San Antonio Express-News

MD Anderson penalized $4.3M for data breach

- By Jenny Deam STAFF WRITER

A federal judge imposed a $4.3 million fine against the University of Texas MD Anderson Cancer Center for failing to secure health records which led to the possible compromise of health records of 35,000 people, the U.S. Department of Health and Human Service announced Monday.

The case stems from three incidents in 2012 and 2013 when an employee’s laptop was stolen at a residence and two unencrypte­d two thumb drives went missing.

The judge in the case found MD Anderson’s slow imple-

mentation of security measures “shocking.”

MD Anderson’s failure to encrypt health records was a violation of of the Health Insurance Portabilit­y and Accountabi­lity Act, the 1996 rule known as HIPAA put in place to protect patient privacy, according to the ruling from a HHS administra­tive law judge. The judge granted summary judgment to the Office for Civil Rights.

It is the fourth largest amount ever awarded to the Office of Civil Rights for a HIPAA violation, the government said.

“We are disappoint­ed by the ALJ’s ruling and we are concerned that key exhibits and arguments were not considered,” MD Anderson officials said Tuesday in an emailed statement to the Chronicle.

“In all three cases involving the loss or theft of devices reviewed by the Administra­tive Law Judge, there is no evidence any patient informatio­n was viewed or any harm to patients was caused,” the statement continued.

A spokesman for the nationally-acclaimed cancer center added it planned to appeal and that there would be no further comment.

HIPAA, signed into law by President Bill Clinton, establishe­d the first nationally-recognizab­le regulation­s for the use and disclosure of an individual’s health informatio­n.

The Office of Civil Rights launched an investigat­ion following the three breaches and found that MD Anderson had, in fact, written encryption policies dating as far back back to 2006.

The cancer center’s own risk analyses found that a lack of protection could pose a high risk to patient privacy. However, MD Anderson did not begin to adopt full scale processes to implement encryption of patient health records until 2011, the government said.

Even then the center did not fully encrypt all of its devices between March 2011 and January 2013, according to the case. It was during that time that the breaches occurred. MD Anderson has argued that it was not subject to encryption requiremen­ts because the electronic patient health informatio­n involved was being used for “research.”

The cancer center also has argued that the penalties were unreasonab­le, the government statement said.

The judge rejected those arguments and said that MD Anderson’s “dilatory conduct is shocking given the high risk to its patients.”

“The OCR is serious about protecting health informatio­n privacy and will pursue litigation, if necessary, to hold entities responsibl­e for HIPAA violations,” Roger Severino, director of the Office of Civil Rights, said in a statement.

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