In my second blog focusing on Bring Your Own Device (BYOD) in EMEA I’ll be taking a look at the positives and negatives of introducing a BYOD culture into a healthcare organisation. All too often we hear of blanket bans on clinicians and administrators using their personal devices at work, but with the right security protocols in place and enhanced training there is a huge opportunity for BYOD to help solve many of the challenges facing healthcare.
Much of the negativity surrounding BYOD occurs because of the resulting impact to both patients (privacy) and healthcare organisations (business/financial) of data breaches in EMEA. While I’d agree that the headline numbers outlined in my first blog are alarming, they do need to be considered in the context of the size of the wider national healthcare systems.
A great example I’ve seen of an organisation seeking to operate a more efficient health service through the implementation of BYOD is the Madrid Community Health Department in Spain. Intel and security expert Stack Overflow assessed several mobile operating systems with a view to supporting BYOD for physicians in hospitals within their organisation. I highly recommend you read more about how Madrid Community Health Department is managing mobile with Microsoft Windows-based tablets.
The Upside of BYOD
There’s no doubt that BYOD is a fantastic enabler in modern healthcare systems. But why? We’ll look at some best practice tips in a later blog but suffice to say here that much of the list below should be underpinned by a robust but flexible BYOD policy, an enhanced level of staff training, and a holistic and multi-layered approach to security.
1) Reduces Cost of IT
Perhaps the most obvious benefit to healthcare organisations is a reduction in the cost of purchasing IT equipment. Not only that, it’s likely that employees will take greater care of their own devices than they would of a corporate device, thus reducing wastage and replacement costs.
2) Upgrade and Update
Product refresh rates are likely to be more rapid for personal devices, enabling employees to take advantage of the latest technologies such as enhanced encryption and improved processing power. And with personal devices we also expect individuals to update software/apps more regularly, ensuring that the latest security updates are installed.
3) Knowledge & Understanding
Training employees on new devices or software can be costly and a significant drain on time, notwithstanding being able to schedule in time with busy clinicians and healthcare administrators. I believe that allowing employees to use their personal everyday device, with which they are familiar, reduces the need for device-level training. There may still be a requirement to have app-level training but that very much depends on the intuitiveness of the apps/services being used.
4) More Mobile Workforce
The holy grail of a modern healthcare organisation – a truly mobile workforce. My points above all lead to clinicians and administrators being equipped with the latest mobile technology to be able to work anytime and anywhere to deliver a fantastic patient experience.
The Downside of BYOD
As I’ve mentioned previously, much of the comment around BYOD is negative and very much driven by headline news of medical records lost or stolen, the ensuing privacy ramifications and significant fines for healthcare organisations following a data breach.
It would be remiss of me to ignore the flip-side of the BYOD story but I would hasten to add that much of the risk associated with the list below can be mitigated with a multi-layered approach that not only combines multiple technical safeguards but also recognises the need to apply these with a holistic approach including administrative safeguards such as policy, training, audit and compliance, as well as physical safeguards such as locks and secure use, transport and storage.
1) Encourages a laissez-faire approach to security
We’ve all heard the phrase ‘familiarity breeds contempt’ and there’s a good argument to apply this to BYOD in healthcare. It’s all too easy for employees to use some of the same workarounds used in their personal life when it comes to handling sensitive health data on their personal device. The most obvious example is sharing via the multitude of wireless options available today.
2) Unauthorised sharing of information
Data held at rest on a personal devices is at a high risk of loss or theft and is consequently also at high risk of unauthorized access or breach. Consumers are increasingly adopting cloud services to store personal information including photos and documents.
When a clinician or healthcare administrator is in a pressured working situation with their focus primarily on the care of the patient there is a temptation to use a workaround – the most obvious being the use of a familiar and personal cloud-based file sharing service to transmit data. In most cases this is a breach of BYOD and wider data protection policies, and increases risk to the confidentiality of sensitive healthcare data.
3) Loss of Devices
The loss of a personal mobile device can be distressing for the owner but it’s likely that they’ll simply upgrade or purchase a new model. Loss of personal data is quickly forgotten but loss of healthcare data on a personal device can have far-reaching and costly consequences both for patients whose privacy is compromised and for the healthcare organisation employer of the healthcare worker. An effective BYOD policy should explicitly deal with loss of devices used by healthcare employees and their responsibilities in terms of securing such devices, responsible use, and timely reporting in the event of loss or theft of such devices.
4) Integration / Compatibility
I speak regularly with healthcare organisations and I know that IT managers see BYOD as a mixed blessing. On the one hand the cost-savings can be tremendous but on the other they are often left with having to integrate multiple devices and OS into the corporate IT environment. What I often see is a fragmented BYOD policy which excludes certain devices and OS, leaving some employees disgruntled and feeling left out. A side-effect of this is that it can lead to sharing of devices which can compromise audit and compliance controls and also brings us back to point 2 above.
These are just some of the positives and negatives around implementing BYOD in a healthcare setting. I firmly sit on the positive side of the fence when it comes to BYOD and here at Intel Security we have solutions to help you overcome the challenges in your organisation, such as Multi-Factor Authentication (MFA) and SSDs Solid State Drives including in-built encryption which complement the administrative and physical safeguards you use in your holistic approach to managing risk.
Don’t forget to check out the great example from the Madrid Community Health Department to see how our work is having a positive impact on healthcare in Spain. We’d love to hear your own views on BYOD so do leave us a comment below or if you have a question I’d be happy to answer it.
- BYOD in EMEA series: Read Part One
- Join the debate: Intel Health and Life Sciences Community
- Get in touch: Follow us via @intelhealth
David Houlding, MSc, CISSP, CIPP is a Healthcare Privacy and Security lead at Intel and a frequent blog contributor.
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