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Security+ wireless network
Chapter 9 Wireless Network Security
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4 SECURITY ISSUES & THREATS OF WIRELESS NETWORKING IN HEALTHCARE DOMAIN
There has been a lot of security issues and threats analyzed and discussed in many seminars and gatherings. There has been various rules and regulation which have been set forth by nations in order to protect healthcare providers and patients from security related threats. There are also heavy penalties and lawsuits filed in case of security and privacy breaches.
Some of the security challenges faced by incorporating wireless networking into the healthcare domain are:
Observing and Snooping
Threats during transmission
Tracking of Location
Tracking of Actions
4.1 OBSERVING AND SNOOPING
As common with all wireless networks, it is possible to monitor and listen and decipher the data being transmitted. Patient information can be discovered by an intruder which may cause the information regarding the vital signs, location, and illness of the patient to be disclosed and thus providing absolutely no privacy to patient confidential information. Also the intruder can also access the message details like the identification number for message and source and destination address and other such important information.
4.2 THREATS DURING TRANSMISSION
As discussed above, the interception and decryption of data can occur. This mainly happens during the transmission process. Another aspect of this capturing of information is that, it is possible to tamper with the information obtained. Intruders or hackers can decipher this information and also modify the information and retransmit the wrong data to the providers often misleading them with the next level of prognosis.
For example, if a sensor network monitoring a person who has been diagnosed with blockage in ...
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... boom over the last couple of years. The adaptation to the trend by healthcare providers has led to a significant increase in overall satisfaction among employees and patients.
Even though there are various trepidations with regards to expending wireless in healthcare sector in terms of security and privacy issues, this trend seems to be getting incorporated into healthcare domain worldwide and funds being invested to sustain the growing trend as the healthcare sector is of prime importance sue to its demanding nature and life critical aspects.
Efforts are also being made to provide complete encryption of data transmission in this domain as this is perhaps one of the areas where a security breach can cause catastrophic outcomes. Not too far is the era where it becomes very common for doctors performing remotely without scalpels by using wireless robotic systems.
These programmers communicate with the pacemaker via wireless radio frequency as well as telemetry to make device adjustments and monitor device functions. Physician programmers require no authentication to program pacemaker devices [15]. This is true for all pacemakers. The lack of required authentication is a point of concern because of the potential for risk. As was mentioned, pacemaker manufacturers warn of prolonged exposure to cellphones, metal detection systems, and other electrical devices for risk of misinterpretation by the pacemaker. The electrical impulses these devices emit could be read by the pacemaker as a heartbeat which could cause the device to malfunction or fail [17]. Deliberate attacks on pacemakers have been tested and provide troubling results. Within a 50-foot proximity, an attacker can deliver a lethal 830v jolt to a user’s heart from a laptop [13]. On the hard drives of two pacemaker devices both encrypted and unencrypted data was found by researchers for the technology research company WhiteScope. The researchers found that one unnamed pacemaker device stores unencrypted PHI such as patient and physician names, treatment data, and, most concerning, patient social security number [15]. This information can be collected and sold through black market
“The Health Insurance Portability and Accountability Act (HIPAA) of 1996 made it illegal to gain access to personal medical information for any reasons other than health care delivery, operations, and reimbursements” (Shi & Singh, 2008, p. 166). “HIPAA legislation mandated strict controls on the transfer of personally identifiable health data between two entities, provisions for disclosure of protected information, and criminal penalties for violation” (Clayton 2001). “HIPAA also has privacy requirements that govern disclosure of patient protected health information (PHI) placed in the medical record by physicians, nurses, and other health care providers” (Buck, 2011). Always remember conversations about a patient’s health care or treatment is a violation of HIPAA. “All PHI is included in the privacy requirements for example: the patient’s past, present or future physical or mental health or condition; the provision of health care to the individual, or the past, present, or future payment for the provision of health care to the individual, and that identifies the individual or for which there is a reasonable basis to believe it can be used to identify the individual” (Buck, 2011). Other identifiable health information would be the patient’s name, address, birth date and Social Security Number (Keomouangchanh, 2011). (Word count 197)
Abstract: Electronic medical databases and the ability to store medical files in them have made our lives easier in many ways and riskier in others. The main risk they pose is the safety of our personal data if put on an insecure an insecure medium. What if someone gets their hands on your information and uses it in ways you don't approve of? Can you stop them? To keep your information safe and to preserve faith in this invaluable technology, the issue of access must be addressed. Guidelines are needed to establish who has access and how they may get it. This is necessary for the security of the information a, to preserve privacy, and to maintain existing benefits.
Transfer of Information- The problem is remote access of the health records and pooling of large number of data for various purposes like research program and lab work, may lead to an error and confusion.
Health care and health care information are turning to become unity and are working together to facilitate improvement of health care quality and equity. Therefore, health providers and other relevant stakeholders must strive to put in place strong measures capable of effecting heightened privacy and security precautions. More transparency must also be ensured when medical care organizations and institutions are handling patient’s medical data.
Security problems generally involve a leak of information because of the type of technology being used in clinical and online practice, such as computers, mobile devices (e.g., cell phones or tablets), email, voicemail, fax machines, electronic records on large servers, and the Internet when administering psychological services online. Regrettably, protection of confidentiality has yet to catch up with the majority of these technological advancements. Some of the primary threats to the security of confidentially information originates from things like web or email viruses, online hackers looking to access information, flaws in software or firewalls, damage or malfunction to the technology itself, and user error (Regueiro et al.,
Torrey, T. (2009, February 19). Limitations of electronic patient record keeping: Privacy and security issues. Retrieved June 29, 2011, from http://patients.about.com/od/electronicpatientrecords/a/privacysecurity.htm
In conclusion, technology has changed the world, as we knew it. Positive and negative come with change. The goal of the ACA, HIPPA, and EHRs is achieve positive patient outcomes, while protecting the integrity, trust and confidentiality, and decreasing health care cost. Privacy is a fundamental right of a patient, and nurses are expected to maintain confidentiality (Burkhardt & Nathaniel, 2014). A breach in confidentiality will result in lack of trust between nurse and patients. As a nurse, it is my responsibility to ensure my patients privacy, and to provide nursing care that is patient centered, not technology centered.
... health professionals in the hospitals today, that these breaches can be stopped and the vulnerability of the patient remain unharmed or abused. Therefore professional boundaries ensure that there is no misuse in power resulting in dangerous patient care, and gives integrity to the nursing profession.
We as nurses rely on technology, but we also have been taught to beware technology from making judgments for our nursing car. We know that technology can be wrong or mess up just like a human; therefore, we must always be knowledgeable and question our practice, to ensure safe nursing. Technology has pros and cons just like the human person does. “Storing clinical data, translating clinical data into information, linking clinical data and domain knowledge, and aggregating clinical data” is a helpful and time saving use of technology (Yoder-Wise, 2015). However, technology sometimes take precious time away; for example, a study found that “nurses spend up to 40% of their workday meeting ever-increasing demands from the systems in which they work” (Yoder-Wise, 2015). Technology also brings up an “ethical dilemma” as to when and how to use “extraordinary means to prolong life for patients with limited or no decision making capabilities” (Yoder-Wise, 2015). When is technology prolonging pain and hindering a peaceful natural death. Other issues like, “safeguarding patient’s welfare, privacy, and confidentiality” have been called into question with use of patient information in the computer systems (Yoder-Wise, 2015). There has to be safety parameter to protect patients according to HIPPA law, for example firewalls (Yoder-Wise, 2015). However, computerized patient information has also been a live saver and time saver because “provider order entry” is more clearly written,
Privacy concerns medical healthcare professionals and patients themselves have a lot of concerns on people finding out their information by breaking into the computers. “According to the HHS, in 2012, about 125 large breaches affected about 2.2 million people. Most health data breaches result from stolen computers, but hackers caused the largest breach last year, stealing 780,000 patients’ information. (http://www.justice.org)”.
The next problem related to telemedicine relates to security and private breaches. In order for telemedicine to work properly it requires that sensitive patient information be transferred from location to location that may be quite a dista...
It is right of a patient to be safe at health care organization. Patient comes to the hospital for the treatment not to get another disease. Patient safety is the most important issue for health care organizations. Patient safety events cost of thousands of deaths and millions of dollars an-nually. Even though the awareness of patient safety is spreading worldwide but still we have to accomplish many things to achieve safe environment for patients in the hospitals. Proper admin-istrative changes are required to keep health care organization safe. We need organizational changes, effective leadership, strong health care policies and effective health care laws to make patients safer.
Therefore, protection of the rights to confidentiality of the patient’s information is crucial in ensuring effectiveness in the organization’s capability to create a conducive environment that assures the clients of delivery of quality services and effectiveness in meeting their demands. The nurses and other healthcare practitioners bear the responsibility of ensuring that the environment that they create at the workplace safeguards the rights of the patients to confidentiality. The professionals play a crucial role in advocating for the surrounding that provides the adequate physical confidentiality, which includes the auditory privacy for the discussions of seemingly personal nature, practices and policies that guarantee the protection of confidentiality of information that the patients share with the nurses. Furthermore, security of the health information is vital for the development of trust with the patients and indicates respect to their privacy. The absence of trust between the nurse and client is likely to result in the customer's withholding or providing false information that would be crucial in the provision of
The Health Insurance Portability and Accountability Act (HIPAA), Patient Safety and Quality Improvement Act (PSQIA), Confidential Information and Statistical Efficiency Act (CIPSEA), and the Freedom of Information Act all provide legal protection under many laws. It also involves ethical protection. The patient must be able to completely trust the healthcare provider by having confidence that their information is kept safe and not disclosed without their consent. Disclosing any information to the public could be humiliating for them. Patient information that is protected includes all medical and personal information related to their medical records, medical treatments, payment records, date of birth, gender, and