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"UC San Francisco said late Tuesday it has alerted 600 patients and others that an external hacker may have obtained "temporary access to emails containing their personal information" as a result of a late September phishing scam. The breach occurred about three months ago, and was investigated in mid-October, but wasn't disclosed to the public until Dec. 15. Corinna Kaarlela, UCSF's news director, told the San Francisco Business Times late Tuesday that individuals whose data may have been compromised were notified between Oct. 21, when an in-depth investigation began, and Dec. 11, when it was completed. UCSF said Tuesday that an unnamed faculty physician in the School of Medicine was victimized in late September by the alleged scam. The physician provided a user name and password in response to an email message fabricated by a hacker, that appeared as if it came from those responsible for upgrading security on UCSF internal computer servers. UCSF's Enterprise Information Security unit subsequently identified the breach and disabled the compromised password. UCSF says it conducted an investigation and in mid-October determined that emails in the physician's account ─ including some containing demographic and clinical information and, in a few cases, Social Security numbers ─ may have been exposed."

Industry Insiders Discuss HIT and HIPAA Issues March 30, 2009 by Astrid Fiano, Writer A significant part of President Obama's health care reform agenda is the push for implementing more health care technology. In the health care field privacy is always a major concern, and was the impetus of the Health Insurance Portability and Accountability Act of 1996--protecting the privacy of individually identifiable health information in all formats, and the confidentiality provisions of the Patient Safety Act--protecting identifiable information being used to analyze patient safety events. So those in the health care industry now wonder will the Administration's focus on health IT (HIT) present more challenges to privacy concerns? As part of a continuing focus on HIT issues, DOTmed interviewed industry expert Kirk J. Nahra, a partner in the Washington D.C. legal firm of Wiley Rein LLP, specializing in privacy and information security for the health care and insurance industries, and named an expert practitioner by the Guide to the Leading U.S. Healthcare Lawyers. DOTmed also interviewed Lise Rauzi, Vice President, Training Development, for Health Care Compliance Strategies (HCCS). HCCS provides online training compliance for employees. Nahra notes that regardless of the rising concern over privacy and the new HIT legislation, there have already been formal HIPAA security rules on electronic information in place for several years--the health care industry compliance has just been inconsistent. The problem -- to the extent there is one -- is that HIPAA rules are process-oriented, Nahra explained. The rules don't tell an entity what to do, but rather what to evaluate--a standard set of questions, but without a standard set of answers. For example, a covered entity has to have an internal audit, but the rules do not tell the entity how best to carry out that internal audit. Not surprisingly, different businesses have different ideas on how to implement their HIPAA evaluations

Raises some realistic questions about the American approach to privacy law & regulation. Unfortunately, the article tends to point at the misapplication of laws more heavily than offering the reader an account of the abuses that led us to where we are now. Businesses & government, including the medical industry, freely shared details - or spied on Americans with impunity for decades. The article reminds us that work needs to continue to balance our approach. A Federal law, that sets a floor for privacy requirements, could help reduce conflicting requirements caused by almost every state writing seperate laws because there was a lack of leadership from Washington. American privacy regulations are implemented sectorally - at the industry or State level for example. This leads to many different, and conflicting laws. Privacy is a difficult subject with complex considerations touching aspects of life that have not been questioned for years. This article provides more con than balance, but it reminds us that extreme positions rarely serve anyone well.

Special interest groups and lawyers claim they are defenders of individual privacy. But all that red tape is causing more harm to consumers than good. In a world of tight budgets and sacrificed programs, one sector has continued to grow with the speed and choking effectiveness of kudzu: regulations around privacy. More than 300 privacy-related laws are on the books, in both Washington, D.C. and state capitals. Privacy-related consulting services provided by law and accounting firms are a $500-million-a-year business and have been growing at double digits.

The statement did not indicate whether the information was paper-based or downloaded electronic information, and hospital officials were not immediately available for comment. The information likely was paper-based because "it appears the patients impacted by the incident were limited to individuals born between 1988 and 1992," according to the statement.