Email remains one of the most commonly used communication tools in healthcare, but it is also a major target for cyberattacks. A single email mishap can lead to the exposure of protected health information (PHI), resulting in HIPAA violations, financial penalties, and reputational damage. This is why HIPAA compliant email practices must be a component of any healthcare cybersecurity training program.
Email use in healthcare
Jennie C De Gagne states in her study that “email is ubiquitous in education and health care, where it is used for student-to-teacher, provider-to-provider, and patient-to-provider communications, but not all students, faculty members, and health professionals are skilled in its use.” To mitigate risks associated with the improper use of email, organizations must provide HIPAA email training
Components of HIPAA compliant email training
- Encryption for secure communication: HIPAA requires that PHI be safeguarded at all times, including during email transmission. Organizations should implement email encryption to ensure that PHI is protected both in transit and at rest. Employees must be trained on how to use secure email platforms and when encryption is required before sending emails containing sensitive data.
- Access controls and authentication: Unauthorized access to email accounts is a significant cybersecurity risk. Organizations should enforce multi-factor authentication (MFA) to add an extra layer of security. Employees must also be educated on best practices for creating strong passwords and the importance of not sharing login credentials.
- Phishing awareness and prevention: Cybercriminals often disguise emails as legitimate requests to steal sensitive information. Training should include identifying suspicious emails, verifying unknown senders, and avoiding clicking on unverified links or attachments. Simulated phishing exercises can further help employees recognize and respond to such threats effectively.
- Email retention and auditing: HIPAA requires organizations to implement policies for storing and disposing of PHI-containing emails. Employees should understand the proper procedures for email retention and deletion. Additionally, regular audits of email logs should be conducted to detect any unauthorized access or breaches.
- The Minimum Necessary Standard: To reduce risk, HIPAA mandates that healthcare personnel share only the minimum amount of PHI required for a specific task. Employees should be trained to limit PHI disclosures and avoid including sensitive information in subject lines or unsecured attachments.
- Business associate agreements (BAAs): Third-party email providers must sign BAAs to confirm their compliance with HIPAA regulations. Training should emphasize why using HIPAA compliant email solutions like Paubox is best.
- Incident response and reporting: In the event of a suspected breach, employees must know how to report it immediately. An established incident response plan can minimize damage and ensure regulatory compliance.
FAQs
What are the risks associated with email use in healthcare?
Some common risks include:
- Phishing attacks, where hackers impersonate trusted entities to steal data.
- Unauthorized access due to weak passwords or lack of multi-factor authentication (MFA).
- Improper email retention, leading to accidental PHI exposure.
- Sending unencrypted PHI, which could result in data breaches.
What is HIPAA compliant email?
HIPAA compliant email refers to email communication that adheres to HIPAA regulations, ensuring the protection of PHI through encryption, secure access, and other security measures.
How often should HIPAA email security training be conducted?
Organizations should provide ongoing training, including annual refreshers and periodic phishing simulations, to keep employees informed of best practices and emerging threats.