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Secure email ServiceBy Business Need


Secure email Service :

CMAMedMail to enable physicians, their staff, and other healthcare providers to communicate with each other as well as with patients. This system allows all subscribers to use secure e-mail that supports open communication with all healthcare participants, while ensuring the security of personal health information (PHI) and compliance with HIPAA regulations.

This significant advance comes at a particularly opportune time. The demand for efficiency and electronic authentication is increasing in all segments of healthcare. At the same time, providers, patients, labs, pharmacies, and payors are turning to electronic communications to simplify healthcare transactions and facilitate communication. Image X has teamed with California Medical Association to offer.


At a glance :
  • An affordable and easy way to send HIPAA compliant emails and healthcare documents.
  • Easy for patients and physicians to use.
  • Send any size document or attachment with the security that it is encrypted, stamped, protected and with the absolute knowledge that it has been retrieved.
  • Send document via fax also.
  • Provides a spam and phishing/spyware solution for emails.
  • Easy access to the document/message from anywhere in the world.

Brief Description :
HIPAA is a set of sweeping federal regulations that requires health care organizations and businesses that handle confidential patient health information to simplify and standardize data exchange in an effort to protect the security, privacy and confidentiality of that information. HIPAA established a set of uniform standards for the privacy of patient health information used by health plans, hospitals, pharmacies and other covered entities. These regulations cover the electronic, oral and printed data exchange of individually identifiable health information. The HIPAA regulations are administered by
the Department of Health and Human Services (DHHS).

The core administrative and functional requirements of HIPAA establish the security and privacy standards of the HIPAA regulations. The HIPAA privacy standards section of US 45 CFR 164.530(c)(1) is the regulatory section that delineates standards of how healthcare organizations will protect individually identifiable health information. The standards, known as The Privacy Rule, spell out these administrative safeguards standards. This section's safeguard standards establish that "a covered entity must have in place appropriate administrative, technical, and physical safeguards to protect the privacy of protected health information". The key word in the rule is "appropriate", which allows the covered entity to define appropriateness for itself, within reason. Neither HIPAA nor the US DHHS define appropriateness because there is no one size fits all measure. The appropriateness of any safeguard standard is viewed as relative to the size, nature, and capacity of each business. Therefore, adherence to The Privacy Rule safeguard standards is relative. Technical Safeguards section of the HIPAA security standards established in US 45 CFR 164.312. The standards, also referred to as the Security Rule, established five security standards for electronic protected health information (EPHI) protection; access control (unique user identification, emergency access, automatic logoff, and encryption), audit controls, integrity, authentication, and transmission security.

The legal risk is simply a reflection of the underlying technical risk. If the e-mail messages are being transmitted without any encryption or policy based filtering then intercepting PHI is not a difficult task. A mail message bound for an external client may cross 3, 5, 10 or more Internet Service Providers (ISPs) or mail relay systems before it reaches its final destination. Anyone with administrative access at any of these relay points could intercept and then view, edit, or copy the message prior to final delivery. Thankfully, the vast majority of ISP administrators do not intercept email messages. The more nefarious scenario is that of the computer hacker. Computer hackers can also intercept electronic transmissions. Hackers commonly employ a tool called a packet sniffer, which can monitor and intercept data on almost any TCP/IP based network. A hacker could configure a packet sniffer to silently intercept information as it traverses one of theses relay points, the destination network or any unsecured device involved with the transmission. Although e-mail interception and packet sniffing are not something that most administrators encourage or allow, it does happen. Because it does happen, we should understand that transmitting unsecured e-mail messages is inherently trusting in the kindness and security effectiveness of strangers.

CMAMedMAIL has been designed to incorporate all of the requirements of HIPAA regulations by providing a means of exchanging healthcare information between healthcare providers, health plans, and healthcare clearinghouses and, any business associates working on behalf of a covered entity such as accountants, auditors, attorneys, and consultants in a secure fashion.


Features :
  • Archiving every mail and attached documents using the proven MINDS system, which has been used by courts and organizations since 1990 to archive legal and protected documents.
  • Converting and stamping of every document authenticating the data of receipt and providing the information to sender and receiver about the status of message as it travels from sender to receiver.
  • Generating complete reports that provide who, when and from where documents are accessed.
  • Providing firewall and encryption at server level.
  • Interfacing to popular mail server software to provide a means of converting and stamping all documents from any persons that are sending documents using normal E-mail system.
  • Incorporates Web based faxing which can be used to distribute, day sheets, transcriptions and other protected information by organizations that use Fax machines. Fax machines are generally not considered HIPAA compliant but by converting these faxes to protected e mail, CMAMEDMAIL provides a means of making these fax transmissions HIPAA compliant.
  • Uses SQL database to provide secure login and password-based access to authenticate users, and data backup and storage systems to ensure system continuity and recovery.
  • CMAMedMAIL-IDS and Mail-Firewall have security features designed to detect suspicious internal computer user behavior and thwart subversive attacks, including the ability to automatically detect and respond to e-mail anomalies; generate log files and reports that are useful for audit trails.
  • Detects malicious code including viruses, worms, and Trojan horse applications.
  • Customizable policies, alerts, and notifications for handling messages containing malicious Code.

Spam and Phishing?
Although HIPAA does not specifically mandate protection against unsolicited commercial emails, spam can certainly pose a threat to PHI. For example, spam could be used to perform a social engineering or phishing attack against PHI by coercing an otherwise innocent user to unintentionally or inadvertently forward PHI to an unreliable source. Additionally, spam could either contain malicious code or direct a user’s e-mail application to a website that executes malicious code. These types of threats can easily compromise PHI within the enterprise. CMAMedMAIL’s anti-spamming and anti-phishing features protect against these vulnerabilities at the network border helping to prevent them from ever reaching the mail server or the end user. David Ginsberg, president of PrivaPlan Associates Inc., a leading solutions provider for HIPAA compliance, believes that “it provides an easy to use and secure system that can be adopted by even the smallest health care providers; this same ease of use makes it an ideal solution for secure patient communication. HIPAA solutions that are hard to implement or use face barriers to adoption that lessen their effectiveness. We believe CMAMedMAIL addresses these barriers. Thus we believe that CMAMedMAIL will provide solutions for the entire spectrum of covered entities under HIPAA such as health care providers (both ambulatory and institutional), clearinghouses and health plans, and their respective business associates. The unique offering of CMAMedMAIL as either an ASP model or a client/server model (that in turn can be used as a local ASP) should appeal to institutional providers as well as provide a solution set for the rapidly emerging connected healthcare community market which encompasses the federal mandate for a personal health record. One of CMAMEDMAIL’s unique features is the secure archiving of relevant documents. Typical electronic health care email transactions include document or image transmission as well.
CMAMedMAIL’s use of the Image X date stamp system should provide value to many different trading partners. The use of industry standard MS SQL databases and appropriate internal access and authentication controls along with encryption should also provide assurances of compliance with the emerging identity theft regulations. We understand that CMAMedMAIL will interface with popular email server software and can operate compatibly with MS Exchange server. This should further strengthen its appeal.”


Conclusion :
HIPAA compliance is seen by many healthcare organizations as a difficult hurdle to overcome. In addition, the healthcare industry’s growing dependence on e-mail as a mission critical application requires security and privacy to be a top priority. Due to the sensitive and highly proprietary nature of the healthcare industry, our ability to give professionals the peace of mind they need to be able to concentrate on their vital day-to-day responsibilities without having to worry about patient privacy or compliance is invaluable. CMAMedMAIL provides an easy to use secure and economical solution than any other HIPAA compliant email solution. The technology allows its participants to leverage Internet e-mail communication in a way that is not only secure, but also complies with the level of auditing and encryption recommended in the Health Insurance Portability and Accountability Act of 1996. CMAMedMAIL provides an elegant and technologically superior solution that allows healthcare users to extend the convenience of sending sensitive medical correspondence knowing it will not be intercepted - ever!
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