Rapid and reliable information sharing of patient healthcare information has become critical for achieving better care with lower costs. However, such healthcare information sharing requires to be done securely with privacy guarantees, as required by law. Among its other requirements, the Health Insurance Portability and Accountability Act (HIPAA) requires the use of appropriate access control mechanisms to protect healthcare information. Despite these legal requirements, currently implemented access control models in the healthcare domain are typically inadequate as demonstrated by the large and increasing numbers of successful attacks on healthcare systems. In particular, current access control models do not provide sufficient protection for healthcare systems from attacks by insiders, i.e., authorized healthcare personnel. This paper examines how healthcare information can be protected from unauthorized or improper use, disclosure, alteration, and destruction by health- care providers. Using a holistic approach toward modeling access control, the authors construct a threat model for access control in healthcare systems. The constructed model is then used to assess the effectiveness of current access control mechanisms such as Role-Based Access Control (RBAC) and Attribute-Based Access Control (ABAC), as well as the BiLayer Access Control (BLAC) model, which was proposed as a flexible, higher-performance replacement for both RBAC and ABAC.

Publication Date



Note: imported from RIT’s Digital Media Library running on DSpace to RIT Scholar Works in February 2014.

Document Type

Technical Report

Department, Program, or Center

Computer Science (GCCIS)


RIT – Main Campus