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HL7 CMHAFF Standard Introduction and Purpose

European Committee for Standardization (CEN)

Quality & reliability for health and wellness apps

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A new CEN Technical Specification for ‘Quality and Reliability of Health and Wellness Apps’ is being developed at the request and with the support of the European Commission. It is due to be completed in 2020. It will help to establish a common framework across Europe for the evaluation of these apps, giving users and health professionals confidence that the apps are fit for purpose, and providing app developers easier access to European markets.

Express Scripts Creates a Digital Health Formulary

Efforts to increase provider and patient safety

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Express Scripts is introducing what they propose is the industry’s first, stand-alone digital health formulary. Identifying that there are more than 300,000 health applications in the market, it is proposed that there is a great need to establish digital health formularies similar to medication formularies. 

FDA Playbook on Medical Device Cybersecurity

Regional Incident Preparedness and Response Playbook

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From the MITRE website:

The Medical Device Cybersecurity Regional Incident Preparedness and Response Playbookoutlines a framework for health delivery organizations (HDOs) and other stakeholders to plan for and respond to cybersecurity incidents around medical devices, ensure effectiveness of devices, and protect patient safety.

The healthcare sector knows how to prepare for and respond to natural disasters. It is less prepared, however, to handle cybersecurity incidents, particularly those involving medical devices. Recent global cyber attacks highlighted the need for more robust cybersecurity preparedness to execute an enhanced, effective, real-time response that enables continuity of clinical operations.

Securing Electronic Health Records on Mobile Devices

Guidance from the National Institute of Standards and Technology (NIST) Special Publication: 1800-1

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Using mobile devices to store, process, and transmit patient information has become increasingly popular amongst healthcare providers. When health information is compromised, organizations can face penalties and lose consumer trust, and patient care and safety may be at risk.

To address this challenge, cybersecurity experts at the NCCoE collaborated with the healthcare industry and technology vendors to develop an example solution to show healthcare providers how they can secure electronic health records on mobile devices. The solution is guided by standards and best practices from NIST and others, including the Health Insurance Portability and Accountability Act (HIPAA) rules.

The California Consumer Privacy Act of 2018

Assembly Bill No. 375

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Summary from Adam Greene of MobileHealthNews:

California passed the most comprehensive privacy law in the U.S. on June 28, 2018, with a compliance date of January 1, 2020. For mobile health app developers, that date may seem far away, but the California law will require significant and challenging operational changes. It is unclear whether the law will apply to protected health information of mobile health app developers who are business associates under HIPAA. But for more consumer-focused apps that fall outside of HIPAA, the California law will certainly require significant changes, ranging from updating privacy policies to implementing a consumer right of erasure. The law will affect most businesses that do business in California and have information about California residents, even if the business is located outside of California.

The CCPA governs all “personal information,” whether collected online or offline. Unlike most state breach notification laws, the CCPA’s definition of personal information is not limited to sensitive categories of information, but rather includes any information that identifies, relates to, describes, or is capable of being associated with a particular consumer or household and that is not publicly available. It does not include de-identified or aggregated consumer information; however, the definition of what constitutes de-identified or aggregated data is limited. Accordingly, if a mobile health app developer has any information about a consumer or household that is not publicly available, it may fall under CCPA, unless it has been de-identified (either a de-identified individual record or part of a de-identified aggregate data set).

The CCPA governs all for-profit companies that do business in California that meet one of the following criteria:

  • Gross revenue (not limited to California) of more than $25 million;
  • Annually handles personal information of 50,000 or more California residents, households, or devices; or
  • Derives 50% or more of its annual revenue from selling California residents’ personal information.
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