Health Privacy

This is an annotated timeline documenting the activities of the National Health Information Network. Related documents, when available, are linked. Additional source documents follow the timeline.

The National Health Information Network (NHIN) is an ambitious modernization plan proposed by the U.S. government. The idea is to move as an entire nation from paper medical files to electronic medical files that are shared. Specifically, the government goal is to digitize patients’ health records and medical files and create a national network to place the information in. The network, called the NHIN, would be a sophisticated network that hospitals, insurers, doctors, and others could potentially access. Such a network brings patient privacy, security, and confidentiality issues into sharp relief.

Medical privacy | HIPAA | FTC — According to a legal complaint, CVS pharmacies — the largest pharmacy chain in the United States — did not take appropriate steps to protect its customers’ and employees’ sensitive information when it improperly disposed of documents, labels, prescription bottles, and other items with clearly identifiable and highly sensitive personal information such as SSNs, prescription information, driver’s license numbers, and other information still on those materials. CVS agreed to pay $2.25 million to settle its violations of HIPAA as part of a Resolution Agreement with the Department of Health and Human Services. CVS has also signed a consent agreement with the FTC; the public can comment on this agreement until March 20, 2009. The World Privacy Forum will be filing comments with the FTC on the consent agreement with CVS, which we will post here.

Genetic privacy — The World Privacy Forum presented a talk at the World Congress in Washington D.C. today on the intersection between genetic privacy and marketing, and on genetic issues and medical identity theft. The presentation exposed the list marketing activities surrounding health care data, and examined how the current loopholes in the recently passed Genetic Information Nondiscrimination Act (GINA) would not necessarily ease issues with incidental collection and use of genetic information.

HITSP — World Privacy Forum executive director Pam Dixon was elected to be the consumer representative on the HITSP board (Health Information Technology Standards Panel). HITSP is a national standards-setting body that is part of ANSI (The American National Standards Institute) and is working on specifications and standards for the National Health Information Network. The term will begin in January of 2009.