What should not be used when transmitting PHI?

Answered by Stephen Mosley

When it comes to transmitting Protected Health Information (PHI) electronically, there are certain methods that should be avoided in order to maintain privacy and security. One such method is using e-mail to convey the results of tests related to sensitive health conditions. This includes HIV status, sexually transmitted diseases, presence of a malignancy, presence of a hepatitis infection, or abusing the use of drugs.

There are several reasons why e-mail should not be used for transmitting such sensitive information. First and foremost, e-mail is not a secure method of communication by default. Unless you are using an IT-approved secure encryption procedure, there is a risk that the information could be intercepted or accessed by unauthorized individuals. This poses a serious threat to patient confidentiality and could potentially lead to harm or discrimination if the information falls into the wrong hands.

Additionally, e-mail is not a reliable method of communication when it comes to the delivery of sensitive health information. There is always a possibility of technical issues, such as delivery failure or delays, which could result in the recipient not receiving the information in a timely manner. This could have serious consequences if the information is time-sensitive, such as in the case of a positive HIV test result that requires immediate medical intervention.

Furthermore, using e-mail to transmit PHI can also create a legal and ethical dilemma. In many countries, there are strict regulations and laws in place to protect patient privacy, such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. Transmitting sensitive health information via unsecured e-mail could be a violation of these laws and could result in legal repercussions for the healthcare provider or organization.

It is important to note that if transmitting PHI via e-mail is necessary, it should only be done using an IT-approved secure encryption procedure. This ensures that the information is protected during transmission and can only be accessed by authorized individuals. However, even with encryption, it is still recommended to exercise caution and consider alternative secure methods of communication whenever possible.

E-mail should not be used to transmit PHI, especially when it involves sensitive health conditions. The lack of security, reliability, and potential legal and ethical implications make it an unsuitable method for conveying such information. It is crucial for healthcare providers and organizations to prioritize patient privacy and security by using secure and approved methods of communication to transmit PHI.