being addressed.  The main function is for RDP back into their server 
farm to access their EMR applications while on rounds in hospitals and doing 
clinics/on call.

Email would be the only thing to get stored on the devices and they do not send 
anything Hipaa within emails anymore.

Greg Sweers
CEO
ACTS360.com<http://www.acts360.com/>
P.O. Box 1193
Brandon, FL  33509
813-657-0849 Office
813-758-6850 Cell
813-341-1270 Fax

From: Ziots, Edward [mailto:ezi...@lifespan.org]
Sent: Sunday, December 05, 2010 4:55 PM
To: NT System Admin Issues
Subject: RE: IPAD vs Android tablets

Honestly the security features on a lot of things Tablets are lacking, and 
probably will not satisify MASS CMR 201.17 for data encryption of EPHI/PII, 
along with leaving you open for more issues within HIPAA and the HItech Act, 
therefore you might want to seriously reconsider using these to view store 
EPHI/PII. If they get lost without that data encrypted, you have a breach on 
your hands and all the nasties that come along with it.

So for those in the healthcare/medical areas, be very very careful,

Z

Edward E. Ziots
CISSP, Network +, Security +
Network Engineer
Lifespan Organization
Email:ezi...@lifespan.org
Cell:401-639-3505

From: Gary Slinger [mailto:gary.slin...@gmail.com]
Sent: Sunday, December 05, 2010 3:42 PM
To: NT System Admin Issues
Subject: Re: IPAD vs Android tablets

iPad. It just works. "The cost is ridiculous"? That's subjective. Either accept 
it, or wait three to five years for market commoditization. There's no right or 
entitlement to the tech and service being available now.

Redefine the need, scope and phasing, and go with what works.

(Not an Apple fan per se, btw. /all/ my "full" computing needs are non-Apple. 
But 3G/Wifi tablet? Apple).
________________________________
From: "Mike Gill" <lis...@canbyfoursquare.com>
Date: Sun, 5 Dec 2010 12:38:43 -0800
To: NT System Admin Issues<ntsysadmin@lyris.sunbelt-software.com>
ReplyTo: "NT System Admin Issues" <ntsysadmin@lyris.sunbelt-software.com>
Subject: RE: IPAD vs Android tablets

Really take a close look and spend some time with the Android devices. As 
someone else mentioned, they may not have the official Android Market Place 
available on that device. I purchase a smaller screen Cruz Micro reader from 
Borders (Android 2.2) and it was a complete joke. Not even Beta quality. The 
Cruz market only had hundreds of apps, and many that I downloaded didn't work 
or told me they worked best using the roller ball of the phone. Search of the 
market was non-functional, alarms could not be unset once set, the resistive 
touch screen worked 2/3rd the time. I could go on. At least they took it back.

This is a good read:
http://liliputing.com/2010/09/google-android-isnt-designed-for-tablets-yet.html

So there are a couple tablets out there that may have potential, but my guess 
is most will leave people shaking their heads.

--
Mike Gill

From: greg.swe...@actsconsulting.net [mailto:greg.swe...@actsconsulting.net]
Sent: Saturday, December 04, 2010 8:25 PM
To: NT System Admin Issues
Subject: IPAD vs Android tablets

We are being asked to look for a tablet that is close to an IPAD.  10 inch 
screen, 6 to 8 hours of battery, 3G/Wifi, decent speed, 2.2 OS, mainly being 
used for remote desktop to servers for Dr's in hospitals and clinics.  The 
keyboard on the IPAD is really good, and the Bluetooth add on KB works pretty 
decent.  The Doctors like the IPAD, but the practice does not want to spend 800 
a device.    Swappable battery would be HUGE!

Anyone have comparisons or used alternatives that might meet this application.  
The Verizon tablet may be a good fit, but the smaller screen is not high up 
there with the DOCS.

Thx

Greg Sweers
CEO
ACTS360.com<http://www.acts360.com/>
P.O. Box 1193
Brandon, FL  33509
813-657-0849 Office
813-758-6850 Cell
813-341-1270 Fax


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