All covered entity organizations that handle protected health information (PHI) must follow the HIPAA Privacy Rule. A covered entity is a healthcare provider, health plan, health insurer or healthcare clearinghouse. Under HIPAA, PHI is individually identifiable health information that is used, maintained, stored or transmitted by a HIPAA covered entity. It is the responsibility of these organizations to safeguard all protected health information and demonstrate this through a carefully crafted HIPAA compliance plan with HIPAA Privacy Policies.

Teaching HIPAA Privacy

HIPAA Privacy Policies

Creating a Plan

To begin with, covered entities must create plans that include policies and guidelines that help safeguard the Protected Health Information (PHI) which the organization handles. This includes all forms of PHI which is either written, verbal or electronic. As a result, a covered entity will have to protect the confidentiality, integrity, and availability of PHI and electronic (e-PHI). To be fully prepared an entity must also perform a full Security Risk Analysis to assess the health and security of their HIPAA program.


A HIPAA compliance plan with Privacy Policies holds providers and workforce members accountable for protecting PHI. Naturally this occurs through its policies, procedures and guidelines. In addition, the plan also outlines the consequences of a PHI breach or any violation of the policies in the compliance plan.

By having a plan in place, it will help mitigate any breaches of PHI that might occur in the future. Of most importance, a HIPAA compliance plans also ensures proper training of all workforce members, which includes employees, physicians, volunteers and trainees.

HIPAA Privacy Policies

HIPAA Compliance policies and procedures must be implemented to ensure compliance with the HIPAA Rules. Accordingly, these give individuals rights over their PHI and responsibilities to covered entities. The policies implement appropriate administrative, technical, and physical safeguards to protect the privacy and security of PHI.

Implement a Training Plan

The program must implement a training plan that trains workforce members on the requirements and policies that apply to them in their individual roles. The training program must train all workforce members upon employment on HIPAA and policies and procedures.  It must also train on a regular basis thereafter. The OCR does not accept the term “Certification,” but rather wants to confirm all personnel have received appropriate training.

Appoint a Privacy Officer

Privacy and Security Officers, once appointed will oversee the HIPAA program. They are responsible for oversight of the program and for tracking, investigating, resolving and documenting all privacy and security complaints and investigative steps taken. They ensure there is no retaliation against any workforce member or other individual for reporting a PHI breach or filing a HIPAA complaint.

Business Associate Agreements

A covered entity must enter into a Business Associate Agreement with each organization or vendor that accesses, uses or discloses PHI to on behalf of the organization.  This ensures the Business Associate uses appropriate safeguards to protect the PHI in the same manner that the covered entity must.

HIPAA Associates Will Help

Our professionals will assist you with all of these important policies and procedures. HIPAA Associates develops and consults on HIPAA compliance plans that include HIPAA privacy and security, policies and procedures and breach reporting requirements in compliance with the HIPAA Rules. Of great importance to your organizaiton, HIPAA Associates is always available to assist you when questions arise regarding the HIPAA Rule. HIPAA consulting is the main focus of our organization. We would be happy to discuss with you how we can help with your program.

HIPAA Privacy Policies

HIPAA Privacy Policies

Our HIPAA Privacy Policies are ready for purchase by your organization. These are easily modifiable for immediate use. They cover all the policies & procedures to be compliant with the Privacy Rule & HITECH Regulations.

Template Privacy Policies – Contact Us

Contact us for your HIPAA Privacy Policies

Privacy Policies

Frequently Asked Questions:

Do we need a HIPAA Compliance Plan?

Any covered entity that handles protected health information (PHI) must be prepared to protect that information.??This is done by creating and implementing a HIPAA compliance plan with policies and procedures to safeguard PHI.??The plan will outline the steps you will have to take in the event of a breach.??This will ensure that all workforce members are properly trained on how to handle PHI in all its forms.??
HIPAA Associates is prepared to create the perfect compliance plan for your organization that has all the necessary policies, procedures and training you will need to keep your PHI safe.

HIPAA Compliance

How do I handle a breach?

It is important to follow all the steps to report a breach to the OCR.  Every breach is different and must be handled on a case by case basis.  A full breach analysis must be performed to determine if there was an impermissible use or disclosure that compromises the security of protected health information.

Factors to be resolved are:
1. The nature and extent of the breach including identifiers
2. The unauthorized person to whom disclosure is made
3. Whether the PHI was acquired or viewed
4. The extent to which the risk to PHI has been mitigated.

HIPAA Associates can help your organization through this process to ensure you follow all the important steps.

Protecting PHI

How to create a Compliance Plan

  • Implement Policies & Standards

Policies and procedures help establish the rules your organization will need to carry out the requirements of federal health care program guidelines.

HIPAA Privacy Policies
  • Designate a Compliance Officer

The compliance officer will be responsible for operating and monitoring the compliance program.

Compliance Officer
  • Conduct an effective training program

All personnel should receive training on fraud & abuse laws as well as the compliance program.

HIPAA Privacy Training
  • Develop effective lines of communication

Employees must have avenues available for reporting concerns internally. Anonymous reporting must be available.

Communicate effectively
  • Conduct internal monitoring and auditing

A good program will have an ongoing process to evaluate and assess the organization for inappropriate behavior.

Internal monitoring
  • Enforce standards of conduct with guidelines

    An organization must have well published standards of conduct. The plan should clearly state the implications and penalties of violating the standards.

Enforcing standards
  • Respond promptly to violations and take corrective action

An organization must ensure timely and effective remedial action for offenses.

Responding to violations