Text messages are part of a patient's medical record - HIPAA Secure Now! (2024)

Posted byArt Gross HIPAANo Comments

Text messages are part of a patient's medical record - HIPAA Secure Now! (1)

Medical Economics has a very interesting and thought provoking article on sending patients text messages. The article is definitely worth reading in its entirety.

Here are a few highlights:

Any text message that involves the transmission of information that would be considered PHI, including information relating to the treatment of your patients, should be considered part of, and therefore incorporated into, your medical record. Most physicians would readily agree that a letter from a patient describing a medical condition or correspondence from another treating physician offering treatment recommendations should be included in the medical record, and that a telephone conversation relating to a patient’s care should be memorialized in the record.

Similarly, if your text messages include PHI, then you must ensure that you are compliant with all applicable laws that govern PHI, including the Health Insurance Portability and Accountability Act (HIPAA). That includes retaining the text messages for the legally required period of time; allowing your patients to access and amend the text messages; and entering into Business Associate Agreements with the appropriate vendors. Thus, if you simply delete all your texts thinking that is the best form of protection, you might find yourself in violation of the law.

Not surprisingly, the Joint Commission opined that “it is not acceptable for physicians or licensed independent practitioners to text orders for patients to the hospital or other healthcare setting. This method provides no ability to verify the identity of the person sending the text and there is no way to keep the original message as validation of what is entered into the medical record.” (The Joint Commission; Standards FAQ Details; Record of Care, Treatment, and Services (CAMH/Hospitals); Texting Orders;
November 10, 2011.)

The article goes on to discuss the importance of creating policies and procedures around the use of text messages.

Mobile devices will continue to be a security risk to patient information. Organizations need to take a hard look at how mobile devices and patient information is protected on these devices.

No Comments

6

Text messages are part of a patient's medical record - HIPAA Secure Now! (2024)

FAQs

Text messages are part of a patient's medical record - HIPAA Secure Now!? ›

Unfortunately, there isn't a straightforward answer to whether texting patients complies with HIPAA. However, the right path involves: The patient's written consent on file they prefer to receive text messages that don't contain any personal health information (PHI) The means to send secure (ideally encrypted) messages.

Are text messages part of the medical record? ›

Text messages discussing patient medical information should be incorporated into a patient's medical record.

Is texting HIPAA secure? ›

To ensure HIPAA-compliant texting, businesses must use a secure SMS platform and ensure necessary administrative, physical, and technical safeguards are in place. If texting is used to transmit ePHI, it must be secured using encryption or other appropriate security measures to prevent unauthorized access.

What are the new HIPAA rules for email and text messages? ›

HIPAA allows covered entities and their business associates to communicate e-PHI with patients via e-mails and texts if either (1) the e-mails and texts are encrypted and/or are otherwise secure; or (2) the covered entity or business associate first warns the patient that the communication is not secure and the patient ...

How to text without violating HIPAA? ›

If the message contains no personal identifiers (i.e., is only reminding the recipient of an appointment without mentioning their name or the nature of the appointment) and the recipient has consented to receiving appointment reminders by text, there is no risk of individually identifiable health information being ...

Are text messages considered records? ›

Yes, text messages can be considered public records, depending on the context and jurisdiction. In many states within the U.S., if the text messages are sent or received by government officials or employees in the course of conducting public business, they are often subject to public records laws.

Can text message records be obtained? ›

Federal law prevents companies from producing these documents without a court order or subpoena. Text message records must be obtained from a party's cell phone provider. An attorney can obtain a court order or subpoena to get the records directly from the service provider.

Are text messages secure? ›

While SMS lacks end-to-end encryption, it still offers some degree of security compared to other forms of communication. For instance, SMS messages are sent over cellular networks, which are generally considered more secure than public Wi-Fi or other internet connections.

Are text messages protected by privacy? ›

Consumer Consent

In many jurisdictions and under various privacy laws and regulations, consumers are generally required to give consent before their text messages are monitored. The consent requirement is a fundamental principle of data protection and privacy rights.

What makes a text or HIPAA compliant? ›

HIPAA compliant text messaging also requires encryption, secure platforms, access controls, audit controls, integrity controls, and transmission security.

Is it okay to text patients? ›

Before texting a patient, you need to make sure that they've given their consent to being texted by you. Texting patients who haven't consented to text message communication can be a major violation of HIPAA standards, not to mention other regulations set by the Federal Communications Commission.

Is using a personal cell phone a HIPAA violation? ›

The HIPAA Rules generally do not protect the privacy or security of your health information when it is accessed through or stored on your personal cell phones or tablets. The HIPAA Rules apply only when PHI is created, received, maintained, or transmitted by covered entities and business associates.

What kind of phone message can be left under HIPAA? ›

It also is not recommended to leave any other information that identifies your patient. Here are two examples of acceptable language for voicemail messages: – Appointments: “Please call us back regarding your appointment at XXX-XXXX.” – Billing: “Please call us back regarding your invoice at XXX-XXXX.”

What does HIPAA say about texting? ›

While HIPAA does not explicitly address texting, it applies to all forms of electronic communication, including text messages. Texting can be HIPAA compliant if appropriate security measures are in place to protect PHI. However, non-compliant texting practices can lead to potential violations.

What are 3 ways of violating HIPAA? ›

The 3 most common HIPAA violations according to HHS´ Enforcement Highlights report are impermissible uses and disclosures of PHI, a lack of safeguards for PHI, and the lack of patient access to PHI.

Is text free HIPAA compliant? ›

TextFree's services are not designed to be HIPAA (Health Insurance Portability and Accountability Act) compliant since messages are not sent via encryption.

What is not included in a medical record? ›

Blame of others or self-doubt, Legal information such as narratives provided to your professional liability carrier or correspondence with your defense attorney, Unprofessional or personal comments about the patient, or. Derogatory comments about colleagues or their treatment of the patient.

Do texts count as documentation? ›

Yes, text messages can be used in court. This is because they're considered electronic records of dialogue. However, they must meet several requirements before being entered as court evidence.

What is considered part of the medical record? ›

Depending on the detail requested and the healthcare provider, records may also include: Treatment regimens for current or past diagnoses. Past surgical and hospitalization procedures. Medical tests, lab results and their findings (blood panels, X-rays, endoscopy, etc.)

Are text messages kept on record? ›

Most telecom companies keep records of text logs for a limited time, typically around 3-6 months. The exact duration varies by provider, and retrieval of actual message content after this period can be challenging.

Top Articles
Latest Posts
Article information

Author: Allyn Kozey

Last Updated:

Views: 5441

Rating: 4.2 / 5 (43 voted)

Reviews: 90% of readers found this page helpful

Author information

Name: Allyn Kozey

Birthday: 1993-12-21

Address: Suite 454 40343 Larson Union, Port Melia, TX 16164

Phone: +2456904400762

Job: Investor Administrator

Hobby: Sketching, Puzzles, Pet, Mountaineering, Skydiving, Dowsing, Sports

Introduction: My name is Allyn Kozey, I am a outstanding, colorful, adventurous, encouraging, zealous, tender, helpful person who loves writing and wants to share my knowledge and understanding with you.