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HIPAA / HITECH · US Health Information Privacy & SecurityUnited States

Show a US health system you can be trusted with PHI

A US hospital, payer or health system will not sign until you can evidence HIPAA compliance. If your product or service touches protected health information on their behalf, you are a business associate with direct statutory duties - safeguards, breach notification and a signed business associate agreement - enforceable against you, not only against them.

You need HIPAA if…

  • !A US health system’s procurement team has sent a security questionnaire and a business associate agreement to sign.
  • !Your device or application now transmits patient data into a US hospital network.
  • !Evidence of your Security Rule risk analysis has been requested, and there is nothing in the file to send.
  • !You are hosting US patient records and subcontractors handle part of the processing.
  • !Nobody can say when the notification clock started on the lost laptop, only that it held patient information.
  • !An acquisition brought US healthcare customers and the obligations that come attached to them.
What it is

United States federal law governing protected health information. The Privacy Rule limits how it may be used and disclosed, the Security Rule requires administrative, physical and technical safeguards for electronic records, and the Breach Notification Rule sets who must be told and how quickly.

Who issues it

There is no government HIPAA certificate. Compliance is demonstrated through independent assessment against the Rules; SIS reviews your safeguards and issues an assessment report and attestation of compliance.

Validity

Compliance is continuous, not dated. Assessment reports are normally refreshed annually, and the Security Rule risk analysis must be updated whenever systems or services change.

Who gets asked for it

US providers, health plans and clearing houses, and the far larger group of business associates: software firms, device makers, hosting providers, billing and transcription services.

2of 25 industries

Where this certification is demanded

HIPAA is applicable across 2 of the 25 industries SIS covers. The pages below set out the specific reason it comes up in each one.

Medical DevicesInformation Technology Industry

What HIPAA Actually Requires

The backbone an implementer has to build, in the order it usually gets built.

1
PHI inventory and flows

A record of what protected health information you hold, where it lives, who can reach it and which subcontractors receive it. Everything else depends on this.

2
Security Rule risk analysis

A documented, organisation-wide analysis of risks to electronic protected health information with a risk management plan. This is the single most commonly cited failure in enforcement actions.

3
Administrative safeguards

Assigned security responsibility, workforce clearance and termination procedures, a sanction policy, and training records showing who was trained and when.

4
Technical safeguards

Unique user identification, access aligned to the minimum necessary standard, audit logging of PHI access, integrity controls, and encryption addressed with a documented decision.

5
Business associate agreements

Executed agreements with every customer and every subcontractor that touches PHI, with flow-down terms in place before data moves rather than afterwards.

6
Breach response procedure

A written procedure covering risk assessment of an incident, notification to individuals and the Secretary within the statutory windows, and media notice above the threshold.

How HIPAA Compliance Assessment Works

No black box. A defined, time-bound route from first call to assessment report.

Applicability & Scoping

We establish whether you are a covered entity or a business associate, which services and systems touch protected health information, and which subcontractors sit in the chain.

2–4 days

Risk Analysis & Gap Review

Most business associates have written policies and no risk analysis, or one done at launch and never touched since. That single document decides how the rest of the review goes.

2–4 weeks

Remediation & Documentation

Policies, agreements, training and technical controls are put right. Business associate agreements and the risk management plan usually set the pace, because they need other parties.

1–3 months by gap

Assessment Report & Attestation

The report is written rule by rule because that is how a US customer’s counsel reads it, going straight to the risk analysis and the breach procedure before anything else.

Report 1–2 weeks; refresh annually
Eight to twelve weeks is typical for a business associate, and where a contract is waiting the assessment runs alongside remediation rather than after it, though the business associate agreements set the pace because they need signatures from other parties.

Not Sure Which Certification You Need?

Three questions. The selector reads the same industry-to-standard mapping this whole site is built on, then shortlists what applies to you.

Question 1 of 3

Which sector best describes your organisation?

Nobody can certify you against a federal statute

We will not sell you a HIPAA certificate, because no such thing exists and your customer’s counsel knows it. An independent assessment against the Rules is what they will accept.

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What HIPAA Changes for Your Business

Certification is not a certificate on the wall. It is a working system that pays for itself.

🤝

US contracts move forward

Health systems and payers will not execute an agreement without evidence of safeguards. An assessment report ends the questionnaire loop with procurement.

⚖️

Evidence when enforcement calls

Enforcement tiers turn on whether a failure was wilful neglect and whether it was corrected. A documented risk analysis is what separates the two.

⏱️

Breach clocks understood

Notification windows run from discovery, not from the day legal finishes arguing. A written and rehearsed procedure keeps you inside the statutory limits.

🔗

Subcontractor chain covered

Business associate duties flow down. Getting agreements and evidence from hosting, support and analytics vendors closes the gap customers probe first.

🧭

A base for HITRUST

Most of the safeguards, policies and evidence assembled here map directly into a HITRUST CSF assessment if a customer later specifies one.

📄

One pack, many customers

A rule-by-rule report answers most of what US healthcare procurement asks, so each new customer does not restart the whole exercise.

Knowledge Base - Downloads

Practical documents prepared by our auditors. Fill the short form once and every download on the page unlocks.

CHECKLIST

Readiness checklist for business associates

The documents US healthcare procurement asks for, from the risk analysis through to training records and subcontractor agreements.

TEMPLATE

Security Rule risk analysis template

A structured worksheet covering systems, threats, likelihood, impact and the risk management decisions taken, in the form enforcement reviewers expect.

PDF GUIDE

Covered entity or business associate

How to work out which one you are, and what changes in your obligations once the answer is settled.

WHITEPAPER

Breach notification timelines and decisions

The four-factor risk assessment, the sixty-day limit, and the decisions that have to be made in the first week.

🔒 Documents are locked. Fill the form once to unlock every download.

Frequently Asked Questions

Straight answers to what buyers ask before they commit to HIPAA.

Can we be HIPAA certified?
Not by any government body. HIPAA sets legal obligations and the enforcement agency does not issue certificates or approve programmes. What exists in practice is independent assessment: a third party reviews your safeguards, policies and agreements against the Rules and reports on them. That report is what US customers accept, and it is what SIS provides.
We are outside the United States. Does HIPAA apply to us?
If you handle protected health information for a US covered entity, yes. The obligations follow the data, not the office address. Overseas software firms, hosting providers, transcription services and device manufacturers routinely sign business associate agreements, and since the HITECH amendments they carry direct liability rather than only contractual exposure.
What is the difference between HIPAA and HITRUST?
HIPAA is the law. HITRUST CSF is a certifiable control framework that incorporates HIPAA requirements alongside ISO, NIST and others, assessed by an authorised external assessor. HIPAA tells you what you must achieve; HITRUST gives you a prescribed control set and a certificate US health systems recognise by name. Many organisations do the first, then the second.
How often do we need to redo the risk analysis?
The Security Rule requires it to be accurate and current, which in practice means annually and whenever something material changes: a new hosting arrangement, a new product handling PHI, a merger, a significant incident. Enforcement actions repeatedly cite risk analyses that were done once at implementation and never revisited afterwards.
What counts as a reportable breach?
An acquisition, access, use or disclosure of unsecured protected health information not permitted by the Privacy Rule is presumed to be a breach unless a documented four-factor risk assessment shows a low probability that the information has been compromised. Properly encrypted data falls outside the definition, which is why encryption decisions get recorded.
Do we need agreements with our cloud provider?
Yes, if the provider stores or transmits protected health information, even encrypted and even if it never looks at it. Major cloud providers sign business associate agreements as a matter of course. The gap is usually further down the chain: analytics tools, support platforms, backup services and offshore development teams that quietly hold access.
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