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	<itunes:summary>Strategies and techniques of profitable medical practices to take yours to the next level. Featuring expert guidance in electronic medical records, finance, administration and legal issues.</itunes:summary>
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		<title>Why Medical Practices Can&#039;t Use GMail</title>
		<link>http://www.medicalpracticetrends.com/2009/08/02/hitech-privacy/</link>
		<comments>http://www.medicalpracticetrends.com/2009/08/02/hitech-privacy/#comments</comments>
		<pubDate>Sun, 02 Aug 2009 22:30:00 +0000</pubDate>
		<dc:creator>Peter Polack</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[EHR]]></category>
		<category><![CDATA[EMR]]></category>
		<category><![CDATA[HIPAA]]></category>
		<category><![CDATA[HITECH]]></category>
		<category><![CDATA[subtitle d]]></category>

		<guid isPermaLink="false">http://www.medicalpracticetrends.com/?p=703</guid>
		<description><![CDATA[Much of the new regulatory information coming out of Washington is getting increasingly more difficult to translate into English. I was recently asked whether a medical practice could use Google&#8217;s free email service GMail instead of spending money on a mail server and its associated server software. After checking with our own head of IT, [...]]]></description>
			<content:encoded><![CDATA[<p>Much of the new regulatory information coming out of Washington is <a href=http://evitontest.info/wp/wp-content/uploads/2009/08/email-envelope1.jpg><img  src="http://evitontest.info/wp/wp-content/uploads/2009/08/email-envelope1.jpg" alt="email-envelope.jpg" style="padding: 0pt 0pt 1em 1em; float: right; display: inline" class="articleimage" width="230" /></a> getting increasingly more difficult to translate into English. I was recently asked whether a medical practice could use Google&#8217;s free email service GMail instead of spending money on a mail server and its associated server software. After checking with our own head of IT, I discovered it is a bit more complicated than just picking where you want to store your emails.</p>
<p>Buried deep within the <a title="HITECH Act" href="http://waysandmeans.house.gov/media/pdf/110/hit2.pdf" target="_blank">HITECH</a> (Health Information Technology for Clinical and Health) Act&#8217;s Sub-Title D is the language on privacy directly related to <a title="HIPAA" href="http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/index.html" target="_blank">HIPAA</a> (Health Insurance Portability and Accountability Act). Since most of us (health care providers) are considered &#8220;covered entities&#8221;, we must ensure that not only our employees and staff abide by these rules but our &#8220;associates&#8221; do as well.</p>
<p>If we started using GMail for our practice&#8217;s communication, there would be patient information located on Google&#8217;s mail servers and Google would, in fact, be considered one of our associates. This would require entering into a Business Associate Contract with Google, Inc. What do you think the chances are of Google, or a similar technology firm, signing a confidentiality agreement with perhaps thousands of medical practices across the country? I thought so.</p>
<p><a title="Digital Business Law Group" href="http://www.digitalbusinesslawgroup.com/" target="_blank">Digital Business Law Group</a> has an <a title="HITECH Privacy Section" href="http://www.digitalbusinesslawgroup.com/HITECH_SubtitleD_Privacy.pdf" target="_blank">analysis</a> of the language found in HITECH&#8217;s Sub-Title D &#8211; Privacy section that makes it a bit easier to comprehend.</p>
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<p><small>© Emedikon LLC for <a href="http://www.medicalpracticetrends.com">Medical Practice Trends</a>, 2009. |
<a href="http://www.medicalpracticetrends.com/2009/08/02/hitech-privacy/">Permalink</a> |
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Post tags: <a href="http://www.medicalpracticetrends.com/tag/ehr/" rel="tag">EHR</a>, <a href="http://www.medicalpracticetrends.com/tag/emr/" rel="tag">EMR</a>, <a href="http://www.medicalpracticetrends.com/tag/hipaa/" rel="tag">HIPAA</a>, <a href="http://www.medicalpracticetrends.com/tag/hitech/" rel="tag">HITECH</a>, <a href="http://www.medicalpracticetrends.com/tag/subtitle-d/" rel="tag">subtitle d</a><br/>
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		<itunes:subtitle>Much of the new regulatory information coming out of Washington is  getting increasingly more difficult to translate into English. I was recently asked whether a medical practice could use Google&#039;s free email service GMail instead of spending money on ...</itunes:subtitle>
		<itunes:summary>Much of the new regulatory information coming out of Washington is (http://evitontest.info/wp/wp-content/uploads/2009/08/email-envelope1.jpg) getting increasingly more difficult to translate into English. I was recently asked whether a medical practice could use Google&#039;s free email service GMail instead of spending money on a mail server and its associated server software. After checking with our own head of IT, I discovered it is a bit more complicated than just picking where you want to store your emails.

Buried deep within the HITECH (http://waysandmeans.house.gov/media/pdf/110/hit2.pdf) (Health Information Technology for Clinical and Health) Act&#039;s Sub-Title D is the language on privacy directly related to HIPAA (http://www.hhs.gov/ocr/privacy/hipaa/understanding/coveredentities/index.html) (Health Insurance Portability and Accountability Act). Since most of us (health care providers) are considered &quot;covered entities&quot;, we must ensure that not only our employees and staff abide by these rules but our &quot;associates&quot; do as well.

If we started using GMail for our practice&#039;s communication, there would be patient information located on Google&#039;s mail servers and Google would, in fact, be considered one of our associates. This would require entering into a Business Associate Contract with Google, Inc. What do you think the chances are of Google, or a similar technology firm, signing a confidentiality agreement with perhaps thousands of medical practices across the country? I thought so.

Digital Business Law Group (http://www.digitalbusinesslawgroup.com/) has an analysis (http://www.digitalbusinesslawgroup.com/HITECH_SubtitleD_Privacy.pdf) of the language found in HITECH&#039;s Sub-Title D - Privacy section that makes it a bit easier to comprehend.</itunes:summary>
		<itunes:author>MedicalPracticeTrends.com</itunes:author>
		<itunes:explicit>clean</itunes:explicit>
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