Paubox blog: HIPAA compliant email made easy

HIPAA requirements for email consent management

Written by Liyanda Tembani | January 15, 2025

HIPAA requires explicit patient authorization for email communication involving protected health information (PHI) to ensure patients acknowledge the risks of unencrypted emails. Patients can and can revoke consent anytime. Covered entities must document and retain this authorization for six years. HIPAA recommends safeguards like encryption services, strong passwords, and access controls.

 

HIPAA and email communication

HIPAA sets the standards for protecting patient information, specifically PHI. PHI includes any health information that can identify a patient, such as medical records, billing information, and any other personal health details. HIPAA's Privacy Rule mandates that PHI be protected to ensure patient confidentiality. According to the HHS, "A major goal of the Privacy Rule is to assure that individuals' health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being.".

While email is a convenient and efficient communication method, unencrypted emails can be intercepted during transmission, leading to unauthorized access and potential breaches of sensitive information. Because of these risks, HIPAA emphasizes the need for covered entities to implement appropriate safeguards when using email to communicate PHI. Organizations must obtain explicit patient consent, educate patients about communication risks, and use HIPAA compliant email platforms and other security measures to protect PHI.

 

The HIPAA framework for consent management

1. Obtaining authorization

HIPAA requires explicit patient authorization for email communication involving PHI. In a recent letter with new guidance on informed consent, the HHS stated, ”Informed consent is the law and essential to maintaining trust in the patient-provider relationship and respecting patients’ autonomy.”

Authorization can be obtained through various methods:

  • Online forms: Convenient for digital-savvy patients. Ensure that you are using HIPAA compliant forms that are easily accessible.
  • Paper forms: This traditional method is preferred by some patients. Keep these forms available in clinical settings.
  • Verbal consent: This can be obtained during patient intake and must be documented in their record. Ensure staff are trained to capture this accurately.

 

2. Content and maintenance of authorization

A valid authorization form should include a clear statement of the patient’s consent to email communication, an acknowledgment of the risks of unencrypted email, and information on the right to revoke consent and the process to do so. A comprehensive explanation helps patients make informed decisions, and providing sample language ensures consistency across communications.

HIPAA mandates that authorization records be retained for at least six years from the date of creation or last effective date. These records should be organized and secure, stored in a manner that ensures their security and easy retrieval for audits or inspections.

Related: How to develop a HIPAA compliant authorization form

 

3. Opt-out mechanisms

Part of HIPAA's framework for consent management involves ensuring patients have a straightforward way to opt out of email communication, aligning with HIPAA's emphasis on patient autonomy and control over their PHI. Patients should have options to manage their preferences regarding communication methods, including opting out of email if they prefer alternative channels. This ensures patients can choose the communication method that suits their privacy needs. Options for opting out of email communication could include a checkbox on consent forms, an opt-out link in each email, or direct contact with the privacy officer, providing patients with accessible avenues to express their preferences and maintain control over their PHI.

 

Practical steps for healthcare organizations

  • Designing consent forms: Create comprehensive and compliant consent forms that include risk acknowledgments, clear statements of consent, and instructions for revoking consent. 
  • Communication templates: Develop templates for patient communications that include risk disclosures and consent information.
  • Regular updates and patient re-education: Periodically update patients about email communication risks and reaffirm their consent through annual notices reminding patients of the risks and confirming their consent preferences. 

 

FAQs

Are there HIPAA requirements for patient consent documentation?

HIPAA requires that patient consent for email communication involving PHI be documented and retained by healthcare organizations. This documentation should include details of the consent process, acknowledgment of risks, and the patient's right to revoke consent.

 

Does HIPAA require healthcare organizations to inform patients about potential data breaches in email communication?

HIPAA's breach notification rule requires healthcare organizations to inform patients about data breaches involving their PHI, including those that occur through email communication.

 

Can healthcare organizations use email communication to obtain informed consent for medical procedures under HIPAA?

Healthcare organizations can use email communication to obtain informed consent for medical procedures under HIPAA, provided that patients have explicitly consented to email communication and acknowledged the associated risks.