The University of Mississippi (UM) Medical Center (UMMC) has agreed to settle multiple alleged violations of the Health Insurance Portability and Accountability Act (HIPAA) with the U.S. Department of Health and Human Services Office for Civil Rights (OCR). During the investigation, OCR determined that UMMC was aware of risks and vulnerabilities to its systems as far back as April 2005, yet no significant risk management activity occurred until after the breach, due largely to organizational deficiencies and insufficient institutional oversight. UMMC will pay a penalty of $2,750,000 and adopt a corrective action plan to help assure future compliance with HIPAA Privacy, Security, and Breach Notification Rules.

On March 21, 2013, OCR was notified of a breach, after UMMC’s privacy officer discovered that a password-protected laptop was missing from UMMC’s Medical Intensive Care Unit (MICU). UMMC’s investigation concluded that it had likely been stolen by a visitor to the MICU who had inquired about borrowing one of the laptops. OCR’s investigation revealed that ePHI stored on a UMMC network drive was vulnerable to unauthorized access via UMMC’s wireless network, because users could access an active directory containing 67,000 files after entering a generic username and password. The directory included 328 files containing the ePHI of an estimated 10,000 patients dating back to 2008.

Further, OCR’s investigation revealed that UMMC failed to:

· implement appropriate policies and procedures to prevent, detect, contain, and correct security violations;

· implement physical safeguards for all workstations that access ePHI to restrict access to authorized users;

· assign a unique user name and/or number for identifying and tracking user identity in information systems containing ePHI;

· and notify each individual whose unsecured ePHI was reasonably believed to have been accessed, acquired, used, or disclosed as a result of the breach.

UM is Mississippi’s sole public academic health science center, with education and research functions in addition to providing patient care in four specialized hospitals on the Jackson campus and at clinics throughout Jackson and the State. Its designated health care component, UMMC, includes University Hospital, the site of the breach in this case, located on the main UMMC campus in Jackson.

Read the press release, resolution agreement and corrective action plan (http://www.hhs.gov/about/news/2016/07/21/ocr-announces-275-million-settlement-multiple-alleged-hipaa-violations.html) on the HHS website.

To learn more about non-discrimination and health information privacy laws, your civil rights, and privacy rights in health care and human service settings, and to find information on filing a complaint, visit us at http://www.hhs.gov/ocr.