HIPAA and HITECH Compliant File Transfers and Sharing

What is HIPAA-Compliant File Transfer?

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Transferring files containing ePHI (Protected Health Information) while stying in compliance with HIPAA requirements involves staying aware of and adhering to safeguards around administrative, physical, and technical aspects of secure file transfer. To be HIPAA-compliant when transferring files, organizations need solutions that can help them:

  • Prevent unauthorized access to ePHI from users or software that do not have permissions.
  • Ensure users, access, and activity is trackable on information systems that use and record ePHI.
  • Establish electronic security protocols to protect data in motion from unauthorized access as its transferred across networks.
  • Disconnect electronic sessions based on predetermined rules.
  • Apply encryption and decryption to ePHI
  • Demonstrate, via electronic records, that unauthorized users have not altered, compromised, or deleted data.

What is HIPAA and HITECH Compliance?

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What is HIPAA?

HIPAA stands for the Health Insurance Portability and Accountability Act. It sets the standard for protecting sensitive patient data and applies to any company that deals with protected health information (PHI). Without efficient and effective tools, maintaining HIPAA compliance in general and HIPAA compliant file transfers specifically, can become a burden that consume entire days or weeks for your IT team. Finding an effective way to meet these challenges is imperative.

What is HITECH?

HITECH stands for the Health Information Technology for Economic and Clinical Health Act and is directly related to HIPAA. Passed as law in 2009, the HITECH Act urges health providers to:

  • Adopt electronic health records (EHR) to improve quality of patient care
  • Adhere to expanded data breach notification requirements
  • Secure ePHI data using appropriate privacy protections

Meeting HIPAA File Transfer Requirements

The basic goal of HIPAA’s Security Rule is to protect the confidentiality, integrity, and availability of electronic protected health information (ePHI). The Security Rule is separated into three types of safeguards: administrative, physical, and technical.

Under these safeguards, organizations can secure data and achieve HIPAA compliant data transfers by:

  • Preventing unauthorized access to ePHI from users or software that do not have permissions. §164.312 (a)(1)
  • Ensuring users can be tracked and any access or activity on information systems that use ePHI is recorded. §164.312 (a)(2)(i)
  • Establishing electronic security protocols to insulate data in motion from unauthorized access as its transferred across electronic networks. §164.312 (e)(1)
  • Disconnecting electronic sessions based on predetermined rules. §164.312 (a)(2)(iii))
  • Applying procedures to encrypt and decrypt data such as ePHI (electronic patient health information). §164.312 (a)(2)(iv)
  • Demonstrating via electronic records that data has not been altered, compromised, or deleted without authorization. §164.312 (c)(2)

This is not a comprehensive list. For more information, see this Summary of the HIPAA Security Rule.

Who Is Impacted by HIPAA and HITECH?

Any organization that exchanges PHI or ePHI must be HIPAA and HITECH compliant.

As healthcare organizations adopt health information technology like electronic health records (EHRs), PHI is subject to risk when transferred between hospitals, clinics, pharmacies and insurers using traditional, unsecure file transfer methods like FTP. It’s critical for organizations to secure this data at rest and in motion and ensure the security standards of HIPAA and HITECH.

HIPAA Fines and Penalties

HIPAA privacy and security compliance is strictly enforced by the Office for Civil Rights (OCR) and can result in substantial penalties. There are four categories of penalties: the type of penalty depends on whether or not the organization was negligent in following HIPAA and whether or not the violation in question was avoidable even with proper HIPAA compliance.

Depending on the type of category the violations fall into, fines vary between $100 per violation (i.e. per record compromised) to $50,000 or more.

How to Achieve HIPAA Compliant File Transfers with Managed File Transfer

Managed file transfer (MFT) enables healthcare professionals to maintain security and compliance as patient data is transferred or updated. A comprehensive managed file transfer solution directly supports your organization in ensuring HIPAA compliant file transfers by:

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  • Protecting the privacy and security of EHRs whenever they’re accessed or shared.
  • Providing technical safeguards that monitor file transfer activity.
  • Promoting interoperability between hospitals, clinics, pharmacies and insurers with an easy-to-use solution for secure PHI transfer.
  • Generating detailed log trails and audit reports for every file transfer.
  • Identifying the users, recipients, and names transmitted with files and documents.
  • Enabling user management and administrative settings to control your security.
  • Setting strict password policies and expiration intervals for users and workstations.

Protect Your PHI and ePHI Data with HITECH and HIPAA Compliant File Transfer

Request a live, personalized demonstration with one of our product specialists to see how GoAnywhere Managed File Transfer can help your organization achieve HIPAA and HITECH compliant data transfers.

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"[With GoAnywhere MFT], the team is able to extract the data, write it out to a vendor's specifications, and PGP encrypt and SFTP the files out with a complete audit log for [HIPAA] compliance."

Scott Schwarze, Info Svcs Mgr, U of Tennessee Medical Center

Healthcare Compliance Case Studies

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Cancer Registry of Greater California logo
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Cancer Registry of Greater California Boosts Team Collaboration and Productivity with GoAnywhere MFT

The Cancer Registry of Greater California boosts employee collaboration with GoAnywhere while meeting stringent regulatory requirements associated with handling sensitive patient data. Learn about the challenges they faced and how they used GoAnywhere to improve productivity and streamline processes for information access.

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Bristol Hospital logo
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Bristol Hospital Takes No Risks with Sensitive Data, Implements MFT

Delivering the best possible experience for its patients is very important to Bristol Hospital. In addition to receiving excellent care, patients need to trust that the hospital is also protecting their health records and other sensitive data. GoAnywhere from Fortra has allowed Bristol Hospital to ensure that trust with strong data encryption, authentication and audit trails. Bristol Hospital uses GoAnywhere to protect HIPAA controlled data, EDI records, and accounting information.

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Frequently Asked Questions

Selecting an MFT solution that meets HIPAA and GDPR requirements should involve evaluating security, compliance, and operational capabilities. Here’s what to look for:

1.Verify Compliance Certifications

  • Ensure the solution supports HIPAA, GDPR, and other frameworks (e.g., PCI DSS, SOX).
  • Look for FIPS 140-2 or 140-3 validated encryption and independent audits. 

2. Strong Encryption Standards

  • Data must be encrypted in transit and at rest using AES-256 or equivalent.
  • Confirm support for secure protocols like SFTP, FTPS, HTTPS, and optional OpenPGP for file-level encryption.  

3. Role-Based Access Control (RBAC)

  • Implement granular permissions to ensure only authorized users can access sensitive data.
  • Combine RBAC with multi-factor authentication (MFA) for added security.  

4. Built-In Compliance Features

  • Choose platforms with pre-configured compliance templates for HIPAA and GDPR.
  • Automated workflows help reduce human error and simplify audit preparation.
  • Detailed audit trails and centralized logging help prove compliance.  

5. Deployment Flexibility

  • Consider whether you need on-premises, cloud, or hybrid deployment.
  • For scalability and reduced IT overhead, MFTaaS (Managed File Transfer as a Service) can be ideal for distributed teams.  

6. Integration and Automation

  • Ensure the solution can be integrated with existing systems (ERP, CRM, SIEM) and support APIs for custom workflows.
  • Look for event-driven automation and scheduling capabilities to streamline compliance processes.  

7. Vendor Support and Updates

  • Verify the vendor’s track record for security patches, compliance updates, and responsive support.
  • Ask about SLA guarantees for uptime and incident response.  

Leading solutions like GoAnywhere MFT offer centralized security, compliance templates, and flexible deployment options—making it a strong candidate for HIPAA and GDPR compliance.  

Selecting an MFT solution for sensitive data exchange requires balancing security, compliance, and operational efficiency. Here’s what to consider:

1. Compliance Certifications

  • Verify support for HIPAA, GDPR, PCI DSS, and other relevant regulations.
  • Check for SOC 2 Type II, ISO 27001, and FIPS 140-2/140-3 validation.

2. Encryption Standards

  • Ensure AES-256 encryption for data at rest and SSL/TLS for data in transit.
  • Confirm secure protocols: SFTP, FTPS, HTTPS, and optional OpenPGP.

3. Access Controls

  • Implement role-based access control (RBAC).
  • Require multi-factor authentication (MFA) for all administrative and user accounts.

4. Audit and Logging

  • Look for comprehensive audit trails with timestamps and user actions.
  • Enable real-time alerts for anomalies or failed transfers.

5. Automation and Workflow

  • Support policy-based workflows, event triggers, and scheduling.
  • Include auto-retry and error handling for reliability.

6. Integration and Scalability

  • Verify compatibility with ERP, CRM, SIEM, and cloud storage.
  • Ensure API support for custom integrations and future scalability.

7. Deployment Options

  • Choose between on-premises, cloud, or hybrid based on compliance needs.
  • Consider MFTaaS for reduced IT overhead and built-in compliance.

8. Vendor Transparency

  • Request documented incident response plans and SLA guarantees.
  • Confirm regular security updates and compliance audits.

Selecting a HIPAA-compliant SFTP vendor for healthcare organization file sharing requires focusing on security, compliance, and reliability. Here are the key steps:

  1. Confirm HIPAA Compliance: Ensure the vendor provides a Business Associate Agreement (BAA), which is mandatory under HIPAA. Also, verify that the solution meets HIPAA security requirements for encryption, access control, and audit logging.
  2. Check Encryption Standards: HIPAA compliance requires AES-256 encryption for data at rest and SSL/TLS for data in transit. Be sure to confirm support for secure protocols like SFTP and FTPS.
  3. Access Control and Authentication: Look for role-based access control (RBAC) to restrict user permissions and require multi-factor authentication (MFA) for all administrative and user accounts.
  4. Audit Trails and Logging: The MFT vendor should provide detailed audit logs for every file transfer, including timestamps and user actions. These logs must be tamper-proof and easily exportable for compliance audits.
  5. Reliability and Uptime: Be sure to check for high availability architecture and SLA guarantees (e.g., 99.9% uptime). And ask about disaster recovery and data redundancy measures.
  6. Integration and Ease of Use: Ensure compatibility with hospital systems (EHR, EMR) and support for API integration. You’ll want to look for automation features like scheduled transfers and event-based workflows.
  7. Vendor Reputation and Support: Choose vendors with proven healthcare experience and strong customer references. Confirm technical support, regular security updates, and documented incident response plans. 

HIPAA stands for the Health Insurance Portability and Accountability Act, a U.S. federal law enacted in 1996. Its primary purpose is to:

  • Protect the privacy and security of sensitive health information (known as Protected Health Information, or PHI).
  • Establish national standards for how healthcare providers, health plans, and their business associates handle, store, and share patient data.
  • Ensure individuals have rights over their health information, such as the ability to access, correct, and control how it is disclosed.

Key Components of HIPAA

  • Privacy Rule: Sets standards for the use and disclosure of PHI and gives patients' rights over their health data.
  • Security Rule: Requires administrative, physical, and technical safeguards to protect electronic PHI (ePHI).
  • Breach Notification Rule: Mandates that covered entities notify individuals and regulators if PHI is compromised. 
  • Covered Entities: Healthcare providers, health plans, and healthcare clearinghouses.
  • Business Associates: Vendors or partners handling PHI on behalf of covered entities (e.g., billing services, cloud storage providers).

HIPAA is essential for maintaining trust in healthcare, ensuring data confidentiality, and reducing risks of fraud and misuse in an increasingly digital health environment.  

HITECH stands for the Health Information Technology for Economic and Clinical Health Act, a U.S. law enacted in 2009 as part of the American Recovery and Reinvestment Act (ARRA). Its main goals are to:

  • Promote the adoption and meaningful use of electronic health records (EHRs) by healthcare providers.
  • Strengthen HIPAA privacy and security protections for electronic protected health information (ePHI).
  • Introduce breach notification requirements for healthcare organizations and their business associates.
  • Impose higher penalties for non-compliance with HIPAA rules.

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Downloadable HIPAA & HITECH Resources

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HIPAA Compliance Specs
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Five Ways to Improve ePHI for HIPAA/HITECH with MFT
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How Managed File Transfer Addresses HIPAA Requirements for ePHI

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