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If you are within a division or department of the University that has HIPAA regulatory responsibilities your outgoing email (email messages you send off to non @creighton.edu addresses) is being scanned for HIPAA content.
Secure Email can be used to send electronic protected health information (ePHI) and any other sensitive emails in a secure manner. It is a means to protecting the University’s information as well as complying with legal requirements.
University policy states that sensitive email must not be sent via unencrypted email. In addition, HIPAA regulations state that ePHI cannot be sent via email unless encrypted. Users outside of Creighton may receive an encrypted email (secure message) from someone at Creighton if it contains ePHI.
This article will explain how to install the FacultyStaffSecure printing driver on any Creighton-owned MacOS device.
S/MIME (Secure/Multipurpose internet Mail Extensions) is a widely accepted protocol for sending digitally signed and encrypted messages. S/MIME in Exchange Online provides the following services for email messages: Encryption and Digital signatures

The SEVIS (Terra Dotta) certificate is used by government sites who want to verify who is sending data to them.
The customer is required to purchase and provide to the governmental department the certificate they purchase.