The Office for Civil Rights' (OCR) list of entities reporting major patient information breaches began at 32 about four months ago.
It is now near 100.
The number of entities reporting breaches of unsecured PHI affecting 500 or more individuals has nearly tripled since the agency that enforces the HIPAA privacy and security rules first posted them on its website in February.
OCR posted a list of 32 entities that, since September 22, 2009, had reported the egregious breaches to OCR. On Friday, that number climbed to 93.
"I'm interested to see how long before we see over 100 entities listed," says Frank Ruelas, director of compliance and risk management at Maryvale Hospital and principal of HIPAA Boot Camp in Casa Grande, AZ. "The way things are looking, I expect the list to hit 100 by the end of June."
Ruelas says he's received many questions over the last couple of weeks about who bears the cost of notifications.
"My response is that before investing time (and money) in going down this very busy and curvy road, look at options to encrypt," he says. "It seems more and more that this is the best and probably easiest way to avoid breach notification-induced chest pain."
HITECH requires OCR to make public any breaches of 500 or more. OCR said on the site it will continue to update the page as it receives new reports of breaches of unsecured PHI.
The requirement is included in the interim final rule on breach notification, which became effective on September 23, 2009.
Those regulations require:
Of the 93 breaches of unsecured PHI, 17 involve business associates (BAs), or nearly one out of every five.
Ten of the entities on the website are listed as "private practice." OCR has told HealthLeaders Media it will begin posting the names of entities they consider "individuals" regardless of whether or not those entities give consent.
Currently, OCR does not post the names of such entities (namely sole practitioners) if they do not give OCR consent; OCR treats them as protected "individuals" per the Privacy Act of 1974. Instead, OCR lists them as "private practice."