The Charlotte Observer

Patients allege Atrium Health violated their privacy

- BY JULIA COIN jcoin@charlotteo­bserver.com Julia Coin: 7042189350 , @juliamcoin

A class-action lawsuit filed in North Carolina accuses Atrium Health of allowing Facebook and Google to access patient informatio­n online to use in targeted ads.

The plaintiffs, identified only as North Carolinare­sident J.S. and Michigan-citizen J.R., allege they received spam mail and Facebook ads related to their medical conditions after sharing informatio­n with Atrium.

Facebook’s Meta Pixel, a free piece of code that can be installed on websites, intercepte­d private informatio­n on Atrium’s website in violation of federal law, the lawsuit alleges. It was filed

Wednesday in the U.S. District Court for the Western District of North Carolina.

Atrium is a Charlotteb­ased healthcare organizati­on with seven emergency department­s, 40 hospitals, and 1,400 other care locations across North Carolina, South Carolina, Georgia and Alabama, according to its website. It sees about 34,000 patients a day, the lawsuit says. It is part of Advocate Health, the third-largest nonprofit health system in the United States.

“No protected health informatio­n is shared with common consumer platforms, such as Facebook,” Atrium Health spokespers­on Dan Fogleman wrote in a statement. “Atrium Health patients are directed to secure, confidenti­al portals where informatio­n is shared only with their care teams.”

Screenshot­s filed with the federal lawsuit show how Pixel collected informatio­n by following the plaintiffs’ searches for pulmonolog­y, neurology, radiology and emergency department­s, as well as COVID testing locations and alcohol-rehab centers. The plaintiffs allege they first discovered misconduct in June 2022.

J.R. — an Atrium patient of nearly 20 years — alleges that Facebook and other social media started to push medication and prescripti­on ads into her feed after she submitted “protected health informatio­n,” including specific symptoms and treatments, to Atrium.

Pixel followed search activity on Atrium’s website before patients logged in to their portal, the lawsuit alleges.

“The full scope of [Atrium’s] intercepti­ons and disclosure­s of … communicat­ions to Meta can only be determined through formal discovery,” says the new lawsuit.

The lawsuit indicates Atrium removed Pixel “following a wave of negative press and litigation against other healthcare companies for the same unlawful activities.”

A 2022 investigat­ion by nonprofit newsroom The Markup named North Carolina’s Atrium Health Carolinas Medical Center, Duke University Hospital, Novant Health and WakeMed. The Markup found that 33 of the top 100 hospitals in America use the Meta Pixel.

Also in 2022, Meta was sued in the Northern District of California after a Facebook user began receiving targeted ads for heart and knee conditions she entered in her private patient portal at the University of California, San Francisco Medical Center.

Atrium’s actions, according to the lawsuit, violated those patients’ expectatio­ns of privacy and constitute­d “criminal conduct.”

On its website, Atrium says it uses “cookies and similar technology” to connect patients with more informatio­n about services.

“Our advertiser­s may display targeted advertisem­ents when you visit third party websites and social networks based on your previous interactio­ns with our Sites as tracked by cookies and similar technologi­es,” the website reads. “This process also helps us understand the effectiven­ess of our content and marketing efforts.”

Atrium’s spokespers­on said the hospital network would reserve additional comment for its response to the lawsuit, but, he added, a “nearly identical case” was previously filed against Atrium Health.

“The plaintiffs voluntaril­y withdrew their case after reviewing the facts about Atrium Health’s patient health portal safeguards in our request for the court to dismiss the case. Ultimately, they recognized that their case was unlikely to succeed,” Fogleman wrote in a statement.

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