Why Your Practices Can’t Afford to Overlook Healthcare Compliance?

Introduction: The Importance of Healthcare Compliance

As hospitals increasingly rely on technology to streamline tasks, improve patient care, and manage large volumes of patient sensitive information, I must emphasize that practices need to prioritize security compliance more than even before. In fact, the 2023 Data Breach Report from the Ponemon Institute reveals healthcare data breaches were found to be the costliest, with the average cost increasing to $10.93 million, which is a 53.3% increase over the past 3 years.

healthcare cybersecurity compliance

Source: IBM: Average Cost of a Healthcare Data Breach Increases to Almost $11 Million By Steve Alder on Jul 24, 2023 (The HIPAA Journal)

The report highlights 553 organizations across 16 countries and interviews with thousands of individuals revealed some alarming findings. All data breaches examined in the report occurred between March 2022 and March 2023, and for the 13th consecutive year, healthcare data breaches were found to be the costliest of any industry.

With this rising trend in healthcare data breach, it is important to recognize how crucial it is to manage patient’s sensitive information which can include demographics, medical histories, insurance data, and financial records. The necessity for healthcare compliance is critical with the growing complexity of regulations.

Before we take a closer look at healthcare compliance, let us first understand what exactly is healthcare compliance?

What is Healthcare Compliance?

Healthcare Compliance is a broad term where practices take massive efforts to ensure that they are meeting the necessary protocols, procedures, processes, measures, and staffing to avoid any fraudulent activities and misuse within their operations. Now, let us walk through the common problems practices face without security compliance, potential risks they encounter, and finally our solution to help overcome these challenges.

Problems Faced by Healthcare Practices Without Security Compliance

Through my experience with numerous clients, I have observed that health systems and specialty practices often disregard compliances for various reasons, whether due to the complexity of regulations, limited resources or other challenges.

Unfortunately, this neglect often leads them to significant problems that can harm their revenue and damage patient relationships. Let’s take a closer look at the issues they face because of this negligence including:

  1. Patient Data Breaches & Cyberattacks
  2. Loss of Patient Trust
  3. Financial Penalties & Legal Liabilities
  4. Healthcare Workflow Disruption
  5. Difficulty in Obtaining Insurance Coverage

Patient Data Breaches & Cyberattacks

In 2023, healthcare providers have reported to the Department of Health and Human Services Office for Civil Rights about the theft/unlawful exposure of 133 million data records. As such an incident occurred in healthcare, it ended with significant financial and reputational losses through compliance penalties and lawsuits. But the question remains — why such high figures?

privacy breach in healthcare

Source: Healthcare Data Breach Statistics By Steve Alder on Sep 24, 2024 The HIPAA Journal

Rank 

Name of Covered Entity 

Year 

Covered Entity Type 

Individuals Affected 

Type of Breach 

1 

Anthem Inc. 

2015 

Health Plan 

78,800,000 

Hacking/IT Incident 

2 

American Medical Collection Agency 

2019 

Business Associate 

26,059,725 

Hacking/IT Incident 

3 

Welltok, Inc. 

2023 

Business Associate 

14,762,475 

Hacking/IT Incident 

4 

Kaiser Foundation Health Plan, Inc. 

2024 

Health Plan 

13,400,000 

Unauthorized Access/Disclosure 

5 

Optum360, LLC 

2019 

Business Associate 

11,500,000 

Hacking/IT Incident 

6 

HCA Healthcare 

2023 

Business Associate 

11,270,000 

Hacking/IT Incident 

7 

Premera Blue Cross 

2015 

Health Plan 

11,000,000 

Hacking/IT Incident 

8 

Laboratory Corporation of America Holdings dba LabCorp 

2019 

Healthcare Provider 

10,251,784 

Hacking/IT Incident 

9 

Excellus Health Plan, Inc. 

2015 

Health Plan 

9,358,891 

Hacking/IT Incident 

10 

Maximus, Inc. 

2023 

Business Associate 

9,179,226 

Hacking/IT Incident 

11 

Perry Johnson & Associates, Inc., which does business as PJ&A 

2023 

Business Associate 

8,952,212 

Hacking/IT Incident 

12 

Managed Care of North America (MCNA) 

2023 

Business Associate 

8,861,076 

Hacking/IT Incident 

13 

Community Health Systems Professional Services Corporations 

2014 

Healthcare Provider 

6,121,158 

Hacking/IT Incident 

14 

PharMerica Corporation 

2023 

Healthcare Provider 

5,815,591 

Hacking/IT Incident 

15 

Science Applications International Corporation (SA 

2011 

Business Associate 

4,900,000 

Loss 

16 

HealthEC LLC 

2023 

Business Associate 

4,656,293 

Hacking/IT Incident 

17 

Community Health Systems Professional Services Corporation 

2014 

Business Associate 

4,500,000 

Theft 

18 

University of California, Los Angeles Health 

2015 

Healthcare Provider 

4,500,000 

Hacking/IT Incident 

19 

HealthEquity, Inc. 

2024 

Business Associate 

4,300,000 

Hacking/IT Incident 

20 

Reventics, LLC 

2023 

Business Associate 

4,212,823 

Hacking/IT Incident 

21 

20/20 Eye Care Network, Inc 

2021 

Business Associate 

4,142,440 

Hacking/IT Incident 

22 

OneTouchPoint, Inc. 

2022 

Business Associate 

4,112,892 

Hacking/IT Incident 

23 

Colorado Department of Health Care Policy & Financing 

2023 

Health Plan 

4,091,794 

Hacking/IT Incident 

24 

Advocate Health and Hospitals Corporation, d/b/a Advocate Medical Group 

2013 

Healthcare Provider 

4,029,530 

Theft 

25 

Concentra Health Services, Inc. 

2024 

Healthcare Provider 

3,998,163 

Hacking/IT Incident 

26 

Banner Health 

2016 

Healthcare Provider 

3,620,000 

Hacking/IT Incident 

27 

Medical Informatics Engineering 

2015 

Business Associate 

3,500,000 

Hacking/IT Incident 

28 

Florida Healthy Kids Corporation 

2021 

Health Plan 

3,500,000 

Hacking/IT Incident 

29 

Newkirk Products, Inc. 

2016 

Business Associate 

3,466,120 

Hacking/IT Incident 

30 

Regal Medical Group, Lakeside Medical Organization, ADOC Acquisition, & Greater Covina Medical Group 

2023 

Healthcare Provider 

3,388,856 

Hacking/IT Incident 

31 

Trinity Health 

2020 

Business Associate 

3,320,726 

Hacking/IT Incident 

32 

CareSource 

2023 

Business Associate 

3,180,537 

Unauthorized Access/Disclosure 

33 

Cerebral, Inc 

2023 

Business Associate 

3,179,835 

Unauthorized Access/Disclosure 

34 

Centers for Medicare and Medicaid Services 

2024 

Health Plan 

3,112,815 

Hacking/IT Incident 

35 

NationsBenefits Holdings, LLC 

2023 

Business Associate 

3,037,303 

Hacking/IT Incident 

36 

Advocate Aurora Health 

2022 

Healthcare Provider 

3,000,000 

Unauthorized Access/Disclosure 

37 

Harvard Pilgrim Health Care 

2023 

Health Plan 

2,967,396 

Hacking/IT Incident 

38 

Dominion Dental Services, Inc., Dominion National Insurance Company, and Dominion Dental Services USA, Inc. 

2019 

Health Plan 

2,964,778 

Hacking/IT Incident 

39 

Lincare Holdings Inc. 

2021 

Healthcare Provider 

2,918,444 

Hacking/IT Incident 

40 

Acadian Ambulance Service 

2024 

Healthcare Provider 

2,896,985 

Hacking/IT Incident 

41 

Navvis & Company, LLC 

2023 

Business Associate 

2,824,726 

Hacking/IT Incident 

42 

A&A Services d/b/a Sav-Rx 

2024 

Business Associate 

2,812,336 

Hacking/IT Incident 

43 

ESO Solutions, Inc. 

2023 

Business Associate 

2,700,000 

Hacking/IT Incident 

44 

Connexin Software, Inc. 

2022 

Business Associate 

2,675,934 

Hacking/IT Incident 

45 

 AccuDoc Solutions, Inc. 

2018 

Business Associate 

2,652,537 

Hacking/IT Incident 

46 

NEC Networks, LLC d/b/a CaptureRx 

2021 

Business Associate 

2,600,000 

Hacking/IT Incident 

47 

Smile Brands, Inc. 

2021 

Business Associate 

2,592,494 

Hacking/IT Incident 

48 

WebTPA Employer Services, LLC (“WebTPA”) 

2024 

Business Associate 

2,518,533 

Hacking/IT Incident 

49 

Enzo Clinical Labs, Inc. 

2023 

Healthcare Provider 

2,470,000 

Hacking/IT Incident 

50 

Florida Health Sciences Center, Inc. dba Tampa General Hospital 

2023 

Healthcare Provider 

2,430,920 

Hacking/IT Incident 

51 

Forefront Dermatology, S.C. 

2021 

Healthcare Provider 

2,413,553 

Hacking/IT Incident 

52 

INTEGRIS Health 

2024 

Healthcare Provider 

2,385,646 

Hacking/IT Incident 

53 

Shields Health Care Group, Inc. 

2022 

Business Associate 

2,380,483 

Hacking/IT Incident 

54 

Postmeds, Inc. 

2023 

Healthcare Provider 

2,364,359 

Hacking/IT Incident 

55 

Medical Management Resource Group, L.L.C. 

2024 

Business Associate 

2,350,236 

Hacking/IT Incident 

56 

Centers for Medicare & Medicaid Services 

2023 

Health Plan 

2,342,357 

Hacking/IT Incident 

57 

21st Century Oncology 

2016 

Healthcare Provider 

2,213,597 

Hacking/IT Incident 

58 

Berry, Dunn, McNeil & Parker, LLC 

2023 

Business Associate 

2,068,426 

Hacking/IT Incident 

59 

Xerox State Healthcare, LLC 

2014 

Business Associate 

2,000,000 

Unauthorized Access/Disclosure 

60 

Arietis Health, LLC 

2023 

Business Associate 

1,975,066 

Hacking/IT Incident 

61 

Great Expressions Dental Centers 

2023 

Healthcare Provider 

1,925,397 

Hacking/IT Incident 

62 

Professional Finance Company, Inc. 

2022 

Business Associate 

1,918,941 

Hacking/IT Incident 

63 

IBM 

2011 

Business Associate 

1,900,000 

Unknown 

64 

Apria Healthcare LLC 

2022 

Healthcare Provider 

1,868,831 

Hacking/IT Incident 

65 

Pension Benefit Information, LLC 

2023 

Business Associate 

1,866,694 

Hacking/IT Incident 

66 

Performance Health Technology 

2023 

Business Associate 

1,752,076 

Hacking/IT Incident 

67 

Clinical Pathology Laboratories, Inc. 

2019 

Healthcare Provider 

1,733,836 

Hacking/IT Incident 

68 

Dental Care Alliance, LLC 

2020 

Business Associate 

1,723,375 

Hacking/IT Incident 

69 

GRM Information Management Services 

2011 

Business Associate 

1,700,000 

Theft 

70 

Baptist Medical Center 

2022 

Healthcare Provider 

1,608,549 

Hacking/IT Incident 

71 

Inmediata Health Group, Corp. 

2019 

Healthcare Clearing House 

1,565,338 

Unauthorized Access/Disclosure 

72 

Eskenazi Health 

2021 

Healthcare Provider 

1,515,918 

Hacking/IT Incident 

73 

Community Health Network, Inc. as an Affiliated Covered Entity 

2022 

Healthcare Provider 

1,500,000 

Unauthorized Access/Disclosure 

74 

The Kroger Co. 

2021 

Healthcare Provider 

1,474,284 

Hacking/IT Incident 

75 

EyeMed Vision Care LLC 

2020 

Business Associate 

1,474,000 

Hacking/IT Incident 

76 

MEDNAX Services, Inc. 

2020 

Business Associate 

1,442,997 

Hacking/IT Incident 

77 

Iowa Health System d/b/a UnityPoint Health 

2018 

Business Associate 

1,421,107 

Hacking/IT Incident 

78 

St. Joseph’s/Candler Health System, Inc. 

2021 

Healthcare Provider 

1,400,000 

Hacking/IT Incident 

79 

Novant Health Inc. 

2022 

Business Associate 

1,362,296 

Unauthorized Access/Disclosure 

80 

North Broward Hospital District d/b/a Broward Health 

2022 

Healthcare Provider 

1,351,431 

Hacking/IT Incident 

81 

Prospect Medical Holdings, Inc. 

2023 

Business Associate 

1,309,096 

Hacking/IT Incident 

82 

University Medical Center of Southern Nevada 

2021 

Healthcare Provider 

1,300,000 

Hacking/IT Incident 

83 

CareFirst Blue Cross Blue Shield 

2015 

Health Plan 

1,300,000 

Hacking/IT Incident 

84 

Texas Tech University Health Sciences Center 

2022 

Healthcare Provider 

1,290,104 

Hacking/IT Incident 

85 

Geisinger 

2024 

Healthcare Provider 

1,276,026 

Unauthorized Access/Disclosure 

86 

American Anesthesiology, Inc. 

2021 

Healthcare Provider 

1,269,074 

Hacking/IT Incident 

87 

Scripps Health 

2021 

Healthcare Provider 

1,267,639 

Hacking/IT Incident 

88 

Employees Retirement System of Texas 

2018 

Health Plan 

1,248,263 

Unauthorized Access/Disclosure 

89 

INTEGRIS Health, Inc. 

2019 

Healthcare Provider 

1,245,218 

Loss 

90 

Virginia Department of Medical Assistance Services 

2023 

Health Plan 

1,229,333 

Hacking/IT Incident 

91 

PurFoods, LLC 

2023 

Healthcare Provider 

1,229,333 

Hacking/IT Incident 

92 

UNM Health 

2021 

Healthcare Provider 

1,228,093 

Hacking/IT Incident 

93 

Nuance Communications, Inc. 

2023 

Business Associate 

1,225,054 

Hacking/IT Incident 

94 

AvMed, Inc. 

2010 

Health Plan 

1,220,000 

Theft 

95 

Professional Business Systems, Inc., d/b/a Practicefirst Medical Management Solutions and PBS Medcode Corp., 

2021 

Business Associate 

1,210,688 

Hacking/IT Incident 

96 

Doctors’ Center Hospital 

2022 

Healthcare Provider 

1,195,220 

Hacking/IT Incident 

97 

Baesman Group, Inc. 

2023 

Business Associate 

1,170,094 

Hacking/IT Incident 

98 

Presbyterian Healthcare Services 

2019 

Healthcare Provider 

1,120,629 

Hacking/IT Incident 

99 

JDC Healthcare Management LLC 

2021 

Healthcare Provider 

1,077,635 

Hacking/IT Incident 

100 

Montana Department of Public Health & Human Services 

2014 

Health Plan 

1,062,509 

Hacking/IT Incident 

101 

The Nemours Foundation 

2011 

Healthcare Provider 

1,055,489 

Loss 

102 

Inova Health System 

2020 

Healthcare Provider 

1,045,270 

Hacking/IT Incident 

103 

Wolverine Solutions Group 

2018 

Business Associate 

1,024,731 

Hacking/IT Incident 

104 

BlueCross BlueShield of Tennessee, Inc. 

2010 

Health Plan 

1,023,209 

Theft 

105 

Magellan Health Inc. 

2020 

Health Plan 

1,013,956 

Hacking/IT Incident 

Source: Healthcare Data Breach Statistics (The HIPAA Journal)

Firstly, healthcare institutions are major targets for cyberattacks, considering the fact of valuable patient information in the black market. Secondly, the data protection strategies often do not meet the required standards.

The lack of effective security protocols leaves healthcare practices exposed to various cyber threats, including

  • Phishing attacks
  • Ransomware
  • Data exfiltration

These vulnerabilities don’t just result in financial loss; they also erode patient trust, which directly impacts your practice’s revenue.

Loss of Patient Trust

Patient trust is important for the success of any practice. Even a single patient data breach may cause a loss of confidence among your patients, ultimately breaking your trust and decreasing patient retention. In fact, I have seen firsthand that many patients would choose to switch providers if their personal data is comprised.

When patients no longer trust your practice to protect their sensitive data, it may affect your reputation and financial stability. Ultimately, your patients are less likely to recommend your practice to others, which can affect referrals and overall growth, further compounding reputational harm.

Financial Penalties and Legal Liabilities

In addition to the above problems I’ve mentioned, without proper healthcare compliance, you could also face severe financial penalties. For instance, the Office for Civil Rights (OCR) at the Department of Health and Human Services (HHS) enforces HIPAA compliance and can impose severe fines along with huge penalties. So, what are the penalties for HIPAA violations?

Source: OCR Penalties for HIPAA Violations Sep 24, 2024 - The HIPAA Journal

Healthcare Workflow Disruption:

After a data breach and financial penalties in any healthcare organization, there will be a need to shut down temporarily resulting in workflow disruptions and reduced productivity. Due to security concerns, organizations have no choice but to go through this temporary shutdown to protect against further damage. However, some healthcare practices can be incapacitated for many months, especially when dealing with the aftermath of a ransomware attack. It can take a significantly longer downtime to fully recover from such incidents.

Difficulty in Obtaining Insurance Coverage:

With the rise in cyberattacks and ransomware threats, getting cybersecurity insurance has become a challenge for healthcare organizations that don’t have proper compliance protocols in place. Insurers often ask for the firms to stick to the security standards and regulations before providing you with the required insurance policies.

Without compliance, you could be hit with higher premiums or worse, face coverage denials. In my experience, this leaves healthcare practices highly vulnerable to financial losses in the event of a data breach. It’s a risk no organization can afford to take in today’s landscape.

Now that we’ve covered the problems practices face without compliance, let’s move on to the potential risks that come with it. From financial penalties to reputational damage, the consequences of non-compliance can be severe and long-lasting. Let’s take a look at these risks and how they can impact your practice.

Potential Risks of Ignoring Healthcare Compliance:

Ignoring security compliance in the healthcare industry may pose a range of many risks and consequences. So, what are the potential risks you may face without compliance?

  1. Increased Vulnerability to Cyberattacks
  2. Damage to Reputation: Regulatory Fines
  3. Legal Ramifications: Breaking Boundaries
  4. Compromising Patient Safety: Decreased Engagement
  5. Loss of Competitive Advantage

Increased Vulnerability to Cyberattacks

Without compliance measures in place, healthcare practices are more susceptible to data threats and cyberattacks. Cybercriminals are adept at exploiting vulnerabilities in outdated systems, unpatched software, and inadequate access controls.

Did you know that 83% of healthcare organizations experienced a catastrophic data breach of more than once in just two years? Yes, IBM has a clear report, and the surprising fact is that only 17% of data breaches were first-time attacks. This enforces the need to protect sensitive patient information using compliance standards and encryption protocols.

Damage to Reputation: Regulatory Fines

Non-compliance with security regulations can result in significant fines and reputational damage. In fact, the OCR reported over $1.5 million for HIPAA violation fines just in 2022 alone. From my experience, I’ve seen that the financial hit from non-compliance is just one part of the problem.

The real long-term damage often comes from the reputational fallout. When patients and stakeholders start questioning your commitment to protecting their sensitive data, it can be incredibly difficult to rebuild that trust.

Legal Ramifications: Breaking Boundaries

Data breaches in healthcare organizations can lead to serious consequences including class action lawsuits and legal ramifications. Did you know that on July 19, 2024, Change Healthcare filed a breach report with OCR about the ransomware attack ended with the breach of PHI? It was a massive attack on PHI leading to 500 affected individuals to be an approximate number.

This catastrophic data breach led to a federal judicial panel ruling to consolidate nearly 50 lawsuits against Change Healthcare in Minnesota in 2024. Legal battles can be lengthy and

costly, diverting resources away from patient care and negatively impacting organizational morale.

Comprising Patient Safety: Decreased Engagement

Patient Safety must always be the top priority within any healthcare setting. Failure to adhere to important protocols puts your patients at unwanted risks. Moreover, patients are increasingly concerned about their privacy and security.

In fact, a survey by Accenture found that 64% of patients would consider changing their providers due to data security concerns. Ignoring healthcare security compliance can lead to decreased patient engagement and satisfaction, ultimately affecting the quality of care provided.

These concerns about privacy and security don’t just impact patient engagement, but they also have a direct effect on your practice’s ability to stay competitive in the market.

Loss of Competitive Advantage

In an increasingly competitive landscape, organizations that fail to prioritize healthcare cybersecurity compliance may end up losing their competitive edge. Patients are more likely to choose providers that demonstrate strong security practices and a commitment to safeguarding their information. Non-compliance can result in reduced patient referrals and a decline in market share. After going through the potential risks, you could see how vital it is to prioritize compliance. Let’s take you to the next step in finding the right solution to ensure your practice adheres to these essential regulations.

Solution: Why Compliance Matters & Why Practices Must Prioritize HIPAA, HITRUST, SOC 2, and GDPR?

When considering how to enhance their care delivery, practices must take several factors into account. While most of them are compliant with HIPAA, few have achieved compliance with HITRUST and SOC 2 standards. Additionally, it’s important to recognize that many organizations overlook GDPR regulations in the U.S. market while handling EU patient data.

This oversight can be particularly concerning for those who are not compliant with any of these four critical frameworks. By prioritizing compliance with all applicable standards, practices can better protect patient data, enhance their reputation, and avoid potential legal and financial repercussions.

One such platform that meets all these standards is CERTIFY Health, which is your patient intake solution, committed to compliance with local, state, and federal regulations. Our platform upholds the highest industry standards, certified by:

  • HIPAA
  • HITRUST
  • SOC 2 Type II
  • GDPR

By adhering to these compliances, your practice can handle patient data with the utmost care and security, minimizing risks and concerns related to data breaches. With CERTIFY Health, you can focus on enhancing patient experience and revenue collections without worrying about compliance issues.

Before discussing CERTIFY Health and its need for practices to integrate, we will have a detailed discussion about each of these compliances for better understanding.

A Brief Idea About HIPAA, HITRUST, GDPR, and SOC 2 Compliances:

When you understand the reasons behind each of these compliances, healthcare practices can eliminate cyberattacks or ransomware attacks. Here is a clearer view at all of them:

What is HIPAA?

HIPAA compliance

HIPAA stands for Health Insurance Portability and Accountability Act. It is a federal U.S. law enforced in 1996 to protect your patient’s sensitive information. This compliance sets certain standards to protect an individual’s medical information along with other personal health records.

HIPAA compliance ensures that health systems, provider groups and other specialties keep patient data confidential and share them only when needed. The necessary conditions would be for the patient’s treatment, payment reasons or other healthcare reasons.

The law provides rights to patients to access their information and correct their records whenever necessary. HIPAA imposes penalties to those who are non-compliant to prevent data breaches and misuse of patient data.

With HIPAA privacy rule, there are key provisions such as:

  • Privacy Rule – To protect patient health information (PHI)
  • Security Rule – To protect electronic PHI (ePHI)
  • Breach Notification Rule – Covered entities to help affected individuals, and the OCR to address in the event of a data breach.
HIPAA compliance three rules

HIPPA applies to three types of safeguards to the security rule including:

Technical Safeguards – Utilizing technical solutions like firewalls or encryption tools to prevent data breaches or ePHI disclosure. Examples like monitoring system, audit controls, and more.

Administrative Safeguards – Programs like risks assessments, training sessions, and more taken in a healthcare organization to protect ePHI.

Physical Safeguards – Restricting the physical access to locations inside facilities where ePHI is stored and protected. These may be workstation security controls, access controls, etc.

HIPAA Penalties for Non-Compliance:

HIPAA outlines several penalties for those who are non-compliant and violating the rules. The penalties for non-compliance HIPAA are of four different levels.

Civil Penalties:

Level 1: Lack of awareness – It carries a penalty of $100 to $50K per violation, and sometimes maximum of up to $1.5 million per year.

Level 2: Lack of Due Diligence – It results in a fine amount of $1,000 to $50,000 per violation.

Level 3: Willfully Default and Neglect taking effort to correct – It incurs a fine amount of $10,000 to $50,000 per violation.

Level 4: Willfully Neglect without taking corrective action – It carries a penalty of 50,000 per violation, of up to $1.5 million per year.

What is HITRUST?

HITRUST certification

HITRUST stands for the Health Information Trust Alliance. It is a certifiable framework helping healthcare organizations manage compliance and risks in protecting sensitive data. The main reason behind its development is to create and follow a standardized approach for security information alongside aligning with HIPAA, GDPR regulations.

It provides a scalable framework for practices to follow the best methods in protecting your patient’s data. Furthermore, with HITRUST certification, practices can meet stringent security requirements and ensure assurance of safeguarding protected health information (PHI).

When an organization achieves HITRUST certification, it is easy for them to satisfy 40 more compliance frameworks. Some of them including:

  • HIPAA
  • SOC 2
  • FedRAMP
  • GDPR
  • CCPA
  • PCI DSS

ISO 27001 and NIST 800-53

HITRUST certification is particularly important for practices because:

  • It eases the tasks of managing multiple compliance frameworks like HIPAA, GDPR, etc.
  • It sets a standardized approach to data protection.
  • It improves your confidence in protecting your patient’s sensitive information.

What is SOC 2 Type II?

SOC 2 Type 2

SOC 2 stands for System and Organization Controls. The American Institute of Certified Public Accountants (AICPA) developed this framework that comes under one of five sets of standards. With this standard, healthcare practices can easily evaluate that their security, privacy and admin processes are enough.

SOC 2 compliance is significant for C-suite, business partners handling sensitive customer information. It is relevant to healthcare, as its framework aligns closely with HIPAA requirements. The SOC 2 controls have five Trust Services Criteria including:

  • Security
  • Availability
  • Processing Integrity
  • Privacy
  • Confidentiality
SOC 2 five trust controls

Loss of Competitive Advantage

SOC 2 Type II compliance is particularly important as it demonstrates to patients that the systems and processes involved in your practices are safe and reliable. With this, all the patient data is completely protected following the set standards and regulations.

Hence, it is evident for healthcare providers to have SOC 2 Type 2 compliance for

  • Protection against data breaches using a robust framework to improve your brand reputation using security controls and processes
  • Maintaining a competitive differentiation to showcase others that you are committed to protecting patient’s sensitive data
  • Streamline internal process to address everyone in your organization to understand their roles and responsibilities in data security

What is GDPR Compliance?

GDPR compliance

GDPR stands for General Data Protection Regulation (GDPR), a comprehensive data protection law developed by the European Union (EU) in May 2018. In addition to safeguarding PHI (Protected Health Information), GDPR regulates personally identifiable information (PII).

GDPR gives EU citizens the various rights to access and change their information. Some of them include:

  • Right to rectify records
  • Right to access personal information
  • Right to delete records
  • Right to restrict data processing
  • Right to data portability

Why GDPR Compliance Matters in US Healthcare?

How does it matter for the US healthcare practices to be compliant with GDPR? Yes, it looks unrelated, but it plays a vital role in cross-border patient data processing. GDPR ensures that your healthcare practices follow stringent security measures and maintains consistent protection standards for patient information.

For U.S healthcare practices, GDPR compliance is not only important but essential as well. Here is why GDPR compliance matters.

  • Globalization of Cross-Border Data – Under GDPR, any healthcare practices should comply with its security standards to process or use the personal or health information of EU citizens.
  • Telehealth – If a U.S based telemedicine provider is handling data from an EU citizen, they must stick to GDPR standards, otherwise they will face GDPR non-compliance fine.
  • GDPR Penalties – Though U.S healthcare providers may not come under EU jurisdiction, they will end up with penalties for failing to meet the standards, when handling EU citizen’s data.
  • Security Standards – Eliminate the risks of data breaches and cyberattacks with GDPR compliance, protecting patient information and avoiding the reputational and financial fallout that often follows a security breach.

GDPR Penalties

  • GDPR compliance fines may incur up to €10 million or 2% of the worldwide annual revenue, whichever is higher, for less severe violations.
  • Up to €20 million or 4% of the worldwide annual revenue, whichever is higher, for more severe violations.

Well, we had a detailed overview of all those compliances that are the utmost important for any healthcare practices.

Now, let us brief you on the things that how integrating with CERTIFY Health helps you achieve and maintain these important regulations.

Why Integrating with CERTIFY Health Guarantees Seamless Compliance?

Healthcare practices that opted for CERTIFY Health have gained access to a comprehensive platform that meets the highest standards of security compliance. Here are some significant benefits that health systems, provider groups, and specialty groups are experiencing by choosing us as their preferred partner:

GDPR Penalties

CERTIFY Health, a digital intake platform, is following HIPAA, HITRUST, and SOC 2 Type II, and GDPR standards. To ensure that we safely protect your patient data through these compliance regulations. We continually monitor regulatory changes and industry best practices, ensuring that our platform remains compliant in safeguarding patient data.

Ensuring all Security Features

Our platform utilizes advanced security features such as FaceCheck (PPID), data encryption, and regular risk assessments to eliminate data breaches and to protect the sensitive patient’ data. As we implement all these security measures and stringent methods, practices can significantly reduce their risk of data breaches and ransomware attacks, building patient trust and loyalty.

Maintaining Streamlined Workflows

Along with the needed requirement of cybersecurity compliance, CERTIFY Health is the digital solution that streamlines your practice workflows, improving operational efficiency. Our seamless integration with your existing systems and methods allows practices to focus more on patient care alongside ensuring compliance.

Driving Patient-Centric Approach

At CERTIFY Health, we give importance to patient safety and privacy. Our compliance measures are designed not only to meet regulatory requirements but also to foster the patient’s trust and loyalty, promoting patient retention. With our platform, practices can demonstrate their commitment to protecting sensitive patient medical records.

Conclusion: The Imperative of Prioritizing Security Healthcare Compliance

By partnering with CERTIFY Health, we can help your healthcare practice implement robust security compliance measures that align with HIPAA, HITRUST, GDPR, and SOC 2 Type II standards. With our comprehensive solutions and expert guidance, we’re committed to ensuring that your patient data is secure, allowing you to focus on what you do best—delivering quality care.

As the healthcare landscape continues to evolve, I believe prioritizing security compliance isn’t just a best practice—it’s an absolute necessity. When you choose CERTIFY Health as your trusted partner, we’ll work together to achieve compliance and protect the valuable data of your patients. Let’s navigate the complexities of healthcare security together and build a safer, more secure future for all.

Book a Consultation to Secure your Practice

FAQs

What are HIPAA penalties for non-compliance?
HIPAA penalties for non-compliance depend on the nature of the violation, its consequences, and who the non-compliant party is. For instance, workforce violations may result in warnings, while Covered Entities can face fines or require technical assistance.
HIPAA fines and penalties are set by the Department of Health and Human Services (HHS). Initially related to fraudulent claims, they were expanded in 2005 to cover Privacy and Security Rule violations. Congress increased HIPAA fines and penalties in 2009 through the HITECH Act, and HHS’ Office for Civil Rights adjusted them annually for inflation. However, State Attorney General penalties and criminal violation fines have not increased since the passage of HITECH.
The key difference is that HIPAA is a U.S. law focused on protecting patient health information (PHI) in healthcare, while HITRUST is a global security framework that includes many of HIPAA’s required security controls. Achieving HITRUST certification helps streamline compliance with HIPAA.
The purpose of HITRUST is to provide organizations with a comprehensive framework to protect sensitive data, manage information risks, and ensure compliance with various regulatory requirements, including healthcare and data security standards.

The five SOC 2 trust principles are:

  • Security
  • Availability
  • Processing Integrity
  • Confidentiality
  • Privacy