Report reveals vulnerability of electronic medical records

? The nation’s push to computerize medical records has failed to fully address longstanding security gaps that expose patients’ most sensitive information to hackers and snoops, government investigators warn.

Two reports released today by the inspector general of the Health and Human Services Department find that the drive to connect hospitals and doctors so they can share patient data electronically is being layered on a system that already has glaring privacy problems. Connecting it up could open new pathways for hackers, investigators say.

The market for illicit health care information is booming. In recent years, the case of a former UCLA Medical Center worker who sold details from the files of actress Farah Fawcett, singer Britney Spears and others to the National Enquirer gained notoriety.

Most cases don’t involve celebrities or get much attention. Yet fraudsters covet health care records, since they contain identifiers such as names, birth dates and Social Security numbers that can be used to construct a false identity or send Medicare bogus bills.

The shortcomings in the system “need to be addressed to ensure a secure environment for health data,” said the main report, adding that the findings “raise concern” about the effectiveness of security safeguards for personal health care information.

President Barack Obama has set a goal for every American to have a secure electronic health record by 2014. Eventually, hospitals and doctors would be able to share instantly patients’ clinical information online. That could prevent life-threatening medical mistakes like giving a patient unconscious in the emergency room a drug to which he’s allergic. It could also save money by cutting duplicative lab tests and scans.

Auditors for the inspector general did find that the government agency leading the push for electronic records has put in place some requirements for safely transmitting computerized medical data.

However, that same agency has not issued general security requirements for the computer systems at hospitals and doctors’ offices, systems on which the information would be created, shared and stored. It’s a little like putting a big lock on the front door of the house, but leaving the garage door open.

To underscore the point, the second audit examined computer security at seven large hospitals in different states and found 151 security vulnerabilities, from ineffective wireless encryption to a taped-over door lock on a room used for data storage. The auditors classified 4 out of 5 of the weaknesses uncovered as “high impact,” meaning they could result in costly losses, even injury and death.

The government is offering rewards and penalties to encourage hospitals and doctors’ offices to adopt electronic medical records. Incentive payments could total as much as $27 billion over 10 years. Providers who insist on clinging to paper records will eventually face cuts in Medicare payments.