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Last week, President Barack Obama convened a health-care summit in Washington to identify programs that would improve quality and restrain burgeoning costs. He stated that all his policies would be based on rigorous scientific evidence of benefit. The flagship proposal presented by the president at this gathering was the national adoption of electronic medical records -- a computer-based system that would contain every patient's clinical history, laboratory results, and treatments. This, he said, would save some $80 billion a year, safeguard against medical errors, reduce malpractice lawsuits, and greatly facilitate both preventive care and ongoing therapy of the chronically ill. Following his announcement, we spoke with fellow physicians at the Harvard teaching hospitals, where electronic medical records have been in use for years. All of us were dumbfounded, wondering how such dramatic claims of cost-saving and quality improvement could be true. The basis for the president's proposal is a theoretical study published in 2005 by the RAND Corporation, funded by companies including Hewlett-Packard and Xerox that stand to financially benefit from such an electronic system. And, as the RAND policy analysts readily admit in their report, there was no compelling evidence at the time to support their theoretical claims. Moreover, in the four years since the report, considerable data have been obtained that undermine their claims. The RAND study and the Obama proposal it spawned appear to be an elegant exercise in wishful thinking. To be sure, there are real benefits from electronic medical records. Physicians and nurses can readily access all the information on their patients from a single site. Particularly helpful are alerts in the system that warn of potential dangers in the prescribing of a certain drug for a patient on other therapies that could result in toxicity. But do these benefits translate into $80 billion annually in cost-savings? The cost-savings from avoi

More than 6 million current and former customers of online brokerage TD Ameritrade Holding Corp. will be able to benefit from the settlement of a class-action lawsuit filed over the theft of client contact information. Formal notice of a settlement agreement will be sent to people who used TD Ameritrade's services before mid-September 2007. U.S. District Judge Vaughn Walker in San Francisco approved a revised version of the settlement agreement earlier this month despite some misgivings about it. Last summer, Walker rejected an earlier version of the deal. Anyone who held an Ameritrade account or provided an e-mail address to the company before Sept. 14, 2007, could benefit from the lawsuit. The database that was breached included information on 6.2 million people. The plaintiffs in the lawsuit said they received unwanted e-mail ads about certain stocks. The ads appeared to be designed to manipulate the value of thinly traded stocks. Ameritrade officials and one of the lead plaintiff's attorneys, Scott Kamber, have said the data theft has not been linked to cases of identity theft. As part of the proposed settlement, the Omaha-based company will pay nearly $1.9 million in legal fees and cover the cost of one year of anti-spam service for the victims. Ameritrade also promised to better protect customer data. Those terms have not changed from the original proposed settlement. But the new agreement will more clearly state that Ameritrade customers were at risk of identity theft, and it will preserve customers' ability to pursue identity theft claims against Ameritrade. Most of the changes to the agreement happened because the Texas Attorney General's Office and a former named plaintiff objected to the previous deal. In his order, the judge questioned whether the settlement does enough to benefit Ameritrade clients whose information was stolen. "The court is particularly concerned that TD Ameritrade has agreed to pay the class counsel $1.87 million and yet the

The Oklahoma Department of Human Services (DHS) is notifying more than one million state residents that their personal data was stored on an unencrypted laptop that was stolen from an agency employee. The computer file contained the names, Social Security numbers, birth dates and home addresses of Oklahoma's Human Services' clients receiving benefits from programs such as Medicaid, child care assistance, nutrition aid and disability benefits, the agency announced Thursday. The computer, which was stolen when a thief broke into the car April 3 after the employee stopped on her way home from work, was password protected, and officials do not believe the burglar realized what he or she was stealing. Therefore, the risk of the data being accessed is minimal, according to the agency. "We feel this was not a situation where someone was targeting the agency or that information," DHS spokeswoman Mary Leaver told SCMagazineUS.com on Friday. "We feel it was random." Leaver said the state Office of Inspector General is conducting an investigation, out of which likely will come a mandatory review of information security policies. However, it is not believed the employee violated existing policy when the incident occurred, she said. News of the theft comes one day after the Ponemon Institute, in conjunction with Intel, released a study that found the average value of a lost laptop is $49,246. About 80 percent of the cost is related to the chance that a breach could occur, the study showed.

Identity thieves using the names and Social Security numbers of Irving Independent School District employees have made thousands of dollars in purchases, school officials say. One woman has been accused of fraudulent use or possession of identifying information and two charges of credit card abuse. A second person linked to the theft case has been arrested but no charges have yet been filed in the Irving case, authorities said. At least 64 of the 3,400 teachers and other employees whose names were on the old benefits report that somehow ended up in the trash have said they are identity theft victims. The school district mailed letters to current and former employees about the breach, but 472 of the letters were returned as undeliverable. Pat Lamb, district security director, said in a story for Sunday's online edition of The Dallas Morning News that the employees at risk of being on the list worked for the district in the 2000-01 school year and had payroll deductions for benefits. "We still do not know how our records were compromised," Lamb said. "We don't know if somebody was supposed to shred that information, but it ended up in a Dumpster." Lamb said his name was among those on the report, which was generated in 2000. Cynthia Will, a former teacher, pleaded for help from the school board last week. More than $25,000 was charged in her name, including a $4,000 diamond ring, the newspaper reported. "It was stunning the damage that was done in just seven days," she told the board. Will has to carry an affidavit stating that she is an identity theft victim and if there are warrants on her old driver's license number that they are not for her. Dawn Bizzell, who has taught in the district since 1996, said district officials acted too slowly. An employee advisory wasn't posted until Jan. 26. Bizzell said she learned she was an identity theft victim on Nov. 28 and police told her of the district connection on Dec. 3.

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Federal Trade Commission staff today issued a report describing its ongoing examination of online behavioral advertising and setting forth revisions to proposed principles to govern self-regulatory efforts in this area. The key issue concerns how online advertisers can best protect consumers' privacy while collecting information about their online activities. Over the last decade, the FTC has periodically examined the consumer privacy issues raised by online behavioral advertising - which is the practice of tracking an individual's online activities in order to deliver advertising tailored to his or her interests. The FTC examined this practice most recently at its November 2007 "Behavioral Advertising" Town Hall. The following month, in response to public discussion about the need to address privacy concerns in this area, FTC staff issued a set of proposed principles to encourage and guide industry self-regulation for public comment. Today's report, titled "Self-Regulatory Principles for Online Behavioral Advertising," summarizes and responds to the main issues raised by more than 60 comments received. It also sets forth revised principles. The report discusses the potential benefits of behavioral advertising to consumers, including the free online content that advertising generally supports and personalization that many consumers appear to value. It also discusses the privacy concerns that the practice raises, including the invisibility of the data collection to consumers and the risk that the information collected - including sensitive information regarding health, finances, or children - could fall into the wrong hands or be used for unanticipated purposes. Consistent with the FTC's overall approach to consumer privacy, the report seeks to balance the potential benefits of behavioral advertising against the privacy concerns it raises, and to encourage privacy protections while maintaining a competitive marketplace. The report points ou

Google will unveil new privacy measures today that will give consumers more control over behavioral targeting. Now, when Google serves banner ads on outside publishers' sites, the ads will include links that provide more information explaining why they were served. Clicking through will lead to details about the company's behavioral advertising program, which categorizes consumers as interested in particular types of goods or services based on the sites they visited. The program is only in beta for now, but once Google signs up publishers, consumers will be able to view the categories they have been placed in--such as "interested in travel"--and also tell Google to remove them from whatever buckets they wish. Consumers also will be able to opt out of the program permanently via a browser plug-in. Or, if people want to receive ads for certain types of products, they can edit their profiles to reflect that--in effect, opting in to particular types of ads. Google's new measures come at a time when online behavioral targeting is facing increased scrutiny. Last month, two Federal Trade Commissioners warned that the online advertising industry could face new laws if it didn't take steps to self-regulate on privacy issues. Recently, Google rival Yahoo announced enhancements to its privacy policies. Among other changes, Yahoo said it would allow consumers to opt out of behavioral targeting on its own site. Google's move drew praise from the Interactive Advertising Bureau's Mike Zaneis, vice president for public policy. "It's really a consumer empowerment tool, which is great," he said. "It's one more example of how industry is competing on the privacy issue, to the benefit of consumers--and also to the benefit of businesses."

Supercharging the HVA Engineering and Maintenance Risk Assessment in the Healthcare Setting Webinar Registration Hospitals have been under close scrutiny for years to insure they evaluate and mitigate risks and exposures that could impact their ability to deliver healthcare services under all conditions. A staple of this activity is the "Hazard Vulnerability Assessment". A traditional HVA looks at specific threats within four categories (natural, technological, human and hazardous materials). While the HVA is useful for auditors looking to confirm minimum compliance, it does not properly arm the organization to assess how risk, mitigation strategies and limited capital can effectively be deployed for maximum benefit. Come hear from leaders of Deaconess Health Systems Engineering and Maintenance team on how they partnered with Virtual Corporation to execute an effective risk assessment methodology and toolkit across the DHS enterprise. Participants will see examples of innovative risk mapping and reporting methods that yield high information density in simple, understandable format. Presenters: Mark Merrill, Facility Engineer, Deaconess Health System Tom Barnett, Manager, Engineering and Maintenance, Deaconess Health System Scott Ream, President, Virtual Corporation Webinar Registration Hospitals have been under close scrutiny for years to insure they evaluate and mitigate risks and exposures that could impact their ability to deliver healthcare services under all conditions. A staple of this activity is the "Hazard Vulnerability Assessment". A traditional HVA looks at specific threats within four categories (natural, technological, human and hazardous materials). While the HVA is useful for auditors looking to confirm minimum compliance, it does not properly arm the organization to assess how risk, mitigation strategies and limited capital can effectively be deployed for maximum benefit. Come hear from leaders of Deaconess H

The discipline known as governance, risk, and compliance (GRC) management has come a long way in a short time. Results from Business Finance's 2009 GRC Maturity Study suggest that the majority of companies with formal GRC programs are beginning to derive strategic benefits from their efforts: Two-thirds of survey respondents say that the primary benefit of the GRC programs extends beyond mere compliance to "strategic risk management and decision-making insights" (55 percent) and "superior resilience and long-term shareholder value" (11 percent). Additionally, 81 percent of survey respondents describe their company's GRC capabilities as "strong" (15 percent) or "acceptable" (66 percent); only 18 percent of respondents say that their programs are "in need of improvement." What's more, a remarkable 83 percent of survey respondents (see the "Methodology" side bar) say that their corporate GRC programs were somewhat to very helpful in enabling their organizations to anticipate and respond to the current economic downturn. At many companies, GRC is about much more than compliance these days.

Consumers, who become victims of identity theft through access to public records, do not have a clue as to how they became a victim. They cannot know unless the fraudster who "legally accessed" the public information is caught and confesses that they used or sold the information for identity theft. Most often end users of stolen identities are caught, not the kingpins. Illegal immigrants who purchase identities on the street sometimes for hundreds of dollars do not know the source. * What can an identity thief do with a name and SSN? Here is a short list. * Make a fake Social Security Card (see image below) * Make a fake Medicare Card and get medical treatment and Medicare benefits * Use the fake Social Security Card to get a driver's license or passport * Get a job and government benefits. * Get credit and open new financial accounts * Get housing, utilities and phone service * Get insurance * Thieves use fake ID to elude law enforcement by pretending they are you.

The suggestion comes after a 12 month period in which the Government has admitted losing millions of personal records, including the entire child benefit database. Richard Thomas, the information commissioner, will tell MPs that its annual tracking survey has found a big jump in the way that people view loss of personal data, excessive surveillance, privacy intrusions and identity theft. Its survey of 1,000 people found 94 per cent of people ranked "protecting personal information" as their top concern, ranked equal with concerns about crime. Public awareness of access to their personal information held by public bodies has also jumped, from 74 per cent to 86 per cent between 2007 and 2008. Mr Thomas will say that part of the reason has been the 277 data breaches by public bodies, since HM Revenue and Customs said it had lost the personal details of 25 million families on the child benefit database in October 2007.

The federal government would subsidize up to 65% of COBRA health insurance payments for many individuals who have lost their jobs since Sept. 1, 2008, under an $825 billion stimulus package unveiled by House Democrats. COBRA provisions are supported by health insurance groups, including America''s Health Insurance Plans and the National Business Group on Health. However, AHIP said other parts of the plan tying increased investment in health information technology to stricter scrutiny of how health IT records are handled would make it more difficult for plans to coordinate care and streamline administrative costs. Dubbed the American Recovery and Reinvestment Act, the House bill allocates $39 billion to aid individuals attempting to continue paying health insurance premiums through the 23-year-old Consolidated Omnibus Budget Reconciliation Act program. COBRA allows employees who are terminated or leave their jobs voluntarily to remain in their former employer''s group health plan for up to 18 months, which can be extended to 36 months for those with extenuating life circumstances. However, because COBRA enrollees can be charged up to 102% of the full cost of coverage, many find the plans prohibitively expensive and, according to Hewitt Associates Inc., only about 20% enroll. A recent report by the consumer group Families USA found monthly COBRA premiums for family coverage were $1,069, or 83.6% of the average monthly unemployment insurance benefit of $1,278. In nine states, average COBRA payments exceeded unemployment benefits, the group found. Health groups have been largely supportive of the proposal, with AHIP President Karen Ignagni writing in a letter to House Speaker Nancy Pelosi that the group believes the move would "help ensure continuity of coverage and serve as an important lifeline for many workers who do not qualify for Medicaid, but still need help paying their health insurance premiums."

The offshoring of business processes has become increasingly popular. Fueled by advancements in technology, the benefits of offshoring are primarily attributable to the savings from lower personnel costs at foreign locations. According to the Global Financial Services Offshoring Report 2007 by Deloitte & Touche U.SA LLP, over 75% of major financial institutions report offshoring a portion of their operations. Some economists estimate that up to one-third of total U.S. employment in services may ultimately be offshored (Steve Lohr, "At IBM, a Smarter Way to Outsource," The New York Times, July 5, 2007). Offshore entities often operate in developing countries such as India, China, Pakistan, the Philippines, and Vietnam. The offshoring of business processes generally takes two forms: outsourcing to an unaffiliated offshore entity (offshore outsourcing), or ownership and operation of an affiliated offshore entity (AOE). Many multinational companies have AOEs. For example, Accenture has more employees in India than in the United States; IBM is projected to have more than one-quarter of its workforce in India by 2010; and companies like General Electric, Eli Lilly, Google, and Microsoft are expanding their R&D centers in India and China (House Committee on Science and Technology, June 12, 2002). Offshoring and the Auditing Profession The potential benefits of offshoring have not been ignored by the accounting profession. In past years, several large public accounting firms began using AOEs to perform certain nonaudit procedures for their U.S.-based clients. For example, Ernst & Young uses AOE employees to prepare client tax returns (Vanessa Houlder, "E &Y Sends Compliance Work Offshore," Financial Times, July 11, 2007), and a number of accounting firms use AOEs to print documents for delivery to clients. The largest international public accounting firms have recendy begun testing the offshoring of certain auditing procedures on very large U.S. audit engagements to thei

"In dire economic times such as these, companies are scouring their internal functionalities seeking ways to run "leaner and meaner." Operations and personnel that do not ostensibly contribute to profit are at risk. And nowhere are employees more vulnerable than in New York City, the nation's center for financial services, an industry particularly devastated. Because the influence of privacy on profit is not immediately apparent, managers searching for excisable fat will doubtless be attracted to the privacy function, concluding that it makes no contribution to the bottom line. But although many view privacy solely as a legal concept, it often provides important commercial benefits. Where privacy does indeed contribute to profit, chopping away at privacy will be counterproductive, slicing off meat and bone, rather than fat. If management is not educated to this fact, the privacy function will be at unnecessary risk. There are 11 reasons why privacy may benefit the bottom line, which should be raised with management."

Rarely is the response to a new government initiative a unanimous round of "thumbs up," but so far that seems to be the case regarding yesterday's (April 9) announcement that The Defense Department and the Department of Veterans Affairs will collaborate on building an electronic database of administrative and medical information for U.S. servicemen and women. Since developing a broad electronic health records (EHRs) initiative is a prominent feature of the Obama Administration's economic stimulus plan, it makes sense to start (or at least focus) on a defined segment of the population -- current and past military personnel. But, apart from the specific technology, architecture and technical administration aspects of this program, there will be other challenges in pursuing the goal of EHRs for the military -- challenges that insurance technology executives know only too well. These include collaboration among different and sometimes competing interests (in this case, the Department of Defense (DOD) and the Department of Veterans Affairs (VA), which historically have not worked together as closely as one might imagine); and concerns about privacy and security. In fact, the ways in which the military EHRs initiative addresses the privacy issue could provide some interesting best practices (or actions to avoid) for private-sector players. "Currently, there is no comprehensive system in place that allows for a streamlined transition of health records between DOD and the VA," President Barack Obama said at yesterday's announcement, "and that results in extraordinary hardship for an awful lot of veterans who end up finding their records lost, unable to get their benefits processed in a timely fashion. And that's why I'm asking both departments to work together to define and build a seamless system of integration with a simple goal: When a member of the Armed Forces separates from the military, he or she will no longer have to walk paperwork from a DOD

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Several years ago I was helping firms prepare for their first SOX (Sarbanes-Oxley) compliance audits. Following is one of the experiences I had training corporate executives, staff and even auditors about the benefit of selling change...

I walked into the Chief Information Officer's office, not k

Do you know what your data did last night? Almost none of more than 27 million people who took the RealAge quiz realized that their personal health data was sold to drug companies, who in turned used that information for targeted e-mail marketing campaigns. There's a basic consumer protection principle at work here, and it's the concept of "unfair and deceptive" trade practices. Basically, a company shouldn't be able to say one thing and do another: sell used goods as new, lie on ingredients lists, advertise prices that aren't generally available, claim features that don't exist, and so on. RealAge's privacy policy doesn't mention anything about selling data to drug companies, but buried in its 2,400 words, it does say that "we will share your personal data with third parties to fulfill the services that you have asked us to provide to you." They maintain that when you join the website, you consent to receiving pharmaceutical company spam. But since that isn't spelled out, it's not really informed consent. That's deceptive. Cloud computing is another technology where users entrust their data to service providers. Salesforce.com, Gmail, and Google Docs are examples; your data isn't on your computer -- it's out in the "cloud" somewhere -- and you access it from your web browser. Cloud computing has significant benefits for customers and huge profit potential for providers. It's one of the fastest growing IT market segments -- 69% of Americans now use some sort of cloud computing services -- but the business is rife with shady, if not outright deceptive, advertising.

Legislation to reform the Federal Information Security Management Act of 2002 will be introduced in the Senate on Tuesday, a Senate staffer who helped draft the bill told a panel at the RSA Conference in San Francisco on Thursday. Erik Hopkins' presentation provided further evidence that the White House could assume greater control in coordinating federal government security. In the panel - The New FISMA: Security Finally Transcends Compliance - Hopkins offered a diagram illustrating the bill that showed a cyber office reporting directly to the president. Hopkins, who works for the Senate Committee on Homeland Security and Governmental Affairs, was the third federal official addressing conference attendees to suggest the White House will be given more authority in safeguarding federal government information systems. On Wednesday, Obama administration cybersecurity advisor Melissa Hathaway - who last week submitted to the president an assessment of federal cybersecurity policy - said the White House must lead federal government cybersecurity efforts. A day before, National Security Agency Director Keith Alexander said NSA would not lead the nation's cybersecurity efforts, suggesting a greater role for the White House. Hopkins said the benefits of FISMA reform includes improved coordination of security efforts, better economies of scale and greater situational awareness of security threats such as knowing where they originate and how the government will respond.

The Homeland Security Department's privacy office will hold a conference to explore the use of social media as if affects security and privacy. The "Government 2.0: Privacy and Best Practices" conference will be held June 22 to June 23 in Washington and is open to the public. The workshop is meant to help agencies use Web 2.0 technologies in ways to protect privacy and security, and to explore the best practices for implementing President Barack Obama's memo on open government that was released in January, according to a notice published in the federal register April 17. Panelists will discuss topics such as transparency and participation in government, privacy and legal concerns brought by the government's use of social media, and how the government can best use the technologies while protecting privacy rights during the conference, DHS officials said. DHS is asking for comments by June 1 on topics such as: * How the government is using social media. * The risks, benefits and operational concerns that come from government use of the technologies. * Privacy, security and legal issues raised by the government's use of social media. * Recommendations on best practices for government use of the technologies.

The Nature of the Problem Identity theft has been referred to by some as the crime of the new millennium. It can be accomplished anonymously, easily, with a variety of means, and the impact upon the victim can be devastating. Identity theft is simply the theft of identity information such as a name, date of birth, Social Security number (SSN), or a credit card number. The mundane activities of a typical consumer during the course of a regular day may provide tremendous opportunities for an identity thief: purchasing gasoline, meals, clothes, or tickets to an athletic event; renting a car, a video, or home-improvement tools; purchasing gifts or trading stock on-line; receiving mail; or taking out the garbage or recycling. Any activity in which identity information is shared or made available to others creates an opportunity for identity theft. It is estimated that identity theft has become the fastest-growing financial crime in America and perhaps the fastest-growing crime of any kind in our society. Identity Theft: Is There Another You?: Joint hearing before the House Subcomms. on Telecommunications, Trade and Consumer Protection, and on Finance and Hazardous Materials, of the Comm. on Commerce, 106th Cong. 16 (1999) (testimony of Rep. John B. Shadegg). The illegal use of identity information has increased exponentially in recent years. In fiscal year 1999 alone, the Social Security Administration (SSA) Office of Inspector General (OIG) Fraud Hotline received approximately 62,000 allegations involving SSN misuse. The widespread use of SSNs as identifiers has reduced their security and increased the likelihood that they will be the object of identity theft. The expansion and popularity of the Internet to effect commercial transactions has increased the opportunities to commit crimes involving identity theft. The expansion and popularity of the Internet to post official information for the benefit of citizens and customers has also increased opportunities to obtain

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The Federal Trade Commission today announced that it has approved a Federal Register notice seeking public comment on a proposed rule that would require entities to notify consumers when the security of their electronic health information is breached. The American Recovery and Reinvestment Act of 2009 (the Recovery Act) includes provisions to advance the use of health information technology and, at the same time, strengthen privacy and security protections for health information. Among other things, the Recovery Act recognizes that there are new types of Web-based entities that collect or handle consumers' sensitive health information. Some of these entities offer personal health records, which consumers can use as an electronic, individually controlled repository for their medical information. Others provide online applications through which consumers can track and manage different kinds of information in their personal health records. For example, consumers can connect a device such as a pedometer to their computers and upload miles traveled, heart rate, and other data into their personal health records. These innovations have the potential to provide numerous benefits for consumers, which can only be realized if they have confidence that the security and confidentiality of their health information will be maintained. To address these issues, the Recovery Act requires the Department of Health and Human Services to conduct a study and report, in consultation with the FTC, on potential privacy, security, and breach notification requirements for vendors of personal health records and related entities. This study and report must be completed by February 2010. In the interim, the Act requires the Commission to issue a temporary rule requiring these entities to notify consumers if the security of their health information is breached. The proposed rule the Commission is announcing today is the first step in implementing this requirement. In keeping with the Recover

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