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    o365 and HIPAA information between two different agencies

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    • DashrenderD
      Dashrender
      last edited by

      I was serious, didn't know if there was something I was missing.

      As for HIPAA compliance, we are soon going to be turning on the ability to only send if the receiver accepts TLS, otherwise can't send to you.

      Incoming doesn't matter so it will remain opportunistic, as it's the senders responsibility to ensure encryption exists, not the receiver.

      scottalanmillerS 1 Reply Last reply Reply Quote 1
      • BRRABillB
        BRRABill @Mike Davis
        last edited by

        @Mike-Davis said

        If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

        Do you mean does just doing that (sending the file via O365) make it compliant?

        DashrenderD 1 Reply Last reply Reply Quote 0
        • DashrenderD
          Dashrender @BRRABill
          last edited by

          @BRRABill said in o365 and HIPAA information between two different agencies:

          @Mike-Davis said

          If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

          Do you mean does just doing that (sending the file via O365) make it compliant?

          Assuming there was a guarantee of transport encryption - previous discussions here on ML would say - yes it does.

          JaredBuschJ 1 Reply Last reply Reply Quote 1
          • JaredBuschJ
            JaredBusch @Dashrender
            last edited by

            @Dashrender said in o365 and HIPAA information between two different agencies:

            @BRRABill said in o365 and HIPAA information between two different agencies:

            @Mike-Davis said

            If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

            Do you mean does just doing that (sending the file via O365) make it compliant?

            Assuming there was a guarantee of transport encryption - previous discussions here on ML would say - yes it does.

            No, that is not what was ever said.

            I have never seen anyone say that just using Exchange Online provides HIPAA compliance. I have seen it said by others and myself, that it gives you automatic opportunistic TLS and thus in most cases, your email is already encrypted.

            But compliance requires knowledge that encryption was used. That means you have to force TLS to be used on outbound mail that carries PHI covered by HIPAA.

            DashrenderD 1 Reply Last reply Reply Quote 1
            • DashrenderD
              Dashrender @JaredBusch
              last edited by

              @JaredBusch said in o365 and HIPAA information between two different agencies:

              @Dashrender said in o365 and HIPAA information between two different agencies:

              @BRRABill said in o365 and HIPAA information between two different agencies:

              @Mike-Davis said

              If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

              Do you mean does just doing that (sending the file via O365) make it compliant?

              Assuming there was a guarantee of transport encryption - previous discussions here on ML would say - yes it does.

              No, that is not what was ever said.

              I have never seen anyone say that just using Exchange Online provides HIPAA compliance. I have seen it said by others and myself, that it gives you automatic opportunistic TLS and thus in most cases, your email is already encrypted.

              But compliance requires knowledge that encryption was used. That means you have to force TLS to be used on outbound mail that carries PHI covered by HIPAA.

              Did you even read what I wrote! Assuming a guarantee of transport encryption - which you can't do without turning off opportunistic TLS and making it mandatory. So that covers anything else you have to say. 🙂

              JaredBuschJ 1 Reply Last reply Reply Quote 0
              • JaredBuschJ
                JaredBusch @Dashrender
                last edited by

                @Dashrender said in o365 and HIPAA information between two different agencies:

                @JaredBusch said in o365 and HIPAA information between two different agencies:

                @Dashrender said in o365 and HIPAA information between two different agencies:

                @BRRABill said in o365 and HIPAA information between two different agencies:

                @Mike-Davis said

                If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

                Do you mean does just doing that (sending the file via O365) make it compliant?

                Assuming there was a guarantee of transport encryption - previous discussions here on ML would say - yes it does.

                No, that is not what was ever said.

                I have never seen anyone say that just using Exchange Online provides HIPAA compliance. I have seen it said by others and myself, that it gives you automatic opportunistic TLS and thus in most cases, your email is already encrypted.

                But compliance requires knowledge that encryption was used. That means you have to force TLS to be used on outbound mail that carries PHI covered by HIPAA.

                Did you even read what I wrote! Assuming a guarantee of transport encryption - which you can't do without turning off opportunistic TLS and making it mandatory. So that covers anything else you have to say. 🙂

                Yes, I read exactly what you wrote. And by using such vague language I thought I was listening to a Trump speech.

                DashrenderD wirestyle22W 2 Replies Last reply Reply Quote 0
                • DashrenderD
                  Dashrender @JaredBusch
                  last edited by

                  @JaredBusch said in o365 and HIPAA information between two different agencies:

                  @Dashrender said in o365 and HIPAA information between two different agencies:

                  @JaredBusch said in o365 and HIPAA information between two different agencies:

                  @Dashrender said in o365 and HIPAA information between two different agencies:

                  @BRRABill said in o365 and HIPAA information between two different agencies:

                  @Mike-Davis said

                  If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

                  Do you mean does just doing that (sending the file via O365) make it compliant?

                  Assuming there was a guarantee of transport encryption - previous discussions here on ML would say - yes it does.

                  No, that is not what was ever said.

                  I have never seen anyone say that just using Exchange Online provides HIPAA compliance. I have seen it said by others and myself, that it gives you automatic opportunistic TLS and thus in most cases, your email is already encrypted.

                  But compliance requires knowledge that encryption was used. That means you have to force TLS to be used on outbound mail that carries PHI covered by HIPAA.

                  Did you even read what I wrote! Assuming a guarantee of transport encryption - which you can't do without turning off opportunistic TLS and making it mandatory. So that covers anything else you have to say. 🙂

                  Yes, I read exactly what you wrote. And by using such vague language I thought I was listening to a Trump speech.

                  LOl it wasn't vague in the least - easy to misinterpret, sure, worded in such a way that someone could draw any conclusion they wanted, but definitely not wrong.

                  1 Reply Last reply Reply Quote 0
                  • BRRABillB
                    BRRABill
                    last edited by

                    What I meant to say was that there are like 5,000 things that go into HIPAA compliance. Which is why O365 would never say they are "HIPAA Compliant", but rather could be used as part of a company being compliant.

                    For example if they are using Outlook and the file is then stored in a cache on a local machine, they are no longer compliant. Well, they could be, if it was also encrypted locally, inventoried, audited, etc., etc., etc..

                    I just wanted to be sure the OP knew there was a lot more than just the transport to worry about.

                    DashrenderD 1 Reply Last reply Reply Quote 1
                    • Mike DavisM
                      Mike Davis
                      last edited by

                      Thank you for all the responses. I understood what was meant.

                      1 Reply Last reply Reply Quote 0
                      • DashrenderD
                        Dashrender @BRRABill
                        last edited by

                        @BRRABill said in o365 and HIPAA information between two different agencies:

                        What I meant to say was that there are like 5,000 things that go into HIPAA compliance. Which is why O365 would never say they are "HIPAA Compliant", but rather could be used as part of a company being compliant.

                        For example if they are using Outlook and the file is then stored in a cache on a local machine, they are no longer compliant. Well, they could be, if it was also encrypted locally, inventoried, audited, etc., etc., etc..

                        I just wanted to be sure the OP knew there was a lot more than just the transport to worry about.

                        Actually, at rest encryption is not a requirement. It's highly pushed, but not a requirement.

                        BRRABillB 1 Reply Last reply Reply Quote 1
                        • BRRABillB
                          BRRABill @Dashrender
                          last edited by

                          @Dashrender said

                          Actually, at rest encryption is not a requirement. It's highly pushed, but not a requirement.

                          Well, if you are going with that, neither does data in transmission.

                          But you better have a great reason for not doing it and a lot of documentation! 🙂

                          DashrenderD scottalanmillerS 3 Replies Last reply Reply Quote 0
                          • DashrenderD
                            Dashrender @BRRABill
                            last edited by

                            @BRRABill said in o365 and HIPAA information between two different agencies:

                            @Dashrender said

                            Actually, at rest encryption is not a requirement. It's highly pushed, but not a requirement.

                            Well, if you are going with that, neither does data in transmission.

                            But you better have a great reason for not doing it and a lot of documentation! 🙂

                            heads to the internet to find the specific about data crossing a public network

                            1 Reply Last reply Reply Quote 0
                            • wirestyle22W
                              wirestyle22 @JaredBusch
                              last edited by

                              @JaredBusch said in o365 and HIPAA information between two different agencies:

                              @Dashrender said in o365 and HIPAA information between two different agencies:

                              @JaredBusch said in o365 and HIPAA information between two different agencies:

                              @Dashrender said in o365 and HIPAA information between two different agencies:

                              @BRRABill said in o365 and HIPAA information between two different agencies:

                              @Mike-Davis said

                              If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

                              Do you mean does just doing that (sending the file via O365) make it compliant?

                              Assuming there was a guarantee of transport encryption - previous discussions here on ML would say - yes it does.

                              No, that is not what was ever said.

                              I have never seen anyone say that just using Exchange Online provides HIPAA compliance. I have seen it said by others and myself, that it gives you automatic opportunistic TLS and thus in most cases, your email is already encrypted.

                              But compliance requires knowledge that encryption was used. That means you have to force TLS to be used on outbound mail that carries PHI covered by HIPAA.

                              Did you even read what I wrote! Assuming a guarantee of transport encryption - which you can't do without turning off opportunistic TLS and making it mandatory. So that covers anything else you have to say. 🙂

                              Yes, I read exactly what you wrote. And by using such vague language I thought I was listening to a Trump speech.

                              I mean--look, I'm for it. I'm for guaranteed transport encryption. Okay? But it's coming into our country to do tremendous harm. I've had so many people call me and say thank you. You see them talking and they say "Trump has a point."

                              DashrenderD 1 Reply Last reply Reply Quote 1
                              • scottalanmillerS
                                scottalanmiller @Mike Davis
                                last edited by

                                @Mike-Davis said in o365 and HIPAA information between two different agencies:

                                If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

                                That's correct. Pure O365 transmissions meet the HIPAA requirements.

                                1 Reply Last reply Reply Quote 0
                                • scottalanmillerS
                                  scottalanmiller @Dashrender
                                  last edited by

                                  @Dashrender said in o365 and HIPAA information between two different agencies:

                                  Incoming doesn't matter so it will remain opportunistic, as it's the senders responsibility to ensure encryption exists, not the receiver.

                                  Does that wording exist somewhere? What makes one party more responsible than the other?

                                  DashrenderD 1 Reply Last reply Reply Quote 0
                                  • scottalanmillerS
                                    scottalanmiller @BRRABill
                                    last edited by

                                    @BRRABill said in o365 and HIPAA information between two different agencies:

                                    @Dashrender said

                                    Actually, at rest encryption is not a requirement. It's highly pushed, but not a requirement.

                                    Well, if you are going with that, neither does data in transmission.

                                    But you better have a great reason for not doing it and a lot of documentation! 🙂

                                    That correct, that fax is allowed, for example, or phone calls demonstrates that data encryption is never a requirement. It's just that IT staff take security so much more seriously by default.

                                    1 Reply Last reply Reply Quote 0
                                    • DashrenderD
                                      Dashrender @BRRABill
                                      last edited by

                                      @BRRABill said in o365 and HIPAA information between two different agencies:

                                      @Dashrender said

                                      Actually, at rest encryption is not a requirement. It's highly pushed, but not a requirement.

                                      Well, if you are going with that, neither does data in transmission.

                                      But you better have a great reason for not doing it and a lot of documentation! 🙂

                                      http://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/administrative/combined/hipaa-simplification-201303.pdf

                                      These two parts seem to have the most to do with encryption over a network. It seems I misunderstood, it it addressable. So, you're right, not required - but so easy and cheap to implement, you better have a damned good reason not to. Assuming the at rest encryption is the same, that's pretty easy to fight because at rest encryption is often expensive, if not in actual dollars, in management, so that would be a reason to not do it on the end user devices. that said, I think where possible doing it on mobile devices is prudent.

                                      164.312(a)(2)(iv)
                                      (iv)
                                      Encryption and decryption
                                      (Addressable).
                                      Implement a
                                      mechanism to encrypt and
                                      decrypt electronic protected
                                      health information.

                                      (e)(1)
                                      Standard: Transmission
                                      security.
                                      Implement technical
                                      security measures to guard
                                      against unauthorized access to
                                      electronic protected health
                                      information that is being
                                      transmitted over an electronic
                                      communications network.
                                      (ii)
                                      Encryption
                                      (Addressable).
                                      Implement a mechanism to
                                      encrypt electronic protected
                                      health information whenever
                                      deemed appropriate.

                                      scottalanmillerS 1 Reply Last reply Reply Quote 0
                                      • DashrenderD
                                        Dashrender @wirestyle22
                                        last edited by

                                        @wirestyle22 said in o365 and HIPAA information between two different agencies:

                                        @JaredBusch said in o365 and HIPAA information between two different agencies:

                                        @Dashrender said in o365 and HIPAA information between two different agencies:

                                        @JaredBusch said in o365 and HIPAA information between two different agencies:

                                        @Dashrender said in o365 and HIPAA information between two different agencies:

                                        @BRRABill said in o365 and HIPAA information between two different agencies:

                                        @Mike-Davis said

                                        If two different agencies are using Office 365 can they send client information back an fourth? Office 365 says that it's HIPAA compliant, so if the information stays in their cloud, is it covered?

                                        Do you mean does just doing that (sending the file via O365) make it compliant?

                                        Assuming there was a guarantee of transport encryption - previous discussions here on ML would say - yes it does.

                                        No, that is not what was ever said.

                                        I have never seen anyone say that just using Exchange Online provides HIPAA compliance. I have seen it said by others and myself, that it gives you automatic opportunistic TLS and thus in most cases, your email is already encrypted.

                                        But compliance requires knowledge that encryption was used. That means you have to force TLS to be used on outbound mail that carries PHI covered by HIPAA.

                                        Did you even read what I wrote! Assuming a guarantee of transport encryption - which you can't do without turning off opportunistic TLS and making it mandatory. So that covers anything else you have to say. 🙂

                                        Yes, I read exactly what you wrote. And by using such vague language I thought I was listening to a Trump speech.

                                        I mean--look, I'm for it. I'm for guaranteed transport encryption. Okay? But it's coming into our country to do tremendous harm. I've had so many people call me and say thank you. You see them talking and they say "Trump has a point."

                                        damn.. I had to read that like 5 times, but I finally get the joke.
                                        nice one.

                                        1 Reply Last reply Reply Quote 0
                                        • scottalanmillerS
                                          scottalanmiller @Dashrender
                                          last edited by

                                          @Dashrender You just used the same logic for why we say that fax isn't okay... it's so easy to do something better that there's really no excuse for using something without in transit security 😉

                                          DashrenderD 1 Reply Last reply Reply Quote 0
                                          • DashrenderD
                                            Dashrender @scottalanmiller
                                            last edited by

                                            @scottalanmiller said in o365 and HIPAA information between two different agencies:

                                            @Dashrender You just used the same logic for why we say that fax isn't okay... it's so easy to do something better that there's really no excuse for using something without in transit security 😉

                                            except I disagree with you that it's easier - and so do millions of others. That said, I agree that we SHOULDN'T be faxing, but it's not easier.

                                            1 Reply Last reply Reply Quote 0
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