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A Better Partnership


Apr 2005
April 01, 2005

Microsoft, the Black Box and HIPAA

Going through an e-mail newsletter that I receive every day, I came across a story that Microsoft is going to be adding a "black box" to Windows. Like a flight data recorder, the black box will be an error-reporting tool that will capture information about an error, including what programs were running at the time of the error and even the contents of the documents that were being created. You can read more about the Microsoft black box technology at

If you are a health care provider or insurer, you routinely create documents that contain protected health information ("PHI"). Even if you are not a health care provider, but are an employer that sponsors a health plan, you may have individuals in your company who at any given moment are working with PHI. This black box technology could capture the PHI if the program being used crashes. The person using the program may then be asked whether to report the information to Microsoft. If the individual simply responds "yes," you will likely have an unauthorized disclosure of PHI in violation of HIPAA security and privacy rules.

Although this feature of Windows is not yet out on the market, the news story is a reminder that when doing a HIPAA security risk assessment of your computer systems, it is important to consider all of the software that you are currently running to make sure that you don't overlook features that collect and share information in the background. In most circumstances, the features can be configured to protect the privacy of the information--but you have to be proactive to make this happen. These risks also demonstrate the importance of training your work staff, so that if an employee is confronted with a question of whether to report the information to Microsoft or some other computer software vendor, he or she knows to say "no" or to at least ask some questions before saying "yes."

If you have any questions about HIPAA security or privacy issues, please call Norbert Kugele at 616.752.2186.

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