Cecelia,
 
We had that same issue at one of my clients and the way we handled it was to issue a login ID and Password for each patient. The login ID and Password were automatically generated at the time of check-in. The patient Log-In ID is a combination of the patients name, DOB and SSN. The Password was automatically generated and could not be changed. Once the patient was discharged, the user ID and Password was deleted. We also installed secure VPN lines so that the clients security systems (Firewalls etc) could monitor all activity.
 
James Holler
713.927.2390
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Thursday, August 28, 2003 9:24 AM
To: WEDI SNIP Security Workgroup List
Subject: Security of Clinical Computer Equipment

To Anyone that can help,

       I would like to know how other Hospitals are handling the security of their clinical computer equipment. Our main HIS was recently updated before the April deadline to accommodate the HIPAA regs (ability to mark patient's confidential, individual log-ins, audit trail, etc) but from the looks of things - nothing has been done to our clinical computer monitoring systems.
       We use GE computer systems for our MRI, Cat Scan, and Nuclear Medicine departments - the system has a password upon entry into the system, but not individual log-ins. It is not possible to tell who did what. We recently had problems with someone "messing" with our Nuclear Medicine computer - so we installed locks on all the doors and secured the room (which is always supposed to be manned - but of course it isn't!). I have a call into the Chief Privacy Officer at GE - hasn't returned it yet
       We also use a cardiac monitoring system by Phillips (Agilent Technologies) - it is Internet based - Doc's can get into the system (they each have their own log-in) and monitor the cardiac activity of the patient's in ICU, CCU, telemitry and ER. My problem with this is that any Doc can see any patient, not just their own. Isn't that a no no? They can't edit or make changes, just view.
       Does anyone have any specific references for this? Any help would be appreciated. Thanks.

Cecelia Sheridan, HIPAA Privacy/Security Officer
Southampton Hospital
240 Meeting House La
Southampton, NY 11968
(631) 726-8576
[EMAIL PROTECTED]

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