This week, the Office for Civil Rights (OCR) of the U.S. Department of Health and Human Services announced a settlement of alleged HIPAA violations that may have signaled the start of OCR's next wave of enforcement actions.

Reporter James Swann's July 19 post on Bloomberg BNA's  Health Care Blog, "Government Enforcement Hits the Cloud," about the OCR's $2.7 million settlement with Oregon Health & Science University points out the possible significance of the action. The blog post quotes Day Pitney healthcare lawyer Eric Fader, whose views on the matter were set forth in more detail here.

Although this latest settlement also involved the theft of a laptop that contained unencrypted patient records, its primary importance should be as a wakeup call to healthcare providers who use cloud-based services to store patient records, send emails containing protected health information, or even maintain surgical calendars. Under the 2013 HIPAA Omnibus Final Rule, data storage companies that store protected health information (PHI), in the cloud or elsewhere, are considered business associates even if they never actually access the PHI. Therefore, business associate agreements between the healthcare providers and these vendors will be necessary.

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