HIPAA compliant app development

In healthcare, being HIPAA-compliant is as vital as a steady pulse in an emergency room. It's key for securing personal health data, a critical task for medical app developers.

With over 20 years in healthcare app development, we provide a comprehensive guide on achieving HIPAA compliance and ensuring your app is secure, reliable, and meets essential patient data protection regulations.

The basics of HIPAA compliance for software development

Any healthcare application that handles confidential patient data — whether through reception, transmission, or processing — must rigorously follow HIPAA protocols. This means adhering to the standards defined under the Health Insurance Portability and Accountability Act (HIPAA). This 1996 legislation was enacted in the US to protect the privacy of patient health information.

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HIPAA compliance involves using tech methods like encrypting digital records, ensuring data integrity, and controlling who can see or change patient info.

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Additionally, it includes provisions for regular risk assessments and audits to ensure continuous health data protection.

Non-compliance not only risks severe legal ramifications and fines, but also damages the trust and reputation of a healthcare provider. It underscores the importance for developers to rigorously follow HIPAA guidelines in designing and maintaining any healthcare application that handles patient data.

What kind of data is regulated by HIPAA?

For healthcare app developers on the path to HIPAA compliance, it's vital to comprehensively understand the nature of the data your application processes.

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IIHI and PHI: definitions, HIPAA regulations, and regulatory rules

Individually Identifiable Health Information (IIHI)

Protected Health Information (PHI)

Definition

Individually Identifiable Health Information (IIHI)

IIHI refers to health-related data that identifies individuals based on their health status, received services, or payment details. It can include common individual identifiers like name, address, or social security number.

Protected Health Information (PHI)

PHI encompasses all data that can identify a person within a medical setting, and has been generated, utilized, or revealed while providing healthcare services — including diagnosis and treatment.

HIPAA regulation of data

Individually Identifiable Health Information (IIHI)

Any IIHI that doesn't qualify as PHI is exempt from HIPAA regulations. This encompasses, but is not limited to:

  • Combined aggregated statistics from several individuals

  • General geographical data tied to larger areas like counties or states rather than precise locations

  • Broad age categories

  • Vague time frames

  • General ethnicity or race classifications

  • Non-specific gender information

  • Randomized identifiers for individuals that can't be traced back to their actual identities

  • Modified or obscured identifiers

  • Omitted specific details

Protected Health Information (PHI)

PHI is always subject to HIPAA regulations and includes a diverse array of information:

  • Full patient names

  • Geographic identifiers

  • Significant dates related to an individual’s health or identity

  • Contact information, including phone and fax numbers

  • Email addresses

  • Medical record identifiers

  • Health insurance details and bank account numbers

  • Certificate/license numbers and vehicle identifiers

  • Device characteristics or serial numbers

  • Online digital identifiers and IP addresses

  • Biometric data, including fingerprints, retinal scans, and voiceprints, as well as patient photographs

Regulatory rule

Individually Identifiable Health Information (IIHI)

No specific regulatory act

Protected Health Information (PHI)

HIPAA privacy rule

Major HIPAA compliance updates
Feb. 8, 2024
Apr. 12, 2023
Nov. 28, 2022
Apr. 6, 2022
Jan. 21, 2021

The US Department of Health and Human Services, supported by the Office for Civil Rights (OCR) and the Substance Abuse and Mental Health Services Administration (SAMHSA), finalized updates to the regulations protecting the privacy of Substance Use Disorder (SUD) treatment records. These updates aim to improve care coordination for SUD patients, enhance privacy protections, and integrate behavioral health information with other medical records for better patient outcomes.

 

HIPAA privacy rule in reproductive healthcare

The Notice of Proposed Rulemaking (NPRM) focuses on restricting the usage and sharing of PHI by regulated entities in cases linked to reproductive healthcare — particularly in jurisdictions outside the care-providing state or under federal protection. It permits some exceptions, like for defense in misconduct cases or during audits, but requires signed statements confirming adherence to these new restrictions on PHI requests.

HIPAA and CFR Part 2 update

The NPRM proposes revisions to 42 CFR (Code of Federal Regulations) Part 2, aiming to enhance privacy protections for records related to substance use disorder treatment. The updates would allow broader consent for single-time usage of patient information for future treatment, payment, and healthcare operations.

HITECH RFI

The OCR has issued a Request for Information (RFI) regarding two key aspects of the HITECH (Health Information Technology for Economic and Clinical Health) Act: 

1) The adoption of Recognized Security Practices in healthcare, focusing on incentives for implementing audits and penalties.

2) The idea of sharing monetary penalties and settlements with people affected by HIPAA breaches.

NPRM

The NPRM calls for public feedback on proposed modifications to the HIPAA Privacy Rule. These changes aim to enhance access to health electronic records, improve care coordination, enable greater family involvement in emergencies, and relax regulations for urgent public health crises like the opioid epidemic and COVID-19. 

These adjustments are projected to save approximately $3.2 billion over five years.

What are the penalties for violation of HIPAA?

As per The HIPAA Journal, financial penalties for violating HIPAA are divided into four tiers, each aligning with the severity of the violation.

From $100 per violation to $50K

Instances where the covered entity was unaware and, realistically, couldn't prevent the violation — despite exercising reasonable care.

From $1K per violation to $50K

These instances involve scenarios where the covered entity, despite due diligence, was aware, but couldn't prevent the violation.

From $10K per violation to $50K

Cases of willful neglect of HIPAA rules, even if corrective action was later taken.

From $50K per violation

Violations that arise from willful neglect of HIPAA rules with no attempts at correction within 30 days.

The OCR determines the financial penalty within the specified range for each category, considering the following factors:

Duration of the violation

Number of individuals affected

The nature of the data compromised

Cooperation during the investigation

Past compliance history

The financial condition of the entity

Extent of harm caused

These updated penalty rates, effective from October 6, 2023, apply to violations occurring after November 2, 2015.

Total HIPAA settlements and civil monetary penalties (2015 - November 2023)

2015.0
$6.2M
$6.2M
2016.0
$23.5M
$23.5M
2017.0
$19.4M
$19.4M
2018.0
$28.7M
$28.7M
2019.0
$12.3M
$12.3M
2020.0
$13.6M
$13.6M
2021.0
$5.98M
$5.98M
2022.0
$2.13M
$2.13M
2023.0
$3.54M
$3.54M
HIPAA

Need expert advice on HIPAA compliance for your healthcare application?

Let our knowledgeable healthcare consultants lead you through the maze of compliant technology solutions.

HIPAA software development guidelines

Crafting software that meets HIPAA standards demands a thorough understanding of numerous regulations. Key aspects include selecting vendors knowledgeable in HIPAA, assembling the right development team, and effective budget management.

Understanding these elements is key to securing HIPAA adherence in healthcare applications and lessening the likelihood of risks and penalties.

Choose the right vendor

Prioritize vendors with a demonstrated healthcare sector history; request references and detailed case studies to assess their experience.

Investigate their security measures, focusing on data encryption, user access management, and adherence to secure software development practices.

Confirm their readiness to sign a Business Associate Agreement as part of HIPAA compliance requirements.

Gain a clear understanding of their PHI management practices, which should cover storage, transmission, and secure disposal.

Evaluate their incident response strategy to ensure it’s robust and aligned with HIPAA standards.

Look for vendors offering scalable and adaptable solutions that can accommodate the dynamic needs of healthcare software.

Determine the timeline and budget

The time and expense required to create a minimum viable product (MVP) in healthcare software can vary greatly. Insights from resources like Clutch suggest a general average for the cost of HIPAA-compliant software development:

Initial cost

Time for MVP development

Telemedicine platform

Initial cost

$150K

Time for MVP development

From 3 to 6 months

EHR system

Initial cost

$500K

Time for MVP development

From 6 to 12 months

Health and wellness app

Initial cost

$60K

Time for MVP development

From 3 to 6 months

Patient engagement portal

Initial cost

$100K

Time for MVP development

From 4 to 8 months

AI medical imaging software

Initial cost

$500K

Time for MVP development

From 6 to 12 months

Clinical decision support system

Initial cost

$300K

Time for MVP development

From 6 to 12

Healthcare analytics platform

Initial cost

$200K

Time for MVP development

From 6 to 12 months

Remote patient monitoring system

Initial cost

$200K

Time for MVP development

From 4 to 8 months

Assemble a team

Based on your project's size and complexity, you may require IT professionals of various specializations:

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HIPAA and legal compliance consultant

This expert oversees the adherence to HIPAA regulations during the entire HIPAA compliance application development process.

Business analyst

The BA serves as a bridge between the technical team and business stakeholders, ensuring the software fulfills all operational and functional requirements.

Software architect

These specialists ensure the system’s architecture meets both HIPAA's security standards and scalability demands.

Software developers

Software developers leverage their expertise in cutting-edge technologies to craft healthcare solutions that adhere to HIPAA compliance standards.

Project manager

The PM coordinates the team, manages timelines, and ensures the project meets HIPAA requirements.

Security analyst

Security analysts evaluate and mitigate security risks, implement secure coding practices, and perform routine security assessments to ensure robust protection.

UI/UX designers

They design user-friendly interfaces that comply with accessibility norms, aiming to enhance the experience of healthcare professionals and patients.

DevOps engineers

DevOps developers specialize in automating deployment processes, securely managing infrastructure, and ongoing system monitoring.

In need of skilled developers for HIPAA-compliant software?Look no further than Vention for a team of exceptional engineers who know how it’s done.
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HIPAA compliance checklist for software development

When making your first steps in HIPAA compliance software development, it's crucial to focus on privacy and security aspects. Refer to this checklist as a roadmap for creating a HIPAA-compliant application.

Data encryption

Implement encryption techniques to protect sensitive health information in storage and transmission.

  • Transport layer security (TLS)
  • Advanced encryption standard (AES)
  • Rivest–Shamir–Adleman RSA
  • Elliptic curve cryptography (ECC)
  • Secure hash algorithm (SHA)
  • End-to-end encryption

 

Access controls

Establish robust access controls to ensure only authorized individuals have access to PHI.

  • Role-based access control (RBAC)
  • User IDs
  • Session management
  • Data masking
  • Data encryption during transmission and storage

Audit trails (also called audit logs)

Create and keep detailed audit logs to track access, changes, and other activities related to PHI.

  • Events logging
  • Time stamps
  • Device identification
  • Action details
  • Failed access attempts
  • Encryption status
  • Security alerts
  • Integration of security information and event management (SIEM)

Authentication and authorization

Introduce robust authentication protocols to verify user identities and their respective authorization levels.

  • Multi-factor authentication (MFA)
  • Strong password policies
  • Biometric authentification
  • Single sign-on (SSO
  • User lockout
  • Attribute-based access control (ABAC)
  • Emergency access
  • Secure API authorization

HIPAA-compliant hosting

Choose cloud services or hosting providers that comply with HIPAA regulations and are willing to enter into a Business Associate Agreement.

  • AWS
  • Microsoft Azure
  • Google Cloud Platform
  • IBM Cloud
  • Oracle Cloud Infrastructure
  • Rackspace
  • Datica
  • Atlantic.Net
  • Cerner hosting

Secure data transmission

Ensure the secure and encrypted transmission of PHI across networks.

  • TLS
  • VPN
  • SFTP
  • HTTPS
  • OAuth for secure API
  • Managed file transfer (MFT)
  • Point-to-Point Encryption (P2PE)
  • Digital signature manager (DSM)
  • Intrusion detection and prevention systems (IDPS)

Data backups

Conduct regular data backups and test recovery procedures  to ensure data availability in case of emergencies.

  • Cloud backup or on-premises solutions
  • Backup schedule
  • Incremental and full backups data versioning and de-identification
  • Secure backup storage

Breach response plan

Develop a comprehensive strategy for responding to and reporting any potential data breaches, as HIPAA requires.

  • Incident reporting
  • Response team assignment
  • Investigation
  • Notification of HHS(Health and Human Services), affected individuals, and business associates

Vention is a HIPAA-compliant app development company

Vention has been leading the way in creating healthcare solutions that meet all the vital regulations for over 20 years. Our deep knowledge of healthcare, combined with our dedication and tech know-how, means we deliver software that really makes a difference.

Let us be the architects of your continued success in an ever-evolving healthcare landscape.

  • HIPAA and legal consulting

  • Custom healthcare solutions

  • Software modernization

  • AI, data, and other solutions integration

  • Estimation of costs, ROI, and a payback period

  • Technical and legal consulting

  • Custom mobile app development

  • IoT (IoMT) enablement

  • Chatbot implementation

  • Security assurance

Hear from our expert

With decades of experience under his belt, Eugene Kruglik, our healthcare development expert, possesses an in-depth understanding of HIPAA compliance and a clear vision of how to resolve HIPAA challenges that our clients may face.

Eugene Kruglik

Eugene Kruglik

Healthcare Development Expert

“We often notice that clients building HIPAA-compliant software are struggling to integrate new software seamlessly with existing systems without jeopardizing PHI security. This often stems from an incomplete grasp of HIPAA requirements, which affects the ability to conduct consistent audits and updates effectively.

In our initial consultations, we dive into the intricacies of HIPAA regulations, establishing strong technical safeguards. We also conduct thorough risk assessments and offer secure data storage, along with seamless system integration solutions. Additionally, our team performs efficient resource allocation and cost management, empowering clients to achieve HIPAA certification faster and easier."

Why choose Vention

Billions in funding raised by our healthcare clients

Solutions compliant with HL7, HIPAA, GDPR, and PCI DSS

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30%

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