# Mobile Health Compliance Assessment — Asclepius Health Network

**Assessment Date**: 2026-01-20
**Prepared by**: Kevin Torres, IT Security Manager
**Scope**: Mobile devices, BYOD program, mHealth applications

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## Device Inventory Summary

| Category | Count | Encrypted | MDM Enrolled | Compliant |
|----------|------:|----------:|-------------:|----------:|
| Organization-issued smartphones (iPhone 15) | 320 | 320 (100%) | 320 (100%) | 318 (99.4%) |
| Organization-issued tablets (iPad Pro) | 85 | 85 (100%) | 85 (100%) | 85 (100%) |
| BYOD smartphones | 410 | 398 (97.1%) | 410 (100%) | 386 (94.1%) |
| BYOD tablets | 45 | 43 (95.6%) | 45 (100%) | 41 (91.1%) |
| Clinical wearables (RPM devices) | 150 | 150 (100%) | N/A | 148 (98.7%) |
| **Total** | **1,010** | **996 (98.6%)** | **860 (100%)** | **978 (96.8%)** |

## BYOD Program Assessment

| Requirement | Status | Notes |
|------------|--------|-------|
| Acceptable use policy | Compliant | Updated January 2026; signed by all BYOD participants |
| MDM enrollment required | Compliant | Microsoft Intune; 100% enrollment rate |
| Work container separation | Compliant | Intune managed apps container; personal data isolated |
| Minimum OS version (iOS 16+ / Android 13+) | Compliant | Enforced via MDM compliance policy |
| Jailbreak/root detection | Compliant | Real-time detection; 3 blocks in 2025 |
| Remote wipe of work data | Compliant | Work container only; tested quarterly |
| Screen lock (biometric + 6-digit PIN) | Compliant | Enforced via MDM; 2-min auto-lock |
| VPN auto-connect for ePHI apps | Compliant | Cisco AnyConnect; always-on for clinical apps |

## mHealth Application Assessment

| Application | Purpose | HIPAA Covered | BAA | Encrypted (Rest/Transit) | Status |
|------------|---------|:---:|:---:|:---:|--------|
| Epic Haiku (mobile EHR) | Clinical documentation | Yes | Yes | Yes/Yes | Compliant |
| Epic Canto (nurse mobile) | Nursing workflows | Yes | Yes | Yes/Yes | Compliant |
| TigerConnect (secure messaging) | Clinical communication | Yes | Yes | Yes/Yes | Compliant |
| Biobeat RPM Platform | Remote patient monitoring | Yes | Yes | Yes/Yes | Compliant |
| Dexcom Clarity (glucose monitoring) | CGM data management | Yes | Yes | Yes/Yes | Compliant |
| Doximity (physician communication) | Provider-to-provider messaging | Yes | Yes | Yes/Yes | Compliant |

## Findings

### Finding 1: BYOD Devices with Disabled Encryption (Critical)

- **Regulation**: 45 CFR §164.312(a)(2)(iv)
- **Details**: 14 BYOD devices (12 smartphones, 2 tablets) were detected with device encryption disabled after OS updates. MDM detected the non-compliance, but the automated block took up to 4 hours to activate.
- **Risk**: Unencrypted devices with ePHI access constitute unsecured PHI; loss would trigger breach notification.
- **Remediation**: Reduce MDM compliance check interval from 4 hours to 30 minutes. Implement immediate access block for encryption non-compliance. Completed: January 25, 2026.
- **Owner**: IT Security

### Finding 2: OS Patch Compliance Lag (Medium)

- **Regulation**: 45 CFR §164.308(a)(5)(ii)(B)
- **Details**: 24 BYOD devices ran OS versions more than 60 days behind the latest security patch. Current grace period is 90 days.
- **Remediation**: Reduce grace period from 90 days to 45 days. Send automated reminders at 30 and 40 days.
- **Deadline**: 2026-02-28
- **Owner**: IT Security

### Finding 3: RPM Device Audit Logging Gap (High)

- **Regulation**: 45 CFR §164.312(b)
- **Details**: 2 of 150 Biobeat RPM devices failed to transmit audit logs to the central SIEM for 5 consecutive days due to firmware issue.
- **Remediation**: Firmware update applied. Implemented alert for RPM devices with log transmission gaps exceeding 24 hours.
- **Owner**: Clinical Engineering

## Recommendations

1. Implement certificate pinning for all mHealth apps to prevent man-in-the-middle attacks on clinical data.
2. Conduct annual mobile-specific penetration testing (OWASP Mobile Top 10) for all internally developed mHealth apps.
3. Evaluate zero-trust network access (ZTNA) to replace traditional VPN for mobile ePHI access.
4. Add mobile device security to annual HIPAA workforce training with phishing simulation on mobile devices.

**Prepared by**: Kevin Torres, IT Security Manager
**Reviewed by**: Dr. James Park, CISO