2027 HIPAA Privacy vs Security: What a Healthcare Administration BS Should Cover

Imed Bouchrika, PhD

by Imed Bouchrika, PhD

Co-Founder and Chief Data Scientist

What Is the Difference Between HIPAA Privacy and Security Rules?

HIPAA's Privacy Rule sets standards for how covered entities use and disclose protected health information (PHI) and gives individuals rights concerning that information. The Security Rule applies specifically to electronic PHI (ePHI) and requires administrative, physical, and technical safeguards. A paper chart can raise a Privacy Rule issue; a stolen laptop containing patient records can raise both privacy and security issues.

This comparison shows the distinction an administrator needs to understand when assigning responsibility or escalating a problem.

RuleCentral questionAdministrative example
Privacy RuleWho may use or receive PHI, for what purpose, and what rights does the patient have?Setting procedures for records requests and permissible disclosures
Security RuleHow is ePHI protected against reasonably anticipated threats and improper access?Coordinating access controls, workforce training, and security risk analysis

HIPAA generally applies to covered healthcare providers that conduct specified electronic transactions, health plans, healthcare clearinghouses, and their business associates - not every organization holding health-related information. Students interested in deeper responsibility for health data systems can use comparing healthcare administration coursework with HIM coursework to distinguish organizational oversight from health information management training.

Why Should a Healthcare Administration BS Teach HIPAA Compliance?

Administrators influence the workflows that determine whether a policy works: who receives records requests, which employees can access a system, how vendors are approved, and when an incident reaches the privacy or security officer. They need enough HIPAA knowledge to recognize a risk, follow the organization's procedures, and bring in legal, clinical, HIM, or IT specialists when appropriate. A bachelor's program should not imply that a new graduate can serve as an organization's sole HIPAA expert.

HIPAA instruction also makes general management subjects more useful. Operations courses can examine a records-release bottleneck; leadership courses can address workforce training and accountability; budgeting courses can weigh the cost of safeguards against organizational risk. For experienced professionals seeking broader leadership preparation beyond a BS, accredited MHA options for applicants new to healthcare illustrate a different educational route. A graduate degree is not a substitute for learning the compliance basics needed in an entry-level healthcare role.

What HIPAA Topics Should a Healthcare Administration BS Cover?

A useful curriculum moves from legal concepts to decisions an administrator might help implement. Look for assignments that require students to identify the applicable rule, document their reasoning, and explain when to escalate a case.

The following topics provide a practical way to assess a syllabus or ask a program director about coverage:

  • Privacy fundamentals: PHI, covered entities, business associates, permitted uses and disclosures, the minimum necessary standard where applicable, and patient rights.
  • Security fundamentals: ePHI, risk analysis, workforce access, safeguards, and the distinction between required and addressable implementation specifications.
  • Organizational response: incident reporting, breach assessment and notification duties, documentation, workforce training, and vendor agreements.
  • Applied judgment: scenarios involving a misdirected message, a records request, inappropriate employee access, or a third-party software provider.

"Addressable" does not mean optional: an organization must assess whether a specification is reasonable and appropriate and, if not, document its reasoning and implement an equivalent alternative measure when reasonable and appropriate. A BS should teach this decision process without presenting students as technical security engineers. For readers considering greater depth after undergraduate study, online MHA degrees for healthcare management preparation offer a graduate-level comparison - not a reason to overlook HIPAA coverage in the bachelor's curriculum.

How Can You Choose an Accredited Healthcare Administration Program?

First, confirm that the institution holds recognized institutional accreditation and that the specific bachelor's program is offered in the format you need. Then examine the actual curriculum: does it distinguish privacy from security, teach patient rights and ePHI safeguards, and give students practice with realistic healthcare workflows? Ask who teaches the material and whether online students have access to relevant internships, projects, and career support.

Compare schools using the same measures: a written transfer-credit audit, estimated total remaining cost, course schedule, applied HIPAA coverage, and evidence of student support. Do not assume institutional accreditation means a program also holds specialized accreditation, or that a graduate credential is needed to make a bachelor's degree worthwhile. If you later consider advanced management education, doctoral-level healthcare management education options should be evaluated for a separate career objective.

Other Things You Should Know About Healthcare Administration

Does HIPAA cover student health records at a university?

Not always. Student treatment and education records at schools subject to FERPA generally follow FERPA rather than HIPAA. The answer depends on the record and the organization holding it.

Does HIPAA apply to information stored in a personal fitness app?

Often not when a consumer enters information directly into an app that is not acting for a HIPAA-covered entity. Other privacy laws or the app's policies may still apply.

Can a healthcare organization use de-identified patient data?

HIPAA's Privacy Rule does not treat properly de-identified information as PHI. Organizations must use an accepted de-identification method; simply removing a patient's name may not be enough.

Can state privacy laws impose stricter requirements than HIPAA?

Yes. Depending on the state and the information involved, additional protections may apply. Administrators should follow their organization's legal guidance rather than assume HIPAA is the only relevant rule.