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Contactless smart cards and HIPAA

Written by Tshedimoso Makhene | August 15, 2024

Contactless smart cards are a way to authenticate access to a system or network by using a physical card equipped with an embedded microchip and antenna. These cards can simplify the process of authenticating individuals and providing them access to private information, like PHI. 

 

Contactless smart cards

Contactless smart cards are physical cards embedded with a microprocessor or memory chip and an antenna. Unlike traditional cards that require physical contact with a reader, contactless smart cards use radio frequency (RF) technology to communicate with a reader. These cards can allow for quick and seamless data exchange, making them ideal for applications where speed and convenience are critical.

 

Key components

  • Integrated circuit (IC) chip: Stores and processes data.
  • Antenna: Facilitates communication with the reader via RF signals.
  • Card reader: A device that emits RF signals and receives data from the smart card.
  • Backend system: A server or database that verifies the cardholder’s credentials.

See also: HIPAA Compliant Email: The Definitive Guide

 

How does contactless smart card authentication work?

The authentication process using contactless smart cards is a blend of advanced technology and secure data handling. Here’s a step-by-step breakdown:

  • Card presence: The user brings the contactless smart card within proximity of a card reader. Depending on the system, this range can vary from a few centimeters to a few meters.
  • RF communication: The card reader emits an RF signal that is received by the card’s antenna. This signal powers the card's chip, enabling it to communicate with the reader.
  • Data exchange: Once powered, the card’s chip generates and sends a unique identifier and possibly other encrypted credentials to the reader.
  • Verification: The reader transmits the received data to a backend system, which cross-references the credentials with stored data in a secure database.
  • Authentication: If the credentials are verified, the backend system grants the requested access or completes the transaction. If the verification fails, access is denied, and the system may trigger an alert.

 

Security features of contactless smart card authentication

One of the primary advantages of contactless smart card technology is its enhanced security compared to traditional magnetic stripe cards. Below are some key security features:

  • Encryption: Data transmitted between the smart card and the reader is often encrypted, making it difficult for unauthorized parties to intercept and decipher the information.
  • Mutual authentication: This feature ensures that the card and the reader verify each other’s authenticity before allowing the data exchange.
  • Dynamic data: Instead of using static data, which can be vulnerable to replay attacks, some systems employ dynamic data, or authentication measures that frequently change. For instance, one-time passwords (OTPs) or cryptographic tokens change with each transaction, further enhancing security.
  • Secure element: Some contactless smart cards include a secure element—a tamper-resistant hardware component that securely hosts applications and stores sensitive data.

 

How contactless smart card authentication aligns with HIPAA requirements

Contactless smart cards are a highly effective tool for secure authentication, offering a combination of ease of use and strong security measures. Here’s how they align with HIPAA requirements:

 

Physical safeguards

  • Access control: Contactless smart cards can be used to control physical access to facilities where ePHI is stored. Only authorized personnel with a valid card can access restricted areas, helping to prevent unauthorized entry.
  • Secure facility access: The contactless nature of these cards means they don’t need to be inserted into a reader, reducing the risk of physical damage and ensuring quick, reliable access even in high-traffic environments.

Learn more: What physical safeguards are required by HIPAA?

 

Technical safeguards

  • Unique user identification: Contactless smart cards can store unique identifiers tied to individual users, ensuring that only authorized personnel can access specific information.
  • Encryption and data integrity: Contactless smart cards often use encryption to protect the data transmitted between the card and the reader, aligning with HIPAA’s requirement to protect ePHI from unauthorized access or tampering during transmission.
  • Automatic logoff: A contactless smart card can be integrated with systems to log out users after a period of inactivity or when the card is removed, helping to secure unattended workstations.

Learn more: A deep dive into HIPAA's technical safeguards

 

Administrative safeguards

  • Workforce authentication: Contactless smart cards can be part of a multi-factor authentication (MFA) process, combining something the user has (the card) with something the user knows (a PIN) or something the user is (biometric verification). This layered approach to authentication supports HIPAA's administrative safeguard requirements.
  • Audit controls: Systems using contactless smart cards can automatically log access attempts, providing an audit trail that helps in monitoring who accessed ePHI and when supporting compliance with HIPAA's audit control requirements.

Learn more: What are administrative safeguards standards?

 

FAQs

What happens if a contactless smart card is lost or stolen?

If a contactless smart card is lost or stolen, it should be reported to the security or IT department. The card can then be deactivated to prevent unauthorized access. A new card can be issued to the user after verifying their identity. 

 

Are contactless smart cards compatible with existing healthcare IT systems?

Cards can be integrated with healthcare IT systems, including electronic health record (EHR) systems, access control systems, and network security systems. Organizations must ensure that the cards and readers are compatible with the organization's infrastructure and adhere to relevant standards.