This story has been going around since September 2019. Images exposed on the internet from PACS systems around the world available to anyone that wanted to see them. Images exposed included x-rays, MRI scans and more. It still hasn't been locked down after all these months. That means it's time to talk about it instead of keeping it quiet.

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Another report comes out that says insiders are a huge problem. You have to worry about the people, people. We have been saying this for years. The lastest news on that front is in the 2020 Cost Of Insider Threats Global Report released by the Ponemon Institute and sponsored by ObserveIT and IBM. It does tell us a lot of things we already knew but the details including those about how it is growing are important to note.

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Wearables, medical devices and HIPAA are just some of the questions we have gotten recently. Today's episode is privacy and security news plus listener questions.

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Is HIPAA ambiguous? That is the way many people refer to anything that has to do with HIPAA regulations. It comes from doctors, nurses, lawyers, managers, supervisors, even compliance officers. But, is it really the way we should refer to the law? Should we say it is flexible or reasonable instead?

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There have been a lot of headlines lately about Windows 7 end of life and Windows 10 security patches. Let's discuss why supported software and security patching matters in general. Then, we can talk about why it matters under HIPAA.

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We have mentioned ransomware warnings over and over on HMWH. To the point ransomware shows up in a search on 56 different episodes before this one. That means we've talked about ransomware warnings in 24% of our episodes. Guess what - clearly we need to talk about it again!

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As we anticipated there was one more OCR settlement announcement before the end of 2019. This one popped in at the end of December and was yet another one in our backyard. The ambulance company settlement seemed simple at first but once we read the details there is a lot to unpack in the CAP. Let's get to it then!

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We need to get on the record with our 2020 predictions even if we both agree we have no freaking idea what is going to happen in 2020. If anyone out there says they honestly believe they have a true beat on it, check them out. We do have a few 2020 predictions that we feel sure enough about to say it outloud to you guys.

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Here we go with two more OCR enforcement settlements. As we expected, the end of the year included a flurry of enforcement announcements from OCR. Just as this was about to be recorded they announced the second patient access settlement. So we can we get both done in one episode! Both of these cases are related to some costly PHI mistakes so let's get down to business.

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We have made it most of the way through 2019. Now is the time to see how we did when we released our HIPAA privacy and security predictions for 2019 in episode 186 way back on Jan 11. There were so many things that transpired this year just when thinking about the threat landscape much less all of our HIPAA discussions it feels long ago in a galaxy far, far away.

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