Tokenization: What you need to know about it
Encryption and tokenization are related to how ePHI is immediately available, both protecting the actual information by presenting “something else” in lieu of it. The difference between the two is that encryption is a reversible process using a decryption key (basically translating a code), whereas tokenization refers to the creation of a random, useless set of digits, with the correspondence to the actual ePHI being securely hidden in a vault. In both cases, if someone gets access to the encrypted information or tokens, they will not be able to understand and use them, unless they also get access to the decryption key, or the token vault.
That being said, ePHI tokenization might be a better option to ensure security of such information, as each token is randomly created, having no connection to other existing information, whereas all encrypted information can be revealed using the decryption key. However, scaling up token creation can be challenging, compared to encryption, which works on any volume of data, and also it is mainly used for structured data, such as social security number, account numbers, email or contact information, rather than any sort of file as encryption does. One of the main benefits of ePHI tokenization, is that actual ePHI is always stored in the token vault, within the organization, which satisfies some HIPAA compliance requirements, compared to encryption, in which encrypted data can be transmitted and handled from external parties.