HIPAA COMPLIANCE FRAMEWORK
Breach Notification
Documents the operational support process for breach assessment, legal review, notification tracking, and evidence preservation.
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 the operational support process for breach assessment, legal review, notification tracking, and evidence preservation.
Core Requirements
Assessment
Evaluate the nature and extent of PHI, unauthorized person, acquisition or viewing, and mitigation.
Legal Review
Providers should involve qualified privacy, compliance, and legal personnel.
Notification Tracking
Document required notices, recipients, dates, methods, and evidence.
No Premature Conclusion
Do not label an event a breach before the authorized assessment is completed.
Preservation
Retain facts, logs, communications, decisions, and corrective actions.
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. |