It is ironic to learn the Office of Inspector General (OIG) believes the Office of the National Coordinator for Health Information Technology (ONC) essentially has an insufficient compliance program to maintain the privacy and security of the protected health information (PHI) hosted by electronic health records (EHR).
In an August 2014 report (A-06-11-00063), OIG concluded that the process ONC uses to certify EHR is not sufficient to ensure the privacy and security of the EHR PHI.
I have attached a link to the OIG report and included regarding the findings and recommendations of the OIG.
WHAT WE FOUND
ONC’s oversight of the ATCBs did not fully ensure that test procedures and standards could adequately secure and protect electronic patient information contained in EHRs. Specifically, ONC did not ensure that the ATCBs:
developed procedures to periodically evaluate whether certified EHRs continued to meet Federal standards and
developed a training program to ensure that their personnel were competent to test and certify EHRs and to secure proprietary or sensitive EHR information.
The ATCBs’ standards and procedures for testing and certifying EHRs met all NIST test procedure requirements that ONC approved. However, those NIST test procedures were not sufficient to ensure that EHRs would adequately secure and protect patient health information; in particular, the procedures allowed ATCBs to certify EHRs that demonstrated the use of a single-character password during testing. In addition, the NIST test procedures did not address common security issues, such as, but not limited to, password complexity and/or logging emergency access or user privilege changes.
WHAT WE RECOMMEND
To ensure that each patient’s health information in EHRs is secure and protected, we recommend that ONC require the ATCBs to:
develop procedures to periodically evaluate whether certified EHRs continue to meet Federal standards and
develop a training program to ensure that their personnel are competent to test and certify EHRs and to secure proprietary or sensitive EHR information.
We also recommend that ONC work with NIST to strengthen EHR test procedure requirements so that ATCBs can ensure during testing that EHR vendors incorporate a baseline set of security and privacy features into the development of EHRs to address common security issues.