Copyright 2015 Splunk Inc. PaDent Privacy Monitoring with Splunk Davin Studer Systems Analyst, The Vancouver Clinic
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The Vancouver Clinic Serving Southwest Washington since 1939 Locally owned and governed Comprehensive and high quality padent care My role as a Systems Analyst IntegraDon of medical systems Improvement of business processes IntroducDon 3
Agenda Who should be interested in padent privacy monitoring? Why is padent privacy monitoring Important? What are some of the opdons? How has The Vancouver Clinic approached privacy monitoring? Takeaways 4
Who should be interested in padent privacy monitoring? 5
Everyone! HIPAA (Health Insurance Portability and Accountability Act) HITECH Act (Health InformaDon Technology for Economic and Clinical Health) Other state/federal reguladons Risk of idendty theq Exposure of sensidve personal data 6
Why is padent privacy monitoring important? 7
Because the Consequences Are Very Costly 8
What are some of the opdons? 9
The Bad, The Worse and the Ugly Third- party vendors TradiDonal repordng tools Canned applicadon reports % of charts resembling Pac- Man % of charts not resembling Pac- Man Expensive Requires a dedicated report wridng team You sdll do 80-90% of Steep learning curve the work Expensive plaforms At the mercy of the vendor s Dme table 10 Siloed reports per applicadon Reports you want may not exist or can t be run Limited repordng capabilides
or the Good! One interface to search them all Easy to get the data in Searches can be created quickly VersaDle 11
The Vancouver Clinic s approach to privacy monitoring 12
Timeline of Events 2010 Splunk for IT monitoring Jan Apr 2013 Evaluated privacy monitoring vendors May 2013 Switched to Splunk Server & workstadon logs Network infrastructure ApplicaDon logs Steep upfront and on- going costs Many billed as turn- key soludons, but were not Timelines to compledon were too high We would sdll be doing 80-90% of the work! 13 Data in Splunk within two weeks MulDple reports with real data Ability to produce reports that many vendors could not provide
Process Overview EMR Report Reviewer(s) Daily ETL Process ReporDng DB Rolling 30 days Access Logs Geocoded Addresses HR System AcDve Directory Dashboards and Reports SQL scripts 14
ImplementaDon HR System Employee ID Join HRIS_AD EMPLOYEE_ID USER_NAME FIRST_NAME LAST_NAME BIRTH_DATE GENDER ADDRESS CITY STATE ZIP_CODE AcDve Directory EMR_USER EMR_USER_ID NAME - - - USER_NAME EMR_ACCESS_LOG - - - EMR_USER_ID - - - PATIENT_ID ADDRESS_GEOCODE ADDRESS CITY STATE ZIP_CODE LATITUDE LONGITUDE EMR_PATIENT PATIENT_ID FIRST_NAME LAST_NAME BIRTH_DATE GENDER ADDRESS CITY STATE ZIP_CODE Daily Geocoding Process 15
Reports Employee viewing: VIP Self Neighbor - Offline geocoded all employee and padent addresses - htp://www.datasciencetoolkit.org/ PaDent at same address Employee - Employee viewing manager - Manager viewing direct report - Employee viewing co- worker 16
Snapshot View of All Reports 17
Deep Dive InvesDgaDon 18
Lessons Learned Key/Value data is much easier to index (ex. key1= value key2= value ) If your data is in a database by all means use DB Connect Work closely with the compliance team to determine the requirements You must start with security in mind as there is PHI involved 19
Takeaways Splunk helps us fulfill HIPAA and HITECH requirements for privacy monitoring Saved over $50K + $12K yearly Easy to implement Flexibility to add reports and data sources 20
Contact Info: Davin Studer dstuder@tvc.org 21
QuesDons? 22
THANK YOU