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  • Writer's pictureAppsec360 Team

Pillars for building HIPAA-compliant software #TWO

Updated: Aug 26, 2023

As healthcare technology advances, ensuring that sensitive patient health information is properly protected is becoming increasingly important. That's why compliance with HIPAA (Health Insurance Portability and Accountability Act) is a crucial consideration for software developers who build healthcare-related applications.

HIPAA, a federal law in the United States, establishes national standards for protecting the confidentiality, integrity, and availability of electronically protected health information (ePHI).

Here are a few security pillars that developers can use to help ensure their software is HIPAA-compliant:

Access Controls

One of the most important steps for HIPAA compliance is implementing strong access controls to ensure that only authorized personnel can access the system or patient health information. Use multifactor authentication (MFA), role-based access control (RBAC), and unique user identification for each user. This will ensure that access to ePHI is limited to only those who need it.


Use strong encryption algorithms to protect patient health information when transmitted over the internet or stored in the database. This helps to prevent unauthorized access or disclosure of ePHI.

Audit Logs

Create and store audit logs that track all activities related to patient health information. Ensure that the audit logs are tamper-evident and can be easily reviewed. This helps to detect and respond to any security incidents that may occur.

Risk Assessments

Perform regular risk assessments to identify any potential security threats and vulnerabilities in the system. This includes assessing the risk of unauthorized access to ePHI, as well as the risk of data breaches or other security incidents.

Disaster Recovery

Implement a disaster recovery plan that includes regular backups, offsite storage, and a plan for recovering the system in case of a breach. This helps to minimize the impact of any security incidents that may occur.

HIPAA Policies and Procedures

Develop and maintain policies and procedures that are consistent with HIPAA requirements. Ensure that all employees are trained on these policies and procedures. This includes policies and procedures for accessing ePHI, protecting ePHI, and responding to security incidents.

Business Associate Agreements

Ensure that any third-party vendors or partners with access to patient health information have signed a Business Associate Agreement (BAA) and comply with HIPAA. This helps to ensure that ePHI is properly protected by all parties involved.

Physical Security

Implement physical security measures to protect the hardware and devices that store patient health information. This includes secure access to data centers, backup systems, and devices. Physical security measures should also be implemented to dispose of any hardware or devices containing ePHI.

Incident Response

Develop an incident response plan that includes procedures for detecting, responding to, and reporting security incidents. This includes procedures for notifying affected individuals, as well as procedures for working with law enforcement and other regulatory agencies.

Training and Awareness

Ensure that all employees know the importance of HIPAA compliance and receive regular training on maintaining compliance. This includes training on the policies and procedures related to ePHI and on best practices for protecting ePHI.

By following this checklist, software developers can help ensure their software is HIPAA compliant and secure patient health information. However, it's important to note that these guidelines are not exhaustive and that additional measures may be required depending on the specific system and its use cases. Developers should work with compliance experts and security professionals to ensure their software fully complies with HIPAA requirements.

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