HIPAA COMPLIANCE FRAMEWORK
Administrative Safeguards
Documents administrative controls for workforce access, risk management, sanctions, contingency planning, incident response, training, and policy governance.
These pages describe True Care System functionality and operating expectations. They do not replace Provider policies, legal advice, risk analysis, workforce training, contracts, or regulatory obligations. Use minimum-necessary access and protect PHI in screenshots, exports, tickets, messages, and reports.
Purpose
Documents administrative controls for workforce access, risk management, sanctions, contingency planning, incident response, training, and policy governance.
Core Requirements
Security Management Process
Identify risks, apply safeguards, document decisions, and track corrective action.
Workforce Security
Authorize, supervise, review, and terminate access based on role and Provider responsibility.
Information Access Management
Use role-based access, least privilege, minimum necessary, and separation of duties.
Security Awareness
Train users on passwords, devices, phishing, PHI handling, reporting, and secure workflows.
Contingency Planning
Maintain backup, disaster recovery, emergency operation, and testing procedures.
Operational Review Checklist
| Review Area | Expectation |
|---|---|
| Provider Scope | Confirm the correct Provider before viewing, changing, exporting, or investigating records. |
| Authorized Purpose | Confirm the user’s role, approved purpose, and minimum-necessary scope. |
| Evidence | Retain relevant timestamps, actors, targets, identifiers, IP addresses, devices, reasons, and results. |
| Escalation | Escalate unexpected, denied, suspicious, cross-Provider, bulk, or high-risk activity. |
| Documentation | Record decisions, corrective action, validation, and required follow-up. |