HIPAA-Compliant Software Development: A Comprehensive Guide

HIPAA-Compliant Software Development - ScienceSoft

Since 2005, ScienceSoft has been mastering medical software development to design and implement HIPAA-compliant healthcare software.

The Essence of HIPAA-Compliant Software Development

HIPAA compliance is compulsory for software that stores, processes, or transfers personal health information (PHI) and operates in the US market. The development of medical software according to HIPAA guidelines minimizes the risks of patient data loss, theft, alteration, and potential legal claims and financial reparations.

Based on its practical expetise, ScienceSoft knows how to set up a cost-effective and reliable process of HIPAA-compliant software development.

Time: From 4 months (e.g., for an MVP of a simple application for patient-doctor communication) to 12+ months for a full-fledged remote patient monitoring system.

Team: A project manager, a business analyst, a regulatory consultant, a solution architect, UI and UX designers, front-end and back-end developers, an information security specialist, a QA engineer, and a DevOps engineer.

Cost: Starts from $30,000 for a single-functionality mobile patient app without EHR integration (e.g., medication intake monitoring).

HIPAA-Compliant Software Development Process

Specifics of a HIPAA-compliant development plan depend on the type of medical software and its functional scope. ScienceSoft designed the following generalized plan of HIPAA-compliant medical software development based on our 18 years of hands-on experience in the domain.

Step 1: Medical software requirements gathering, compliance requirements engineering and software planning

Duration: from 4 weeks.

  • (When you outsource any project activities) Signing of a Business Associate Agreement with a consulting or development partner having access to PHI to ensure their legal obligation to follow HIPAA compliance guidelines on data security, encryption methods, security practices documentation, etc.
  • (For product companies) Market and competitors research in the respective medical software niche, identification of target customers, software idea productization.
  • (For healthcare organizations) Business needs analysis and elicitation of medical software requirements.
  • Gathering compliance requirements for the HIPAA regulation and other applicable federal and local legal acts, standards, and guidelines of appropriate governmental agencies (FDA, FCC, SAMHSA, etc.).
  • Listing and prioritization of medical software features, outlining main user scenarios (e.g., for patients, doctors), splitting features into subscription plans (for medical software products).
  • Designing the architecture and integrations of HIPAA-compliant software and selecting a fitting tech stack. Note: Cloud services in use should comply with HIPAA.
  • (For medical software products) Planning configuration capabilities that allow users to modify certain software modules.
  • Assessment of usage risks (e.g., potential software misuse) for HIPAA-compliant software and risk mitigation plan design.

Phase deliverables:

  • Signed Business Associate Agreement.
  • Medical software feature list with traceability between user/business needs and the features.
  • Software compliance specification with references to appropriate clauses of standards and regulations (HIPAA, CCPA, etc.).
  • Software requirements specification.
  • A high-level design of medical software architecture.
  • Medical software usage risks description and a mitigation plan.

Step 2: HIPAA-compliant software project planning

Duration: from 2 weeks (may run simultaneously with step 1).

At ScienceSoft, this step includes:

  • Project scope identification.
  • Choosing a development approach for HIPAA-compliant software.
  • Assessment of software development risks (e.g., delays in the development).
  • Budget planning.
  • Project scheduling (planned development iterations, key milestones, etc.) and KPI planning.

Phase deliverables:

  • Budget plan.
  • Project schedule and KPI plan.
  • Mitigation plan for medical software development risks.

Best practice: ScienceSoft’s project managers plan Agile development (Scrum, Kanban, etc.) for complex medical software development projects to easily accommodate potential project scope changes in later project stages.

Step 3: Design of UX and UI for healthcare software

Duration: from 2 weeks.

  • UX design – to visualize key software functionality in the identified user scenarios and plan convenient journeys for medical software users (patients, medical specialists, admins). The user journeys are planned taking into consideration HIPAA compliance and security measures like user session timeout, emergency access to patients’ data, software access control, etc.
  • UI prototyping – to visualize software look for different user groups.
  • UI design – to create graphic interface elements of healthcare software according to the defined visual accessibility requirements.

Phase deliverables:

  • UX wireframes.
  • User interface design documentation (all screens, assets, and source files).

Best practice: If a customer needs to cut the healthcare software development time, ScienceSoft launches the UX and UI design stage simultaneously with the software project planning stage.

Step 4: Medical software development

Duration: from 2-6 months for an MVP.

During this stage, ScienceSoft conducts:

  • Back-end software development – to develop the server side of the application and APIs with a focus on PHI security.
  • Front-end development of healthcare software – to transform UI design elements into a functioning user side.
  • Testing – to detect and fix medical software defects, check software against its functional requirements, verify software stability, security, and HIPAA compliance, validate usability and accessibility for target users.

Phase deliverables:

  • Developed software.
  • Detailed architecture design.
  • Application’s source code.
  • Test documentation.

Best practice: ScienceSoft usually starts with creating an MVP for HIPAA-compliant software to quickly present core software functionality with a simple UI design. It allows getting early stakeholder or market feedback on software and adding new features to it based on the feedback analysis.

Step 5: Pre-launch activities and medical software launch

Duration: from 1 week.

  • Revision of HIPAA-compliant software usage risks – to identify new usage risks, address them, and update the risk mitigation plan.
  • Revision of HIPAA-compliant software documentation – to check if any medical software requirements changed during the development process and update software documentation to ensure documentation cohesiveness for future HIPAA compliance audits.
  • Software compliance check according to relevant medical standards (e.g., IEC 82304-1:2016 for software integrated with smart medical devices or sensors).
  • Pilot rollout of medical software for a focus group – to present the fully developed app to the focus group (e.g., a group of patients in a hospital), evaluate their satisfaction with the app, get their feedback, and adjust software accordingly.
  • Launch of HIPAA-compliant software.

Phase deliverables:

  • Deployed medical software.
  • Revised healthcare software documentation.
  • App setup guide, admin guide, support guide, user guide (for all user groups).

Step 6: Healthcare software maintenance, audit, and evolution

Duration: continuously.

ScienceSoft offers to our healthcare customers the following after-launch services:

  • Medical software support and maintenance – to fix revealed defects, implement security patches, resolve incidents, and ensure uninterrupted work of medical software.
  • HIPAA compliance and security audits – to regularly verify medical software and its infrastructure for HIPAA compliance, check PHI security, etc.
  • Evolution of medical software – to implement new medical software features according to user feedback.

Consider Professional Services for HIPAA-Compliant Software Development

With over 18 years of hands-on experience in medical IT, ScienceSoft offers end-to-end HIPAA-compliant software consulting and development services.

HIPAA-compliant software consulting

We offer:

  • Healthcare software concept design.
  • Development and launch plan.
  • High-level architecture and integrations design, tech stack selection.
  • HIPAA compliance guidelines for your healthcare software specifics.
  • Estimation of costs, ROI, a payback period.
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Outsourcing of HIPAA-compliant software development

We offer:

  • A concept and a feature set of HIPAA-compliant software.
  • UX and UI design.
  • Healthcare software development and testing.

  • All required documents for HIPAA compliance audit and pre-audits upon the agreed schedule.

  • Maintenance, support, and evolution.

Go for development

Why ScienceSoft

  • 18 years in healthcare IT and 20 years in cybersecurity.
  • Mature quality management system confirmed by ISO 13485 and ISO 9001 certifications.
  • ISO 27001 certification to guarantee customers’ data security.
  • Working experience with healthcare standards (e.g., HL7, FHIR, DICOM, ICD-10, CPT, XDS/XDS-I).
  • A top HIPAA consulting provider in 2022, according to Atlantic.net.
  • For the second straight year, ScienceSoft USA Corporation is listed among The Americas’ Fastest-Growing Companies by the Financial Times.

Typical Roles for HIPAA-Compliant Software Development

In most cases, ScienceSoft's HIPAA-compliant software development teams consist of:

Project manager

plans a healthcare software development project, assigns tasks to a project team, supervises the project delivery (including timing and budget), assesses project risks and provides solutions to mitigate them, and facilitates team communication and cooperation.

Business analyst

elicits medical software requirements and identifies tech limitations, creates the software concept and specification, analyzes healthcare software usage risks, designs software features, defines necessary app integrations with other software (e.g., EHR).

Solution architect

chooses a HIPAA-compliant technological stack, plans a healthcare software architecture taking into account compliance with HIPAA and other regulations.

Regulatory consultant for HIPAA compliance

advises on healthcare software architecture components, tech stack, development process, and project documentation management to ensure compliance with HIPAA and other relevant laws and standards.

UX designer

conducts UX research and identifies user scenarios, designs experiences of software users (patients, hospital supervisors, etc.) and interactions with software with a focus on usability and accessibility, creates UX prototypes.

UI designer

designs an appealing visual interface of healthcare software.

Back-end developer

creates the business logic and the server side of healthcare software with a focus on security and HIPAA compliance.

Front-end developer

develops the user side of healthcare software.

QA engineer

plans a test strategy, creates and executes test cases, reports medical software defects and vulnerabilities.

Information security specialist

creates security testing scenarios for HIPAA-compliant software and conducts security testing.

DevOps engineer

sets up and maintains medical software development infrastructure, establishes CI/CD pipelines for automated software deployment, selects and configures tools to execute daily monitoring of HIPAA-compliant software, etc.

100% in-house HIPAA-compliant software development

Pros: Full control over the medical software development project.

Cons: High risks of HIPAA compliance and quality issues due to the lack of expertise with regulatory requirements, risk of project delays due to lack of resources and technical capabilities.

A mix of in-house and outsourced consultancy and development

Pros: Access to necessary technical capabilities, highly qualified specialists in HIPAA-compliant software development, opportunity to scale up or down the resources when needed.

Cons: Need for management of the outsourced resources and fast establishment of the communication process with the outsourced team.

Fully outsourced HIPAA-compliant software development process

Pros: Full responsibility for healthcare project management, delivery, and HIPAA compliance lies on the vendor, minimal involvement on your side.

Cons: High vendor dependency.

Benefits of HIPAA-Compliant Software Development Outsourcing with ScienceSoft

Healthcare industry regulations knowledge

ScienceSoft plans and delivers medical software with a focus on relevant regulations (e.g., HIPAA, HITECH, FDA requirements), signs a Business Associate Agreement with the customers, and implements data security measures.

Fast solution delivery

ScienceSoft starts with HIPAA-compliant MVP development according to iterative approach to help you get ROI from medical software faster.

Optimized costs

To help you cut costs, ScienceSoft starts with a detailed requirements analysis to reduce risk of rework in the future, uses cloud-native architecture, and applies proven third-party components (e.g., for messaging).

HIPAA-Compliant Software Development: Success Stories by ScienceSoft

Telehealth Chiron Mobile App

Telehealth App Development for Chiron Health

ScienceSoft has developed a HIPAA-compliant Android telehealth application that allows patients to book and attend online appointments through secure video communication.

Telehealth Software for Primary Care Practices

Telehealth Software Design and Development for Primary Care Practices

ScienceSoft has designed and delivered MVP of HIPAA-compliant telehealth software for several US medical practices that provide primary care services.

HIE System and a Patient Mobile App

Development of a HIPAA-Compliant HIE System and a Patient Mobile App

To enable secure patient medical data sharing between healthcare organizations, patients, labs, ScienceSoft has developed a HIPAA-compliant health information exchange system complemented by an Android app.

Remote Care Solution

Caregiver Portal Development for Allergy Treatment Management

ScienceSoft has developed a HIPAA-compliant web portal for primary care physicians offering control over their allergy management activities (e.g., ordering allergy treatments, tracking claims).

Technologies ScienceSoft Uses for HIPAA-Compliant Software Development

ScienceSoft's healthcare IT team usually chooses the following tools and technologies during our HIPAA-compliant medical software projects:

Back-end programming languages

Microsoft .NET

Practice

19 years

Projects

200+

Workforce

60+

Our .NET developers can build sustainable and high-performing apps up to 2x faster due to outstanding .NET proficiency and high productivity.

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Java

Practice

25 years

Projects

110+

Workforce

40+

ScienceSoft's Java developers build secure, resilient and efficient cloud-native and cloud-only software of any complexity and successfully modernize legacy software solutions.

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Python

Practice

10 years

Projects

50+

Workforce

30

ScienceSoft's Python developers and data scientists excel at building general-purpose Python apps, big data and IoT platforms, AI and ML-based apps, and BI solutions.

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Node.js

Practice

10 years

Workforce

100

ScienceSoft delivers cloud-native, real-time web and mobile apps, web servers, and custom APIs ~1.5–2x faster than other software developers.

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PHP

Practice

16 years

Projects

170

Workforce

55

ScienceSoft's PHP developers helped to build Viber. Their recent projects: an IoT fleet management solution used by 2,000+ corporate clients and an award-winning remote patient monitoring solution.

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Golang

Practice

4 years

ScienceSoft's developers use Go to build robust cloud-native, microservices-based applications that leverage advanced techs — IoT, big data, AI, ML, blockchain.

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Front-end programming languages

Languages

JavaScript

Practice

21 years

Projects

2,200+

Workforce

50+

ScienceSoft uses JavaScript’s versatile ecosystem of frameworks to create dynamic and interactive user experience in web and mobile apps.

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JavaScript frameworks

Angular JS

Practice

13 years

Workforce

100+

ScienceSoft leverages code reusability Angular is notable for to create large-scale apps. We chose Angular for a banking app with 3M+ users.

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React JS

Workforce

80+

ScienceSoft achieves 20–50% faster React development and 50–90% fewer front-end performance issues due to smart implementation of reusable components and strict adherence to coding best practices.

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MeteorJS

ScienceSoft uses Meteor for rapid full-stack development of web, mobile and desktop apps.

Vue.js

By using a lightweight Vue framework, ScienceSoft creates high-performant apps with real-time rendering.

Next.js

With Next.js, ScienceSoft creates SEO-friendly apps and achieves the fastest performance for apps with decoupled architecture.

Ember.js

When working with Ember.js, ScienceSoft creates reusable components to speed up development and avoid code redundancy.

Mobile

iOS

Practice

16 years

Projects

150+

Workforce

50+

ScienceSoft’s achieves 20–50% cost reduction for iOS projects due to excellent self-management and Agile skills of the team. The quality is never compromised — our iOS apps are highly rated.

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Android

Practice

14 years

Projects

200+

Workforce

50+

There are award-winning Android apps in ScienceSoft’s portfolio. Among the most prominent projects is the 5-year-long development of Viber, a messaging and VoIP app for 1.8B users.

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Xamarin

Practice

11 years

Projects

85+

Workforce

10+

ScienceSoft cuts the cost of mobile projects twice by building functional and user-friendly cross-platform apps with Xamarin.

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Apache Cordova

ScienceSoft uses Cordova to create cross-platform apps and avoid high project costs that may come with native mobile development.

Progressive Web Apps

ScienceSoft takes the best from native mobile and web apps and creates the ultimate user experience in PWA.

React Native

Practice

8 years

Projects

300+

ScienceSoft reduces up to 50% of project costs and time by creating cross-platform apps that run smoothly on web, Android and iOS.

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Flutter

ScienceSoft will save you from double or even triple expenses associated with platform-specific coding by creating cross-platform apps in Flutter.

Ionic

With Ionic, ScienceSoft creates a single app codebase for web and mobile platforms and thus expands the audience of created apps to billions of users at the best cost.

Platforms

Microsoft Dynamics 365

Practice

14 years

Projects

25+

Workforce

10+

A certified Microsoft partner, ScienceSoft creates CRM and ERP solutions powered by Dynamics 365 and optimizes most effectively a range of business operations.

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Salesforce

Projects

10+

ScienceSoft achieves at least 20% increase in sales and 30% improvement in case resolution with well-thought-out and business-tailored Salesforce solutions.

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SharePoint

Practice

15 years

Projects

100+

Workforce

20+

Solid expertise in SharePoint services has earned ScienceSoft a place in Clutch’s list of Top SharePoint Developers in 2023.

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ServiceNow

Practice

12 years

A certified ServiceNow partner, ScienceSoft offers a proprietary 4-level implementation model that helps deliver the best value from ServiceNow adoption.

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SAP SE

SAP products are powerful and intricate. ScienceSoft will help you understand and realize the full value they can offer to your business.

DevOps

Containerization

Automation

CI/CD tools

Monitoring

Databases / data storages

SQL

Microsoft SQL Server

Our Microsoft SQL Server-based projects include a BI solution for 200 healthcare centers, the world’s largest PLM software, and an automated underwriting system for the global commercial insurance carrier.

MySQL

We’ve implemented MySQL for Viber, an instant messenger with 1B+ users, and an award-winning remote patient monitoring software.

Azure SQL Database

Azure SQL Database is great for handling large volumes of data and varying database traffic: it easily scales up and down without any downtime or disruption to the applications. It also offers automatic backups and point-in-time recoveries to protect databases from accidental corruption or deletion.

Oracle

ScienceSoft's team has implemented Oracle for software products used by GSK and AstraZeneca. We’ve also delivered Oracle-based SCM platform for Auchan, a retail chain with 1,700 stores.

PostgreSQL

ScienceSoft has used PostgreSQL in an IoT fleet management solution that supports 2,000+ customers with 26,500+ IoT devices. We’ve also helped a fintech startup promptly launch a top-flight BNPL product based on PostgreSQL.

NoSQL

Apache Cassandra

Our Apache Cassandra consultants helped a leading Internet of Vehicles company enhance their big data solution that analyzes IoT data from 600,000 vehicles.

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Apache Hive

ScienceSoft has helped one of the top market research companies migrate its big data solution for advertising channel analysis to Apache Hive. Together with other improvements, this led tо 100x faster data processing.

Apache HBase

We use HBase if your database should scale to billions of rows and millions of columns while maintaining constant write and read performance.

Apache NiFi

With ScienceSoft’s managed IT support for Apache NiFi, an American biotechnology corporation got 10x faster big data processing, and its software stability increased from 50% to 99%.

MongoDB

ScienceSoft used MongoDB-based warehouse for an IoT solution that processed 30K+ events/per second from 1M devices. We’ve also delivered MongoDB-based operations management software for a pharma manufacturer.

Cloud databases, warehouses and storage

AWS

Amazon Redshift

We use Amazon Redshift to build cost-effective data warehouses that easily handle complex queries and large amounts of data.

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Amazon DynamoDB

We use Amazon DynamoDB as a NoSQL database service for solutions that require low latency, high scalability and always available data.

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Azure

Azure Cosmos DB

We leverage Azure Cosmos DB to implement a multi-model, globally distributed, elastic NoSQL database on the cloud. Our team used Cosmos DB in a connected car solution for one of the world’s technology leaders.

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Azure SQL Database

Azure SQL Database is great for handling large volumes of data and varying database traffic: it easily scales up and down without any downtime or disruption to the applications. It also offers automatic backups and point-in-time recoveries to protect databases from accidental corruption or deletion.

Google Cloud Platform

Google Cloud Datastore

We use Google Cloud Datastore to set up a highly scalable and cost-effective solution for storing and managing NoSQL data structures. This database can be easily integrated with other Google Cloud services (BigQuery, Kubernetes, and many more).

HIPAA-compliant software development costs vary depending on a solution's functionality. For example, a mobile patient app (e.g., for medication intake monitoring) without EHR integration costs from $30,000, telemedicine software usually costs from $150,000 – $250,000, and costs for a custom EHR system start from $400,000. The costs do not include regular license fees for cloud services.

Cost factors

From ScienceSoft’s experience, each medical software project has specific tech requirements and limitations, so the cost factors vary from customer to customer. Here, we outline general cost factors for HIPAA-compliant software.

Core cost factors

  • Medical software functionality scope (e.g., hospital asset tracking, patient rehabilitation).
  • Number and complexity of features (e.g., IoT integrations will increase the cost).
  • Healthcare software type (web, mobile, desktop).
  • Supported mobile platforms (iOS, Android).
  • Number of user roles (e.g., patients, doctors, administrators).
  • Software scalability needs.
  • Medical software performance requirements.

Integration cost factors

  • Software integration with remote patient monitoring devices or tracking tags.
  • Number and complexity of integrations with medical IT systems (EHR, practice management system, procurement software, etc.).

Operational cost factors

  • Necessary data storage capacity.
  • License fees for cloud services or ready-made components of HIPAA-compliant software (e.g., data analytics services, messaging services).
  • Healthcare software maintenance services.

Estimate Costs for a HIPAA-Compliant Dev Project

ScienceSoft’s healthcare IT experts will estimate the costs of HIPAA-compliant software development to help you allocate the necessary budget for your project.

About ScienceSoft

ScienceSoft is an IT consulting and software development vendor headquartered in McKinney, Texas, US. Being ISO 13485 certified, we design and develop medical software according to the requirements of the FDA and the Council of the European Union and ensure software compliance with HIPAA and HITECH regulations.