eDiscovery Challenges in Healthcare

Year 2019, Volume: 8 Issue: 2, 30 - 43, 01.06.2019

Sundar Krishnan Narasimha Shashidhar

Abstract

In todays digital age, medical litigation often involves Healthcare data and medical devices. Electronic discovery is a process involving legal parties on a case to preserve, collect, review, and exchange electronic information for the purpose of using it as evidence in the case. With the growth of information in electronic format across the globe, litigations involving Healthcare can get challenging especially with the advent of smart Healthcare devices. In this paper, the authors explore challenges faced in the eDiscovery process involving Healthcare data, systems and devices. The authors propose incorporating industry best practices towards effective management of the eDiscovery process in the Healthcare Industry.

Keywords

Data Security, Privacy, eDiscovery, Digital Evidence, Electronic Discovery Reference Model (EDRM), Electronic Stored

References

• [1] “EDRM Model — EDRM.” [Online]. Available: https: //www.edrm.net/frameworks-and-standards/edrm-model/
• [2] S. Giordano, “It’s all e-discovery — Healthcare IT News,” 2010. [Online]. Available: https://www.healthcareitnews.com/ news/it’s-all-e-discovery/
• [3] “How eDiscovery Teams can Help You with CrossBorder Investigations,” 2018. [Online]. Available: http: //blog.specialcounsel.com/ediscovery/cross-border-ediscovery/
• [4] C. Darnell, Forensic Science in Healthcare. CRC Press, feb 2011. [Online]. Available: https://www.taylorfrancis.com/ books/9781439844915
• [5] F. Khan, “The ’Uberization’ of Healthcare: The Forthcoming Legal Storm Over Mobile Health Technology’s Impact on the Medical Profession,” may 2016. [Online]. Available: https://papers.ssrn.com/sol3/papers.cfm?abstract id=2773786
• [6] E. S. Knutsen, “The Medical Malpractice Landscape in Ontario: Facts, Trends and Analysis of Trials and Appeals,” aug 2017. [Online]. Available: https://papers.ssrn.com/sol3/ papers.cfm?abstract id=3023607
• [7] “2018 Litigation Trends Annual Survey.” [Online]. Available: https://www.nortonrosefulbright.com/- /media/files/nrf/nrfweb/imported/20181105--2018-litigationtrends-annual-survey-pdf.pdf
• [8] “Court Approves Anthem $115 Million Data Breach Settlement,” 2018. [Online]. Available: https://www.hipaajournal.com/court-approves-anthem115-million-data-breach-settlement/
• [9] “Legal & Regulatory Issues.” [Online]. Available: https: //www.beckershospitalreview.com/legal-regulatory-issues.html
• [10] “Health : Law360 : Legal News & Analysis.” [Online]. Available: https://www.law360.com/health
• [11] B. Inmon, “Classification of Corporate Data by Bill Inmon - BeyeNETWORK,” 2014. [Online]. Available: http://www.beye-network.com/view/17251
• [12] A. Bridgewater, “The 13 Types Of Data,” 2018. [Online]. Available: https://www.forbes.com/sites/adrianbridgwater/2018/ 07/05/the-13-types-of-data/#70d949b63362
• [13] K. Stucklin, “Tips for Successful Application of E-Discovery.” [Online]. Available: https://ce.uci.edu/areas/legal/ediscovery/ tips.aspx
• [14] J. Rich, “Library Guides: Data Resources in the Health Sciences: Clinical Data.” [Online]. Available: http://guides.lib.uw.edu/hsl/data/findclin
• [15] S. Pierson, “How to Simplify 3 Common Types of eDiscovery & Document Review — Blog — Relativity,” 2016. [Online]. Available: https://www.relativity.com/blog/how-to-simplify-3- common-types-of-e-discovery-and-document-review/
• [16] “Naperville Smart Meter Awareness v. City of Naperville,” 2018. [Online]. Available: http://media.ca7.uscourts.gov/cgibin/rssExec.pl?Submit=Display&Path=Y2018/D08-16/C:16- 3766:J:Kanne:aut:T:fnOp:N:2203659:S:0
• [17] J. Halamka, “Life as a Healthcare CIO: The Cost of Storing Patient Records,” 2011. [Online]. Available: http://geekdoctor.blogspot.com/2011/04/cost-of-storingpatient-records.html
• [18] “eDiscovery Analytics — eDiscovery Software — Relativity.” [Online]. Available: https://www.relativity.com/ediscoverysoftware/analytics/
• [19] “E-discovery Software & Data Analytics — Proofpoint.” [Online]. Available: https://www.proofpoint.com/us/products/ ediscovery-analytics
• [20] I. D. Dinov, “Volume and Value of Big Healthcare Data.” J. Med. Stat. informatics, vol. 4, 2016. [Online]. Available: http://www.ncbi.nlm.nih.gov/pubmed/26998309http: //www.pubmedcentral.nih.gov/articlerender.fcgi?artid= PMC4795481
• [21] R. Artigliere, C. P. Brouillard, R. D. Gelzer, K. Reich, and S. Teppler, “Diagnosing and Treating Legal Ailmentsof theElectronic Health Record:Toward an Efficient andTrustworthy ProcessforInformation Discovery and Release,” Sedona Conf., 2017. [Online]. Available: https://engage.ahima.org/HigherLogic/System/ DownloadDocumentFile.ashx?DocumentFileKey=16ceb9c5- 5929-451f-b3cd-191fbb50b775
• [22] “What is an electronic health record (EHR)? — HealthIT.gov.” [Online]. Available: https://www.healthit.gov/ faq/what-electronic-health-record-ehr
• [23] “EMR vs EHR – What is the Difference? — Health IT Buzz.” [Online]. Available: https://www.healthit.gov/buzz-blog/ electronic-health-and-medical-records/emr-vs-ehr-difference
• [24] E. Gumz, “5 eDiscovery Trends in the Healthcare Industry,” 2017. [Online]. Available: https://www.hanzo.co/blog/5- ediscovery-trends-in-the-healthcare-industry
• [25] “Borum v. Smith et al, No. 4:2017cv00017 -Document 31 (W.D. Ky. 2017),” 2017. [Online]. Available: https://law.justia.com/cases/federal/district-courts/ kentucky/kywdce/4:2017cv00017/101673/31/
• [26] “Electronic Health Record Closed Claims Study,” Tech. Rep., 2017. [Online]. Available: https: //www.thedoctors.com/siteassets/pdfs/risk-management/closedclaims-studies/11220 ccs ehr 1017 single-page fr4 sg.pdf
• [27] “Medical Record Retention Required of Health Care Providers: 50 State Comparison — Health Information & the Law,” 2016. [Online]. Available: http: //www.healthinfolaw.org/comparative-analysis/medical-recordretention-required-health-care-providers-50-state-comparison
• [28] Warner Norcross & Judd, “Six Tips to Stop eDiscovery from Breaking the Bank in Healthcare Record Retention — HIMSS,” 2015. [Online]. Available: https://www.himss.org/news/six-tips-stopediscovery-breaking-bank-healthcare-record-retention
• [29] “Study Reveals 70% Increase in Healthcare Data Breaches Between 2010 and 2017,” 2018. [Online]. Available: https://www.hipaajournal.com/study-reveals-70-increasein-healthcare-data-breaches-between-2010-and-2017/
• [30] “McLellan et al v. Fitbit, Inc.” 2016. [Online]. Available: https://f.datasrvr.com/fr1/218/54618/Fitbit.pdf
• [31] P. Olson, “Fitbit Data Now Being Used In The Courtroom,” 2014. [Online]. Available: https://www.forbes.com/sites/parmyolson/2014/11/16/ fitbit-data-court-room-personal-injury-claim/#40ac38707379
• [32] “Securing Telehealth Remote Patient Monitoring EcoSystem - Draft,” 2018. [Online]. Available: https://www.nccoe.nist.gov/sites/default/files/library/ project-descriptions/hit-th-project-description-draft.pdf
• [33] R. Hammer, “30 Healthcare Statistics That Keep Hospital Executives Up At Night,” 2016. [Online]. Available: https://getreferralmd.com/2016/08/30-healthcarestatistics-keep-hospital-executives-night/
• [34] A. Barsocchini and S. Maccherola, “3 Challenges to Data Collection in the Cloud,” 2017. [Online]. Available: https://accessdata.com/blog/3-challenges-todata-collection-in-the-cloud/
• [35] S. Krishnan and L. Chen, “Legal Concerns and Challenges in Cloud Computing,” in 2nd Int. Symp. Digit. Forensics Secur. (ISDFS 2014), 2014. [Online]. Available: https: //arxiv.org/abs/1905.10868
• [36] “NIST Cloud Computing Standards Roadmap.” [Online]. Available: https://www.nist.gov/sites/default/files/documents/itl/ cloud/NIST SP-500-291 Version-2 2013 June18 FINAL.pdf
• [37] “Guidelines on Security and Privacy in Public Cloud Computing.” [Online]. Available: https://nvlpubs.nist.gov/ nistpubs/Legacy/SP/nistspecialpublication800-144.pdf
• [38] “2017 Executive Enterprise Mobility Report,” CITO Res., 2017. [Online]. Available: https://go.apperian.com/rs/300-EOJ215/images/Apperian2017ExecutiveEnterpriseMobilityReport FinalDraft 20170419.pdf
• [39] J. Halamka, “Life as a Healthcare CIO: Remote Patient Monitoring and Self-Responsibility,” 2019. [Online]. Available: http://geekdoctor.blogspot.com/2019/02/remote-patientmonitoring-and-self.html
• [40] P. Cerrato, J. Halamka, P. Cerrato, and J. Halamka, “Innovations in mHealth, Part 2: Electronic Health Record–Linked Apps, Remote Patient Monitoring, and the Internet of Things,” Transform. Power Mob. Med., pp. 17–40, jan 2019. [Online]. Available: https://www.sciencedirect.com/science/ article/pii/B9780128149232000027
• [41] H. Allen and D. Herman, “Challenges of Mobile Devices, BYOD and eDiscovery - Law Technology Today,” 2014. [Online]. Available: https://www.lawtechnologytoday.org/2014/ 09/challenges-of-mobile-devices-byod-and-ediscovery/
• [42] “Securing Electronic Health Records on Mobile Devices,” 2018. [Online]. Available: https://www.nccoe.nist.gov/sites/ default/files/library/sp1800/hit-ehr-nist-sp1800-1.pdf
• [43] “Guidelines for Managing the Security of Mobile Devices in the Enterprise,” 2013. [Online]. Available: https://nvlpubs.nist.gov/ nistpubs/SpecialPublications/NIST.SP.800-124r1.pdf
• [44] “Mobile Device Security,” 2019. [Online]. Available: https://www.nccoe.nist.gov/sites/default/files/library/ sp1800/mds-nist-sp1800-4b.pdf
• [45] “Cross-Border eDiscovery Challenges — Deloitte US.” [Online]. Available: https://www2.deloitte.com/us/ en/pages/advisory/articles/discovery-insights-cross-borderediscovery.html#
• [46] “KIMBERLY MONTANO v. ELDO FREZZA,” 2017. ˜ [Online]. Available: https://caselaw.findlaw.com/nm-supremecourt/1852690.html
• [47] “Cross-Border E-Discovery: Navigating Foreign Data Privacy Laws and Blocking Statutes in U.S. Litigation — Member & Career Services — NYC Bar,” 2018. [Online]. Available: https://www.nycbar.org/member-andcareer-services/committees/reports-listing/reports/detail/crossborder-e-discovery-navigating-foreign-data-privacy-laws-andblocking-statutes-in-us-litigation
• [48] J. Thomas and G. Moore, “Medical-legal Issues in the Agitated Patient: Cases and Caveats.” West. J. Emerg. Med., vol. 14, no. 5, pp. 559–65, sep 2013. [Online]. Available: http://www.ncbi.nlm.nih.gov/pubmed/24106559http: //www.pubmedcentral.nih.gov/articlerender.fcgi?artid= PMC3789925
• [49] B. Schwartz, “Mitigating eDiscovery challenges in the healthcare industry,” 2019. [Online]. Available: http://www.healthcarebusinesstech.com/mitigatingediscovery-challenges-in-the-healthcare-industry/ 43