Tampa Bay’s significant retiree population across Pinellas and Pasco counties means dental practices here routinely coordinate care with cardiology, oncology, and other specialists, often involving protected health information flowing between four or more covered entities for a single patient.
Ekim IT Solutions builds HIPAA-compliant coordination of care infrastructure specifically for Tampa Bay dental practices where a large share of patients are retirees with complex medical histories spanning multiple specialists and health systems. Here is what that coordination actually requires from an IT and HIPAA compliance standpoint.
A Tampa Bay dental practice coordinating care for an elderly patient across cardiology, oncology, and dental specialties is managing protected health information disclosures across multiple covered entities simultaneously, each disclosure governed by HIPAA’s coordination-of-care provisions.
This is not a hypothetical scenario in Tampa Bay’s demographic. It happens daily. The technical infrastructure supporting those disclosures needs to be built for it specifically, not bolted on as an afterthought.
Tampa Bay’s retiree-heavy demographic, particularly across Pinellas and Pasco counties, means dental practices here see a higher proportion of patients with multiple active specialists than practices in markets with younger populations. A Clearwater or St. Petersburg dental practice treating a patient also under care at a cardiology practice and an oncology center is routinely exchanging records, treatment notes, and clearance documentation. Each exchange requires the same HIPAA safeguards as any other PHI disclosure, and the volume of those exchanges in Tampa Bay is meaningfully higher than the national average.
Ekim IT Solutions builds the following into every Tampa Bay dental practice’s coordination of care infrastructure:
Records exchanged with cardiology, oncology, or other specialists must travel through encrypted, HIPAA-compliant channels
Not standard unencrypted email or fax. Each channel used for external PHI transmission must satisfy the HIPAA Security Rule’s transmission security standard and be documented in the practice’s technical safeguard inventory.
Each PHI disclosure to another covered entity should be logged for HIPAA accounting-of-disclosures requirements and the practice’s own audit trail
Patients have the right to request an accounting of disclosures. A Tampa Bay dental practice with high coordination-of-care volume that cannot produce that accounting on request is in a documented compliance gap.
Not every staff member should be able to initiate a PHI disclosure to an external covered entity
Role-based access ensures disclosures go through appropriate clinical or administrative review. Uncontrolled external disclosure access is one of the most common findings in OCR audits of dental practices that coordinate care frequently.
Secure messaging within a patient portal
Most modern dental practice management platforms include or integrate with HIPAA-compliant patient portals. Ekim configures and documents secure messaging as the primary channel for routine coordination exchanges.
Encrypted email under a healthcare Business Associate Agreement
For exchanges with specialists who do not share a portal connection. Standard email is not sufficient. The email platform must meet HIPAA encryption requirements and the vendor must be covered by a BAA.
Direct integration with a referring specialist’s system where available
Where available through care network integrations, direct system-to-system exchange eliminates manual transmission steps. Ekim configures and documents whichever channel the practice uses to satisfy both the Security Rule and coordination-of-care disclosure requirements.
Check each item currently in place at your Tampa Bay dental practice. Missing items are coordination of care gaps that would appear in an OCR audit or HIPAA SRA review.
All external PHI transmissions use an encrypted, HIPAA-compliant channel
No records sent to specialists via unencrypted standard email or unsecured fax.
A Business Associate Agreement is in place with every external entity that receives PHI
Including email vendors, secure messaging platforms, and any third-party coordination tools.
PHI disclosures to external covered entities are logged for accounting-of-disclosures compliance
Patients can request an accounting of disclosures. The practice must be able to produce it.
Role-based access controls limit which staff can initiate external PHI disclosures
Not every staff member should be able to send records to outside providers without clinical or administrative review.
Coordination-of-care channels are documented in the practice’s HIPAA Security Risk Assessment
The SRA must identify and document the technical channels used for external PHI transmission.
Ekim IT Solutions works exclusively with dental practices. We serve New England and New York with on-site support and dental practices nationwide with remote support, including Tampa Bay’s retiree-heavy market across Pinellas and Pasco counties. We build the technical safeguards your practice needs when patient data is flowing between four or more covered entities for a single patient.