HIPAA-compliant speech-to-text: BAA, PHI redaction, and vendor selection

HIPAA-compliant speech-to-text solutions for healthcare require a multi-layered approach, encompassing a signed Business Associate Agreement (BAA), automated Protected Health Information (PHI) redaction, and zero-data retention policies. Ensuring HIPAA compliance is a shared responsibility between vendors and clients, where vendors secure the infrastructure and clients configure their pipelines correctly. Key considerations when selecting a vendor include BAA availability, data retention policies, regional processing boundaries, and ensuring audio is isolated from model training. HIPAA compliance is not solely dependent on vendor capabilities but also on correct client-side configurations like enabling PHI redaction and choosing the appropriate plan that guarantees data safety. Vendors must also meet certification standards like SOC 2 Type II and ISO 27001, and compliance evaluations should focus on contract terms rather than verbal assurances. Proper handling of PHI extends to data encryption, redaction, and ensuring regional data residency, with an emphasis on using structured placeholders in transcripts to maintain data utility while protecting sensitive information.

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