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#USER ACTIVITY AUDIT IN REAL TIME SOFTWARE#

Don’t skip this step! Don’t assume that your audit logging is properly set up.

Ensure that your computer network system has audit logging enabled.

Use these points as a checklist to help you start using your audit logs to improve security in your healthcare practice. This means having appropriate policies and procedures in place and demonstrate and document that you have implemented your plans.

Find potential threats or weaknesses in your current systems that you can improve to better mitigate your risks.Ĭustodians have an obligation to ensure reasonable safeguards to protect the privacy and security of health information.

Create a deterrent to all users to check something out ‘just this once, no one will know’.

When you regularly review your audit logs, you We also know that people will sometimes access information for malicious means – that is, using a ‘criminal intent’ or to be mean or disparaging to the individuals involved. Sometimes, snooping is because someone is concerned or curious about a family member or friend and don’t intend to do anything ‘bad’ with that information. Snooping is always a breach of confidentiality and trust that our patients give to us. Snooping, or viewing someone’s health information for an unauthorized use, is not uncommon in healthcare. How You Can Use Audit Logs to Improve the Security of Health Information In Your Practice This is generally 10 or more years for adult patients and longer if the patient was a child at the time that they were a patient or client in your practice. For this reason, the audit log of the EMR is usually required by legislation to be maintained for the entire retention period of the patient’s record.

Knowing who created a clinic note, wrote a prescription, or reviewed a test result provides a story about the care that the patient received. Taken from a different point of view, the audit log provides important additional information, or metadata, about the care and treatment of the patient.

But, now you know what is happening iin your clinic EMR after hours and you can take appropriate action. This might be OK in your healthcare practice (or not). When you investigate, you find out that the billing clerk is doing the billing submission from home. Review of audit logs can also identify weaknesses so that corrective action can be taken to improve our privacy and security strategy.įor example, when you review your audit log, you may see that an employee (authorized user) is accessing the EMR after clinic hours.

The regular review of the audit logs can demonstrate that the administrative, technical, and physical safeguards that we implement to protect the health information, our people, and our assets are working. You MUST implement, use, and monitor your audit logs In this way, the audit log records both the activity of each user and, in each patient’s electronic medical record, who has accessed that patient’s health information. When the user logs into the EMR and creates, views, modifies, or prints from a specific patient record, each activity is recorded in the audit log. It is an automated, real-time recording of who did what, and when, in your system.įor example, when a user logs in to your computer network at the beginning of the work day, the user name, date, time, and perhaps the workstation identifier is recorded in the audit log.

#USER ACTIVITY AUDIT IN REAL TIME SOFTWARE#

Audit logs of our computer and software systems are available to monitor users who have accessed the system and the information contained in the systems.Īudit logs monitor and records the transactions of users’ activities in your computer network and your electronic medical record (EMR). We have tools, like audit logs, available to us.

We also need to take action on our policies. In our policies, procedures, risk assessments, and privacy impact assessment submissions, we indicate the reasonable safeguards that we expect to implement in our practices to protect the privacy and security of health information.īut policies and good intentions alone isn’t enough. When was the last time that you reviewed your access logs in your healthcare practice?