Securing Telehealth Remote Patient Monitoring Ecosystem

Current Status

We are currently seeking feedback on a draft project description, Securing Telehealth Remote Patient Monitoring Ecosystem. The public comment period is now open and will close on December 21, 2018. Please submit your feedback.

Summary

The National Cybersecurity Center of Excellence is proposing a project to provide a reference architecture that will address the security and privacy risks for healthcare delivery organizations (HDOs) leveraging telehealth capabilities such as remote patient monitoring (RPM).

Traditionally, patient monitoring systems have been deployed in healthcare facilities, in controlled environments. Remote patient monitoring (RPM), however, is different in that monitoring equipment is deployed in the patient’s home. These new capabilities, which can involve third-party platform providers utilizing videoconferencing capabilities, and leveraging cloud and internet technologies coupled with RPM devices, are used to treat numerous conditions, such as patients battling chronic illness or requiring post-operative monitoring. As the use of these capabilities continues to grow, it is important to ensure the infrastructure supporting them can maintain the confidentiality, integrity, and availability of patient data, as well as ensure the safety of patients.

The goal of this project is to provide a practical solution for securing the telehealth RPM ecosystem. The project team will perform a risk assessment on a representative RPM ecosystem in the laboratory environment, apply the NIST Cybersecurity Framework and guidance based on medical device standards, and collaborate with industry and public partners. The project team will also create a reference design and a detailed description of the practical steps needed to implement a secure solution based on standards and best practices.

This project will result in a publicly available National Institute of Standards and Technology (NIST) Cybersecurity Practice Guide, a detailed implementation guide of the practical steps needed to implement a cybersecurity reference design that addresses this challenge.

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