The Health Insurance Portability and Accountability Act (HIPAA) was enacted to assure the confidentiality of patient information. This requires that health care providers employ stringent measures to assure that information shared on the internet is protected from unauthorized access. The HIPAA Act requires health-providing entities to:Assign responsibility for security to a person or organization. Assess security risks and determine the major threats to the security and privacy of protected health information.Establish a program to address physical security, personnel security, technical security controls, and security incident response and disaster recovery.Certify the effectiveness of security controls.Implement access controls that may include encryption, context-based access, role-based access, or user-based access; audit control mechanisms, data authentication, and entity authentication.

This law has serious implications for organizations that allow unauthorized access resulting in a breach in confidentiality. Since the HIPAA law provides for both civil and criminal penalties for violations, data and access security is of the utmost importance. To assure HIPPA compliance, online document management on company intranets and extranets must include a number of security features: Secure web server – a server running secure socket layers is the minimum needed.Encrypted database – all data must be encrypted. Software is available that will encrypted all data sent between two computer over the internet.Secure access control -- in addition to a traditional user id and password, it may be a good idea to use a strong password or smart card as additional security.Personnel – system maintenance should be in the hands of qualified personnel familiar with HIPPA requirements.

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