The OCR and FTC are investigating online tracking technologies

We wrote about this back in December 2022, but the Office for Civil Rights (OCR) and the Federal Trade Commission (FTC) has added an additional warning. The OCR has confirmed its active investigations nationwide to ensure compliance with HIPAA. The use of online tracking technologies and HIPAA requirements must be reviewed on all medical websites.

The OCR and the FTC are cautioning providers about the privacy and security risks when utilizing online tracking technologies. These may be integrated into websites or mobile apps. Depending on how they are created and set up, these technologies may be disclosing personal health information to third parties. Tracking technologies collect and analyze information when visitors use websites or apps. Most of the time, this information is shared directly with third parties and even track the visitor when they navigate away from the website or app.

Online tracking technology can be used for good, but patients should not have to sacrifice their personal information in the process. The OCR and FTC sent letters to 130 hospital systems and telehealth providers to emphasize the risks and concerns about the use of these technologies, such as the Meta/Facebook pixel and Google Analytics. These are just a couple that are known to track a user’s online activities. These tracking technologies gather identifiable information about visitors, usually without their knowledge.

The minimum necessary rule must be followed even with modern technology. This means only the minimum necessary information can be shared to complete the task, nothing more. The OCR enforces the HIPAA rules and will review all aspects of your compliance if they receive a complaint, or if you have a data breach. 

The FTC’s role in is protecting the public from deceptive or unfair business practices. This includes unfair methods of competition, promotion, research, and education. Through FTC’s recent enforcement actions against BetterHelp, GoodRx, and Premom, the FTC has put companies on notice that they must monitor the flow of health information to third parties that use tracking technologies integrated into websites and apps. The unauthorized disclosure of such information may violate the FTC Act and could constitute a breach of security under the FTC’s Health Breach Notification Rule.

Companies not covered by HIPAA still have a responsibility to protect against the unauthorized disclosure of personal health information—even when a third party developed their website or mobile app. When working with a website designer or marketing group, be sure to fully vet them for their HIPAA compliance efforts. Even if they have worked with other medical practices. Being HIPAA compliant is more complicated now with all the modern technology and they must jump through the same hoops as a medical practice. Just because they say it will help you with your practice, doesn’t mean it is acceptable under the HIPAA rules. Trust but verify!

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