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Search Search CSRC MENU Search Search Projects Publications Expand or Collapse Drafts for Public Comment All Public Drafts Final Pubs FIPS (standards) Special Publications (SP s ) IR (interagency/internal reports) CSWP (cybersecurity white papers) ITL Bulletins Project Descriptions Journal Articles Conference Papers Books Topics Expand or Collapse Security & Privacy Applications Technologies Sectors Laws & Regulations Activities & Products News & Updates Events Glossary About CSRC Expand or Collapse Computer Security Division Cryptographic Technology Software Security Group Hardware Security Group Security Engineering and Risk Management Applied Cybersecurity Division Cybersecurity and Privacy Applications National Cybersecurity Center of Excellence (NCCoE) National Initiative for Cybersecurity Education (NICE) Contact Us Information Technology Laboratory Computer Security Resource Center Publications NIST SP 1800-30 Securing Telehealth Remote Patient Monitoring Ecosystem Share to Facebook Share to X Share to LinkedIn Share ia Email Documentation Topics Date Published: February 2022 Author(s) Jennifer Cawthra (NIST) , Nakia Grayson (NIST) , Ronald Pulivarti (NIST) , Bronwyn Hodges (MITRE) , Jason Kuruvilla (MITRE) , Kevin Littlefield (MITRE) , Julie Snyder (MITRE) , Sue Wang (MITRE) , Ryan Williams (MITRE) , Kangmin Zheng (MITRE) Abstract Increasingly, healthcare delivery organizations (HDOs) are relying on telehealth and remote patient monitoring (RPM) capabilities to treat patients at home. RPM is convenient and cost-effective, and its adoption rate has increased. However, without adequate privacy and cybersecurity measures, unauthorized individuals may expose sensitive data or disrupt patient monitoring services. RPM solutions engage multiple actors as participants in patients’ clinical care. These actors include HDOs, telehealth platform providers, and the patients themselves. Each participant uses, manages, and maintains different technology components within an interconnected ecosystem, and each is responsible for safeguarding their piece against unique threats and risks associated with RPM technologies. This practice guide assumes that the HDO engages with a telehealth platform provider that is a separate entity from the HDO and patient. The telehealth platform provider manages a distinct infrastructure, applications, and set of services. The telehealth platform provider coordinates with the HDO to provision, configure, and deploy the RPM components to the patient home and assures secure communication between the patient and clinician. The NCCoE analyzed RPM ecosystem risk factors by applying methods described in the NIST Risk Management Framework. The NCCoE also leveraged the NIST Cybersecurity Framework, NIST Privacy Framework, and other relevant standards to identify measures to safeguard the ecosystem. In collaboration with healthcare, technology, and telehealth partners, the NCCoE built an RPM ecosystem in a laboratory environment to explore methods to improve the cybersecurity of an RPM. Technology solutions alone may not be sufficient to maintain privacy and security controls on external environments. This practice guide notes the application of people, process, and technology as necessary to implement a holistic risk mitigation strategy. This practice guide’s benefits include helping organizations assure the confidentiality, integrity, and availability of an RPM solution, enhancing patient privacy and limiting HDO risk when implementing an RPM solution. Increasingly, healthcare delivery organizations (HDOs) are relying on telehealth and remote patient monitoring (RPM) capabilities to treat patients at home. RPM is convenient and cost-effective, and its adoption rate has increased. However, without adequate privacy and cybersecurity measures,... See full abstract Increasingly, healthcare delivery organizations (HDOs) are relying on telehealth and remote patient monitoring (RPM) capabilities to treat patients at home. RPM is convenient and cost-effective, and its adoption rate has increased. However, without adequate privacy and cybersecurity measures, unauthorized individuals may expose sensitive data or disrupt patient monitoring services. RPM solutions engage multiple actors as participants in patients’ clinical care. These actors include HDOs, telehealth platform providers, and the patients themselves. Each participant uses, manages, and maintains different technology components within an interconnected ecosystem, and each is responsible for safeguarding their piece against unique threats and risks associated with RPM technologies. This practice guide assumes that the HDO engages with a telehealth platform provider that is a separate entity from the HDO and patient. The telehealth platform provider manages a distinct infrastructure, applications, and set of services. The telehealth platform provider coordinates with the HDO to provision, configure, and deploy the RPM components to the patient home and assures secure communication between the patient and clinician. The NCCoE analyzed RPM ecosystem risk factors by applying methods described in the NIST Risk Management Framework. The NCCoE also leveraged the NIST Cybersecurity Framework, NIST Privacy Framework, and other relevant standards to identify measures to safeguard the ecosystem. In collaboration with healthcare, technology, and telehealth partners, the NCCoE built an RPM ecosystem in a laboratory environment to explore methods to improve the cybersecurity of an RPM. Technology solutions alone may not be sufficient to maintain privacy and security controls on external environments. This practice guide notes the application of people, process, and technology as necessary to implement a holistic risk mitigation strategy. This practice guide’s benefits include helping organizations assure the confidentiality, integrity, and availability of an RPM solution, enhancing patient privacy and limiting HDO risk when implementing an RPM solution. Hide full abstract Keywords access control ; authentication ; authorization ; behavioral analytics ; cloud storage ; data privacy ; data security ; encryption ; HDO ; healthcare ; healthcare delivery organization ; remote patient monitoring ; RPM ; telehealth ; zero trust Control Families Access Control ; Configuration Management ; Identification and Authentication ; Physical and Environmental Protection ; Program Management ; Risk Assessment ; System and Communications Protection Documentation Publication: https://doi.org/10.6028/NIST.SP.1800-30 Download URL Supplemental Material: SP 1800-30 files Project homepage Document History: 11/16/20: SP 1800-30 (Draft) 05/06/21: SP 1800-30 (Draft) 02/22/22: SP 1800-30 (Final) Topics Security and Privacy asset management , identity & access management , privacy , risk assessment , zero trust Laws and Regulations Health Insurance Portability and Accountability Act Sectors healthcare HEADQUARTERS 100 Bureau Drive Gaithersburg, MD 20899 X (link is external) facebook (link is external) linkedin (link is external) instagram (link is external) youtube (link is external) rss govdelivery (link is external) Want updates about CSRC and our publications? 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