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The HIPAA Journal is the leading provider of HIPAA training, news, regulatory updates, and independent compliance advice.

At Least 43% of Covered Entities Still Not Using Software for HIPAA Compliance Tracking

A recent survey conducted by The HIPAA Journal found that 57% of HIPAA-covered entities now use HIPAA compliance software to manage their HIPAA compliance programs. While this figure highlights progress toward streamlined compliance management, it also reveals a concerning reality: at least 43% of organizations still rely on manual processes or potentially do not track compliance at all.

The survey respondents were subscribers to The HIPAA Journal newsletter, a group likely more invested in HIPAA compliance than the average healthcare organization. This selection bias suggests the actual percentage of organizations not using compliance software may be significantly higher.  Despite HIPAA regulations mandating that covered entities maintain detailed compliance records for several years, many organizations continue using paper-based systems or fragmented manual processes. These outdated methods can lead to inconsistent record-keeping, increased administrative burdens, and heightened risks of non-compliance.

HIPAA compliance software simplifies managing security policies, training records, risk assessments, and incident reports. It centralizes documentation by storing all compliance records in a single, secure location, ensuring easy access during audits. The software automates tracking by sending reminders for tasks such as policy reviews, staff training, and risk assessments. Its comprehensive reporting features help demonstrate compliance to regulators, while automation minimizes manual entry mistakes that could jeopardize compliance. Organizations not using compliance software face several risks, including audit failures due to incomplete or missing records, which can result in significant financial penalties. Poorly managed compliance processes increase the likelihood of data breaches, exposing sensitive patient information. Additionally, non-compliance can damage an organization’s reputation, eroding patient trust and harming long-term success.

While the survey’s results indicate that a growing number of covered entities are adopting compliance software, the fact that at least 43% remain reliant on outdated methods—or possibly lack tracking altogether—is concerning, especially with another round of HIPAA compliance audits on the horizon. Last month, the Department of Health and Human Services Office of Inspector General (HHS-OIG) published a report on its audit of the OCR HIPAA audit program. HHS-OIG recommended OCR expand its HIPAA audit program to assess compliance with a broader range of HIPAA standards, as in its current form, the audit program was not substantive enough to assess compliance and if risks were being effectively managed at HIPAA-regulated entities. OCR concurred with the recommendation and said future audits would cover a broader range of HIPAA provisions, especially the standards of the HIPAA Security Rule.

Earlier this year, OCR Director Melanie Fontes Rainer said OCR was planning on recommencing HIPAA audits in 2024, and recently, Nicholas Heester, OCR’s senior advisor for cybersecurity, confirmed that his team is preparing for another round of audits. While he did not provide a start date, it is clear that OCR is gearing up for another round of audits and compliance with the HIPAA Rules will soon be assessed. Given the critical nature of maintaining accurate HIPAA compliance records, organizations should strongly consider implementing software solutions to reduce risk, ensure readiness for audits, and maintain regulatory compliance in today’s evolving healthcare landscape.

Author: Steve Alder is the editor-in-chief of The HIPAA Journal. Steve is responsible for editorial policy regarding the topics covered in The HIPAA Journal. He is a specialist on healthcare industry legal and regulatory affairs, and has 10 years of experience writing about HIPAA and other related legal topics. Steve has developed a deep understanding of regulatory issues surrounding the use of information technology in the healthcare industry and has written hundreds of articles on HIPAA-related topics. Steve shapes the editorial policy of The HIPAA Journal, ensuring its comprehensive coverage of critical topics. Steve Alder is considered an authority in the healthcare industry on HIPAA. The HIPAA Journal has evolved into the leading independent authority on HIPAA under Steve’s editorial leadership. Steve manages a team of writers and is responsible for the factual and legal accuracy of all content published on The HIPAA Journal. Steve holds a Bachelor’s of Science degree from the University of Liverpool. You can connect with Steve via LinkedIn or email via stevealder(at)hipaajournal.com

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