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Forwarded from: Marc Maiffret <marc (at) marcmaiffret.com>



It is always funny when you hear about organizations, as critical as

medical or finance, still depending on the honor system for security.

Those lovely employee security handbooks that are to put to paper what

you could enforce through technology. But of course there is the old

tired excuse that it costs too much and is too complex to do proactive

enforcement rather than reactive policing. It is in fact true that

reactive policing is cheaper when there is no incident, but much more

costly when there is. Whether, as in this case, it be the immeasurable

loss due to negative publicly or HR and related costs of having to now

fire, hire and train new employees.



You also have to wonder whether it is only the ability to view our

medical records that is based on the honor system, or also the ability

to modify them.



-Marc Maiffret





P.S. The "quick fix" (ha!) of course, add an actually useful requirement

to all this regulation garbage that goes beyond "You will use

anti-virus" to "Your medical record system should provide mandatory

access control to patient records" bla bla bla





-----Original Message-----



http://www.mtv.com/news/articles/1583480/20080314/spears_britney.jhtml



By Larry Carroll

MTV News

March 14, 2008



LOS ANGELES -- In the song "Leave Me Alone," imperiled pop star Britney

Spears sang, "Leave me alone/ Let me live my life in peace." Now, she

might want to sing those words to the medical workers on duty during her

most recent hospital stay.



The Los Angeles Times is reporting that the UCLA Medical Center has

launched an investigation into some 25 employees who peeked at the

singer's confidential medical records during her late January/ early

February stay in the psychiatric ward. This week, the hospital began the

process of firing 13 employees, has suspended at least six more, and is

considering discipline against six other physicians who looked at her

computerized records.



"It's not only surprising," human resources director Jeri Simpson told

the paper, adding that similar firings also followed Spears' 2005 stay,

when she gave birth to her first child, Sean Preston. "It's very

frustrating, and it's very disappointing.



"I feel like we do everything that we possibly can to ensure the privacy

of our patients, and I know we feel horrible that it happened again,"

Simpson added, offering an apology to Spears. "I don't know what it is

about this particular person."



UCLA confirmed that, in an attempt to keep this breach of ethics from

occurring, officials had sent out a memo on the morning Spears was

hospitalized. The memo reminded employees that they were only allowed to

view their own patients' records and that doing otherwise violated a

federal patient-privacy law called the Health Insurance Portability and

Accountability Act.



"Each member of our workforce, which includes our physicians, faculty,

employees, volunteers and students, is responsible to ensure that

medical information is only accessed as required for treatment, for

facilitating payment of a claim, or for supporting our healthcare

operations," the memo read. "Please remember that any unauthorized

access by a workforce member will be subject to disciplinary action,

which could include termination."



[...]





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