Healthcare Compliance
Navigating the legal, regulatory, and security standards for protecting patient data and privacy
Comprehensive Healthcare Compliance Solutions
Focused healthcare compliance programs to educate, identify risk, bridge gaps, to build effective ways to achieve your compliance goals.
Our team of former regulators, lawyers, and cybersecurity leaders will help you identify the risks and gaps within your HIPAA security program. HIPAA Risk Assessments and the foundation for those just starting with HIPAA basics, to expert support during OCR enforcement. We can assist with every aspect of HIPAA Security and Privacy compliance, supporting you through the rigors of changing regulatory requirements.
What are the key elements of a healthcare compliance program?
Internal Risks include the failure to protect patient data, improper sharing of Protected Health Information (PHI), inadequate security measures, and lack of employee training on privacy policies.
External Risks include cybersecurity threats, ransomware attacks, or unauthorized access to patient information.
Assess and Identify Risks
Analyze internal and external factors that could cause healthcare compliance issues.
Do you have the internal compliance manpower for the oversight of these elements and ability to keep up with policies and procedures, training, and keeping up to date with regulatory and compliance changes?
Collection of Data and Artifacts for Evaluation
Review policies, procedures, audit findings, past incidents, and new business objectives.
Are you able to capture the necessary samples to show proof of acceptable compliance configurations and actions at the required time intervals? Are you struggling to centralize this process and stay ahead of the requirements?
Risk Evaluation and Prioritization
Assess the likelihood and impact of each identified risk. Based on the unique posture of your business, prioritize which compliance risks need immediate attention. This will help to allocate resources effectively to mitigate further compliance drift and risk exposure.
Do you have the ability to measure risk over time or over a specific threshold? Has this risk re-occurred in your organization?
We found that the most prominent improvement organizations can make is to focus on policies and procedures based on our assessment results, broken down by healthcare market segment and their scoring against 405(d) HICP. Clearwater Cyber Risk Benchmark Report for Private Equity Companies
Risk Reduction Action Plan
Develop and implement action plans to align with compliance requirements. This may include training, updated policies, or the need to invest in specific controls and risk management.
Do you have a sense of how your peers are performing? Are there items that can be accomplished and that would make a significant impact? Could you measure the before and after effects of these remediation actions in terms of their impact on risk exposure?
Documentation and Reporting
Document findings, risk ranking and mitigation effectiveness for compliance management.
Is there a clear way to provide compliance officers, leaders, and even board members with compliance status and visibility to improvements and areas of continued concern? Can you identify the root causes of compliance drift?
Ongoing Compliance Maintenance
Compliance assessments are one-time events. It takes continuous program management with monitoring and periodic reassessments to ensure the effectiveness of healthcare compliance.
Do you have the resources to internally manage all aspects across the various legal and regulatory compliance standards? Is there a gap in the knowledge needed to confidently implement a sustainable healthcare compliance program?
Healthcare Compliance Services
We only focus on healthcare, and our services support organizations across the ecosystem with compliance basics to assessments that measure compliance program effectiveness.
HIPAA Risk Assessment
HIPAA Risk Assessments need to keep up with the growing threats and issues that can expose patient data, compromising HIPAA security and privacy. Our complete OCR-Quality® Risk Analysis Solution is trusted by hundreds of healthcare organizations to help evaluate threats and vulnerabilities to all information systems used to receive, create, transmit, or store ePHI, while also complying with the strict guidance from OCR.
Learn More: OCR-Quality® Risk Analysis
Compliance Program Effectiveness
Receive an objective review of your current standing in relation to the seven key elements of an effective compliance program. Having an independent, objective assessment of the compliance program’s effectiveness is a means of verifying that the resources devoted to the compliance program are justified and appropriate, considering the organization’s risk profile.
Learn More: Compliance Program Effectiveness
Supporting Growth in Compliance Knowledge & Expertise
Compliance Program Development
Program Development Components
We help organizations design, implement, or update their compliance programs. These services can be customized to fill gaps and address known deficiencies. Our team delivers efficiency and scale with consultants who have deep backgrounds in healthcare. Their in-field experience and guidance drive foundational changes that help elevate compliance programs to industry best practices.
Tailored Compliance Framework
Design and implementation of customized compliance programs aligned to multiple regulations such as HIPAA, NIST, and HITRUST. Our experts help you scale and drive improved compliance efficiency.
Customized Policies and Procedures
Creation and refinement of policies, procedures, and documentation to support regulatory adherence and operational consistency.
Risk Management Integration
Embedding compliance into enterprise risk management strategies for a proactive approach to governance and oversight.
Training and Awareness
Development of employee education and training programs to promote a culture of compliance across the organization.
Ongoing Advisory Support
Access to compliance experts for continuous guidance, updates on regulatory changes, and program optimization.
Compliance Staffing & Training
One of the biggest risks to healthcare compliance is the failure to operationalize policies and procedures across the organization. Our compliance staffing and training deliver the services to overcome these obstacles.
- No designated compliance officer or cross-functional oversight
We provide experts to select as your organization’s fractional or virtual Chief Compliance Officer (vCCO) focused on your unique healthcare compliance program.
- Backlog of compliance work, limited staff, or shifting priorities have created a need for additional resources
Operational Compliance Staffing gives you the assistance needed. We coordinate experts to work through projects or help manage ongoing compliance maintenance.
- Limited compliance expertise, and the need to build up in-house staff or a new compliance goal requires expanded expertise
Compliance Staffing Curriculum and Training that fits your business. The best resources are those that already know your business, and we help you quickly expand their compliance knowledge and skills. Our experts provide training and mentorship with programs designed to meet your organizational needs, helping you fast-track to healthcare compliance self-sufficiency.
Featured Experts
Our HIPAA experts have years of experience working in healthcare organizations across the industry, bringing unique expertise to your organization.
SME Highlight
Andy Petrovich, MHSA, MPH, CHPS
Andy Petrovich is a Principal Consultant at Clearwater, bringing Clearwater customers over ten years of experience in healthcare operations and […]
SME Highlight
Nykeeia Heath, CRISC, CCSFP, Sec+
Nykeeia Heath is a Principal Consultant at Clearwater, bringing Clearwater customers over 16 years of experience in Information Technology and […]
Why Clearwater?
No one knows HIPAA compliance like Clearwater. Our HIPAA experts come from different disciplines and are some of the best in the field.
We understand the highly complex regulatory landscape and have the skills and expertise to navigate your team through it to ensure long-term compliance.
Featured Resources
