What does a report for health information look like?
A Health Information (PHI/HIPAA) report in Spirion Sensitive Data Platform is designed to provide a comprehensive inventory of medical-related sensitive data to ensure compliance with regulations like HIPAA and HITECH.
Based on best practices and healthcare case studies a robust PHI report template should include the following sections and data points:
1. Executive Summary (The "Heat Map")
This section provides a high-level view for Risk Officers and Management.
- Total PHI Findings: A count of all medical-related matches across the environment.
- Risk by Department: A breakdown of where PHI is most concentrated (e.g., Billing, HR, Clinical Research).
- Top Offenders: The specific endpoints or servers containing the highest volume of unprotected health data.
2. Core PHI Data Types (The "What")
Your template should specifically filter for and display these Spirion-defined Data Types:
- Medical Record Numbers (MRN): Unique identifiers for patients.
- Health Insurance Numbers: Policy and group IDs.
- ICD-9 / ICD-10 Codes: International Classification of Diseases codes.
- CPT Codes: Current Procedural Terminology codes.
- Social Security Numbers (SSN): Often used as a secondary identifier in legacy health systems.
- Patient Names & DOB: When found in proximity to medical codes.
3. Location & Context (The "Where")
This section helps IT and Security teams prioritize remediation.
- Target Name: The server, endpoint, or cloud repository (for example,
\\SharePoint\Clinical_Trials). - File Path / Mailbox: The exact location of the file or email.
- File Type: Identifying if the data is in an Excel sheet (high risk), a scanned PDF (OCR match), or an email attachment.
- Last Modified Date: Helps distinguish between active clinical data and stale, legacy archives.
4. Compliance & Remediation Status (The "Action")
This is the most important section for proving HIPAA compliance.
- Classification Label: Shows if the file has been tagged as "Restricted" or "PHI."
- Protection Status: Is the file encrypted, or is it "Unprotected"?
- Remediation History: A log of actions taken (for example, "File Shredded," "Quarantined to Secure Server," or "Redacted").
- False Positive Rate: A metric showing the accuracy of the scan to build trust with clinical staff.
Example Template Layout (Tabular View):
Target Name | File Path | Data Type Found | Match Count | Classification | Action Taken |
|---|---|---|---|---|---|
|
| ICD-10, MRN | 450 | Restricted | Quarantined |
|
| SSN, Patient Name | 12 | Unlabeled | Shredded |
|
| Insurance ID | 85 | Confidential | None (Pending) |
Pro-Tip for Health Reports:
- Use Proximity Searching: In your report configuration, prioritize results where a Patient Name is found within 50 characters of an MRN or ICD-10 code. This "Contextual PHI" is much higher risk than a random string of numbers.
- Automate for Audits: Set this report to generate automatically every month and deliver it to your Privacy Officer. This creates a "defensible audit trail" required for HIPAA/HITRUST certifications.