Training deliverables

Three HIPAA Training Modules for Your Team

Three focused training modules built for small healthcare teams. Each covers one clear compliance area your team needs to know, with knowledge checks and completion tracking.

Diagram: the three HIPAA training modules and the records they produce: HIPAA Fundamentals, Security Awareness, Policy Attestation, completion documentation, kept for six years.
Inside the training portal

What Your Team Will See

Your team completes training through our portal. Each module tracks progress, includes knowledge checks, and records completion for you.

Training Portal Landing

Staff see their assigned courses and status at a glance.

HIPAA 101 Module

Structured sections with clear progress indicators.

Cybersecurity Awareness

Covers phishing, social engineering, and ransomware.

Module 1

HIPAA 101 Training

01

Introduction to HIPAA

What HIPAA is, who it applies to, and why it matters for every role on your team.

  • Covered entities and business associates
  • Privacy Rule overview
  • Security Rule overview
02

Protected Health Information

How to identify, handle, and safeguard PHI in daily workflows.

  • 18 PHI identifiers
  • Minimum necessary standard
  • Permitted uses and disclosures
03

Breach Notification

What constitutes a breach and the reporting obligations under federal law.

  • Breach identification
  • Notification timelines
  • Documentation requirements
Module 2

Cybersecurity Awareness

01

Common Threats

The attacks that most often hit healthcare teams.

  • Phishing and spear phishing
  • Ransomware
  • Social engineering
02

Password and Access Security

Simple habits that block unauthorized access to systems and data.

  • Strong password practices
  • Multi-factor authentication
  • Screen lock and session management
03

Incident Response

What to do when something looks wrong and how to report it.

  • Recognizing suspicious activity
  • Internal reporting procedures
  • Containment basics
Module 3

Policy Attestation

01

Policy Review

Walk through your own HIPAA policies and procedures.

  • Privacy policies
  • Security policies
  • Acceptable use policies
02

PHI Handling Procedures

Role-based guidance on how to handle, store, and send PHI.

  • Physical safeguards
  • Electronic safeguards
  • Disposal procedures
03

Acknowledgement and Sign-Off

Record that each team member has read and understood their duties.

  • Digital attestation
  • Completion tracking
  • Audit-ready records
What you receive

Training Completion Documentation

Every training session creates audit-ready records. OCR asks for these records during compliance reviews and breach investigations.

  • Individual Completion Records: Employee name, training date, module completed, and facilitator name. One record per person, per session.
  • Signed Acknowledgment Forms: Each employee signs a form to confirm they got the training and understand their duties.
  • Training Log: Master log with training dates, topics, attendee names, and trainer for each session. Kept as a running record.
  • Knowledge Check Results: Quiz scores that show each person understood the material. Proof that training went beyond showing up.
  • Attestation Statements: Ties each completed training to the exact policy versions in effect at the time.
Training schedule

When Training Must Be Delivered

  1. 01

    Before First PHI Access

    New hires must complete HIPAA training before they access any protected health information. This is required under 45 CFR 164.530(b)(1), not a best practice suggestion.

  2. 02

    Annual Refresher

    At least once per year, based on HHS's interpretation of "periodic" training. Annual refreshers keep skills sharp and lock in key concepts that drift over time.

  3. 03

    After Material Policy Changes

    When policies change in ways that affect how staff handle PHI, those staff members must be retrained on the changes. Waiting for the next annual cycle is not enough.

  4. 04

    After a Security Incident

    When an incident reveals a training gap, focused retraining on that issue should follow. This closes the gap and shows a corrective response if OCR reviews the incident.

For a detailed breakdown of training frequency requirements, see our training frequency guide for small practices.

Regulatory basis

What the Regulation Requires for HIPAA Training

Privacy Rule training standard (45 CFR 164.530(b)(1))
A covered entity must train all members of its workforce on its policies and procedures for protected health information, as necessary and appropriate for each person to carry out their job functions.
Timing (45 CFR 164.530(b)(2)(i))
Each new workforce member must be trained within a reasonable period of time after joining, and any workforce member whose functions are affected by a material change in policies or procedures must be retrained within a reasonable period after the change takes effect.
Security awareness and training standard (45 CFR 164.308(a)(5)(i))
Implement a security awareness and training program for all members of the workforce, including management. Its four addressable implementation specifications are security reminders, protection from malicious software, log-in monitoring, and password management (164.308(a)(5)(ii)(A) through (D)).
Documentation (45 CFR 164.530(b)(2)(ii) and 164.530(j))
The covered entity must document that the training was provided and retain that documentation for six years from the date it was created or last in effect, whichever is later. Security Rule documentation carries the same six-year retention requirement under 45 CFR 164.316(b)(2)(i).
Business associates
The Security Rule, including its training standard, applies to business associates as well as covered entities (45 CFR 164.302). Read the regulation text at eCFR 164.530 and eCFR 164.308.
Common questions

Training Documentation FAQ

What documentation proves my staff received HIPAA training?+

Audit-ready proof includes completion records, signed acknowledgment forms, a master training log, and knowledge check results. Together these records show that training was delivered, received, and understood. Under 45 CFR 164.530(j), covered entities must retain this documentation for at least six years.

How long must training records be retained?+

Six years minimum. Under 45 CFR 164.530(j), covered entities must retain training documentation for six years from the date of creation or the date it was last in effect, whichever is later. Many keep records longer as a practical safeguard against delayed investigations.

What happens if an employee refuses to complete training?+

HIPAA requires that all workforce members receive training. If an employee refuses, the practice must apply its sanction policy under 45 CFR 164.308(a)(1)(ii)(C). Document the refusal, the steps taken to address it, and any sanctions applied. An untrained workforce member with access to PHI represents a compliance gap.

Do new hires need training before their first day?+

Training must be completed before the new hire accesses PHI, though not always before their first day. If their first day includes PHI access, then yes, training must come first. Many practices schedule training as part of orientation before granting system access.

Does HIPAA require a specific number of training hours?+

No. HIPAA does not set a minimum number of training hours. The standard requires training that is "necessary and appropriate" for each workforce member's job functions. Content depth and relevance matter more than seat time. Our modules are built to be thorough without running long.

Can online training satisfy the HIPAA requirement?+

Yes. HIPAA does not require one delivery format. Online, in-person, or hybrid training all satisfy the rule as long as the content fits each role, completion is tracked, and records are kept. The key is proving that each person completed the training and understood the material.

Free 30-minute review

Ready to Train Your Team?

Book a short intro and we will match the right training modules to your team size and compliance needs.

Get in touch

Questions About Training Modules?

Or email us at hello@oneguyconsulting.com.

Book Your Free 30-Minute Intro Call

OGC-BotHi! What can I help you with?