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What’s HIPAA? What’s OSHA? What’s the Difference?

April 11, 2024

Now, when you work in healthcare, you’re not only responsible for the care of patients but also a slew of compliance regulations. 

Sometimes, it can be confusing and overwhelming. The world of healthcare throws a whole lot of acronyms and regulations your way. HIPAA? OSHA? What do they mean? Well, don’t worry, this isn’t a pop quiz. We’re here to shed some light on these common compliance regulations and what they mean for your practice or business. 

HIPAA: Hip Hip Hooray for Patient Privacy

First, if you are a Covered Entity (CE) or Business Associate (BA), you have most likely heard of HIPAA. 

HIPAA, or the Health Insurance Portability and Accountability Act guides how the Protected Health Information (PHI) of patients must be secure and safe. HIPAA also establishes the standards for how this sensitive health information is exchanged.

HIPAA was signed into law by Bill Clinton almost 30 years ago, in 1996.  HIPAA was established as we made major technological strides. As technology continued to advance and was making its way into healthcare, with ePHI, or electronic Protected Health Information, it was time for legislation to be put in place.  

HIPAA is composed of three key components: the Privacy Rule, the Security Rule, and the Breach Notification Rule. 

  • The Privacy Rule focuses on safeguarding PHI, giving patients rights, and providing regulations on how CEs use and disclose PHI. 
  • The Security Rule, like in the name, regulates the security standards of ePHI. This includes the necessary administrative, physical, and technical safeguards to keep this Protected Health Information safe and secure. 
  • Lastly, the Breach Notification Rule is focused on the aftermath process of a security breach. When breaches occur, affected patients, the Department of Health and Human Services (HHS), and if applicable, state-specific entities, all need to be notified. The time frames differ depending on how many were affected by the breach. 

There is also the HIPAA Omnibus Rule of 2013, which expanded the definition of Business Associates, encompassing all that create, receive, or transport PHI on behalf of a Covered Entity. 

HIPAA regulations are enforced by the Office For Civil Rights (OCR), under the HHS. HIPAA violations can incur major monetary penalties and monitoring of a practice or business by the government. These fines can cost millions of dollars, so your practice must be HIPAA compliant! 

OSHA: Oh shucks, Little ol’ me?

With OSHA in Healthcare, we flip the script from HIPAA. 

Instead of focusing on patients, it’s about you! 

Healthcare workers and Business Associates, or under OSHA, known as third-party vendors, falling under Joint Responsibility, are protected by this federal legislation. 

OSHA, or the Occupational Safety and Health Administration was established when the OSH ACT was signed by Richard Nixon on December 29, 1970. The administration itself was enacted as a result of this legislation, opening April 28, 1971. This workers’ rights legislation came at a time when there were limited protections for employees, and this federal law granted protection to employees from all industries.

OSHA encompasses much more than just healthcare, providing legislation and regulation to every industry you can think of: from factories to construction sites, to even offices. 

OSHA is very prevalent in healthcare, ensuring employees feel safe and protected in their practice. For instance, common OSHA healthcare concerns include proper PPE (Personal Protective Equipment), handling sharps, and potential exposure to bloodborne pathogens. 

Different from HIPAA, since OSHA is an administration rather than just a law, OSHA enforces its regulations. OSHA enforcement can also cost a pretty penny: costing thousands per violation, with repeated violations going up to over $160,000. 

How Abyde Can Help

Well, that was a lot of compliance talk! 

HIPAA and OSHA are two very important compliance regulations that protect both patients and employees.

While compliance might feel like an added responsibility, it’s vital for the protection and safety of everyone. Without HIPAA and OSHA, patients’ privacy wouldn’t be protected and employees wouldn’t have safety and health standards in the workplace! 

At Abyde, we simplify the compliance process, offering HIPAA and OSHA solutions. We even make it easy. We know that this compliance jargon and rules can be stressful, so our mission is to have practices and businesses Never Stress Over Compliance Again. We offer streamlined documentation, dynamically generated for your organization. We turned the daunting Security Risk Analysis or Facility Risk Assessment for OSHA into a minutes-long questionnaire. We also provide entertaining training that equips employees with the knowledge they need. Abyde offers many more resources to keep you on your compliance A-game. 

To learn more about what you need for compliance, email us at info@abyde.com and schedule a consultation here for Covered Entities and here for Business Associates. 

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August 5, 2026 Penelope Schweitzer No comments yet

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May 4, 2026   Quick Guide:  The Office for Civil Rights (OCR) just issued a massive wake-up call, announcing four simultaneous settlements totaling $1,165,000. The Stats You Need to Know 76%: The percentage of large healthcare breaches now caused by hacking/IT incidents. 427,000+: Total number of patients impacted across these four recent settlements. 264%: The increase in ransomware-related breaches reported to the OCR since 2018. The Office for Civil Rights (OCR) just announced a flurry of investigation settlements. At the root of the four that were announced: ransomware. Ransomware attacks continue to target healthcare facilities. As of last year, the OCR discovered that 76% of large breaches are due to hacking and IT shortcomings. Unfortunately, healthcare information is a goldmine for hackers, exposing sensitive data that can lead to identity theft, financial fraud, and compromised patient care. Breakdown & Lessons Learned Regional Women’s Health Group (Axia) The first settlement was regarding the Regional Women’s Health Group (Axia), an OBGYN network across five states. In this case, the organization submitted a breach report following a cyberattack that exposed over 37,000 patients. The settlement resulted in a $320,000 fine and a 2-year Corrective Action Plan (CAP). The Lesson: The OCR didn’t just fine them for being hacked; they reached a settlement because the healthcare organization failed to conduct a “thorough and accurate” Security Risk Analysis (SRA). If you don’t know where your vulnerabilities are, you can’t patch them. Unfortunately, hackers counted on this negligence and exploited it.  Assured Imaging This was the largest of the four fines, affecting a staggering 244,813 individuals. When a ransomware infection hit their servers, Assured Imaging, a medical imaging enterprise, reported a breach to the OCR. After a long investigation (the initial cyberattack occurred in 2020), and resulted in a $375,000 settlement and a 2-year CAP.  The Lesson: Beyond the initial ransomware attack, it was discovered that Assured had never completed an SRA. Additionally, the organization did not notify patients within 60 days of discovery of the breach. This is a direct violation of the Breach Notification Rule, which aims to allow patients to take control and mitigate risks as quickly as possible.  Consociate Health Consciate Health is the only Business Associate (BA) fine in the four. BAs continue to be under the OCR’s microscope, such as potentially needing to follow stricter requirements when handling patient data. Their breach started with a phishing attack that eventually led to the encryption of systems holding data for over 136,000 people. The BA discovered the ransomware six months after the initial phishing attack. Upon the OCR’s further investigation, the SRA was found to be insufficient. The organization paid a $225,000 settlement and entered into a 2-year CAP.  The Lesson: Human error (phishing) is the most common entry point for ransomware. Constant employee training is just as important as a strong firewall. Additionally, just because a BA doesn’t directly work with patients doesn’t mean it isn’t their responsibility to keep patient data secure.  SG Health Plan Even employee benefit plans are regulated under the Health Insurance Portability and Accountability Act (HIPAA). SG Health Plan, associated with a Connecticut energy provider, reported that the data of 9,316 members were exposed following a ransomware attack. It was discovered that the organization did not complete an extensive SRA. The benefit plan entered a settlement with the OCR for $245,000 and a 2-year CAP.  The Lesson: This settlement highlights that HIPAA applies to corporate health plans just as much as it does to traditional healthcare providers. Additionally, every organization that handles Protected Health Information (PHI) must complete an SRA.  The Bottom Line The OCR isn’t fining practices for ransomware attacks, but for being ill-prepared.  However, it is easier said than done to ensure your organization is secure in protecting patient data and complying with HIPAA.  Proactively implementing the HIPAA Security Rule is your opportunity to mitigate the impacts of a cyberattack. Waiting until the ransom note appears on your screen is a million-dollar mistake. Want to see what you might be missing?  Run a 5-Minute HIPAA Gap Assessment and protect your practice today! 

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