Healthcare Solutions

HIPAA and NABH Compliance: Keep Your Hospital Audit-Ready

Hospitals don't fail audits because they don't do the work. They fail because they can't prove they did the work. Missing access logs, outdated SOPs, no retention schedule. These are the gaps that auditors find.

CannyECM builds compliance into the system, not around it. Every access is logged. Every policy is versioned. Every retention period is enforced. You don't prepare for audits; you're always ready.

Standards We Align With

HIPAA: Health Insurance Portability and Accountability
NABH: National Accreditation Board for Hospitals
JCI: Joint Commission International
ISO 27001: Information Security Management
ISO 15489: Records Management

Why Hospitals Struggle with Compliance

Compliance isn't hard because the rules are complex. It's hard because systems make it difficult to follow and prove the rules.

Accreditation bodies (NABH, JCI) show up and ask for specific documents. Staff scramble to find them across departments

HIPAA requires proof of access controls and audit logs, but paper systems can't track who looked at what

Retention policies exist on paper but nobody enforces them; records pile up or get destroyed too early

When an incident happens, there's no way to quickly trace the document history and access pattern

SOPs and policies exist in multiple versions across departments, so nobody knows which one is current

HIPAA: Access Controls, Encryption, Audit Logs

HIPAA requires specific technical safeguards for Protected Health Information (PHI). Here's exactly how CannyECM addresses each one.

Role-Based Access Controls

Every user is assigned a role: doctor, nurse, admin, billing, specialist. Each role has specific permissions: what they can view, download, edit, print, or share. A billing clerk can't access clinical notes. A junior doctor can view but not delete records.

Encryption at Rest and in Transit

All patient documents are encrypted using AES-256 when stored and TLS 1.3 during transmission. Even if someone accessed the database directly, the files would be unreadable.

Complete Audit Logs

Every document interaction is logged: who opened it, when, from which device, from which IP address, and what they did (viewed, edited, downloaded, printed, shared). These logs are tamper-proof and can be exported as PDF reports.

Automated Retention with Secure Deletion

Set retention periods per document type. Patient records might be 10 years. Consent forms might be 7 years. When the period expires, the system alerts you. When you approve deletion, it's permanent, with a certificate of destruction.

NABH / JCI: Policy Versioning and Training Records

Indian hospitals pursuing NABH accreditation and international hospitals targeting JCI have specific documentation requirements. CannyECM handles these out of the box.

Policy & SOP Version Control

Every policy document has a version history. When a new version is published, the old one is automatically archived. Staff always see the latest version. During audits, you can show the complete version timeline.

Training Record Management

Link training completion certificates to employee profiles. When NABH asks 'has every nurse been trained on the new infection control protocol?', you pull up the records instantly.

Incident Documentation Trails

When a clinical incident occurs, the system captures the initial report, investigation documents, corrective actions, and closure, all linked together with timestamps. A complete trail from report to resolution.

ISO 27001 and ISO 15489 Alignment

ISO 27001

Information Security Management

  • Data classification and labeling
  • Access control policies
  • Incident management
  • Business continuity documentation

ISO 15489

Records Management

  • Records creation and capture controls
  • Metadata management
  • Retention and disposition schedules
  • Transfer and migration protocols

Our pharmaceutical solutions follow similar compliance patterns — see Pharma Regulatory Compliance.

Audit Trail: Every Action Is Logged

When an auditor asks "who accessed this patient record?", you should be able to answer in seconds, not days.

Who

User name, role, and department logged with every action

When

Precise timestamp down to the second for every action

Where

IP address and device information captured automatically

What

View, edit, download, print, share, delete: every action type is logged

Tamper-Proof and Exportable

Audit logs cannot be edited or deleted, not even by administrators. When you need to share them with auditors, export them as PDF reports with date ranges, user filters, or document-specific views.

Retention Policies That Run Themselves

Set how long each document type should be kept. The system handles the rest.

Set retention periods per document type (e.g., patient records = 10 years)
Automated email alerts 30 days before any document expires
Secure deletion with proof-of-destruction certificate
Retention hold for documents under legal review
Bulk retention application for legacy document migration
Reports showing which documents are approaching expiry

Need help managing physical records too? See our Records Management System and Document Tracking System.

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