HITRUST and HIPAA Are Not the Same Thing

Clarify that HIPAA is a U.S. law and HITRUST is a separate assurance program, and explain why a certification does not replace legal analysis.

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Scope and fit

Healthcare buyers may request HITRUST assurance, while organizations separately assess their HIPAA responsibilities. These concepts can intersect, but one should not be described as the other.

Separate law from assurance program

HIPAA is a federal legal framework with Privacy, Security, and Breach Notification requirements. HITRUST offers a separate assurance framework and certification program used by some organizations and customers.

Check the scope of any assurance

If a customer accepts a particular HITRUST assessment, confirm the relevant service, boundary, and time period. Acceptance by one buyer does not establish that every HIPAA requirement is addressed.

Decisions and tradeoffs

Use this table as a working review record. Replace assumptions with evidence from the target environment.

Decision areaWorking guidance
Separate law from assurance programHIPAA is a federal legal framework with Privacy, Security, and Breach Notification requirements. HITRUST offers a separate assurance framework and certification program used by some organizations and customers.
Check the scope of any assuranceIf a customer accepts a particular HITRUST assessment, confirm the relevant service, boundary, and time period. Acceptance by one buyer does not establish that every HIPAA requirement is addressed.
Keep legal accountability explicitA certificate or mapped assessment can support a compliance program but does not transfer an entity's obligations. Confirm applicability and obligations with qualified legal and compliance professionals.

Implementation questions

What should the team decide about separate law from assurance program?

HIPAA is a federal legal framework with Privacy, Security, and Breach Notification requirements. HITRUST offers a separate assurance framework and certification program used by some organizations and customers. Use a named owner and a written acceptance check so this decision can be reviewed after deployment.

What should the team decide about check the scope of any assurance?

If a customer accepts a particular HITRUST assessment, confirm the relevant service, boundary, and time period. Acceptance by one buyer does not establish that every HIPAA requirement is addressed. Use a named owner and a written acceptance check so this decision can be reviewed after deployment.

What should the team decide about keep legal accountability explicit?

A certificate or mapped assessment can support a compliance program but does not transfer an entity's obligations. Confirm applicability and obligations with qualified legal and compliance professionals. Use a named owner and a written acceptance check so this decision can be reviewed after deployment.

Plan, build, verify, operate

Separate law from assurance program: HIPAA is a federal legal framework with Privacy, Security, and Breach Notification requirements. HITRUST offers a separate assurance framework and certification program used by some organizations and customers. Record the result and the next owner before changing the next boundary.

Deployment checks

Turn the page into a reviewable handover by assigning each check to a person and retaining its result.

HITRUST and HIPAA Are Not the Same Thing: decision 1

Write down the boundary, owner, dependency, and proof required for hitrust and hipaa are not the same thing before implementation begins.

HITRUST and HIPAA Are Not the Same Thing: decision 2

Write down the boundary, owner, dependency, and proof required for hitrust and hipaa are not the same thing before implementation begins.

HITRUST and HIPAA Are Not the Same Thing: decision 3

Write down the boundary, owner, dependency, and proof required for hitrust and hipaa are not the same thing before implementation begins.

Handover and ownership

Before handover, name the system owner, support path, access boundary, backup or recovery responsibility, and the condition that pauses a change.

Keep a short record of what was tested, what remains outside scope, and when the review should happen again.

Sources and further reading

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