Governance, HIPAA, and Patient Trust

Andres Jimenez MD MSED MBA MS

“Patients shouldn’t have to be data lawyers to stay safe. Our job is to protect their information by design—HIPAA-aligned systems, strict BAAs, and AI that runs inside protected walls where PHI never becomes someone else’s asset. Privacy is not a checkbox; it’s part of the care plan.” Dr. Andres Jimenez, Board-Certified in Public Health & Prevention, and Clinical Informatics. Founder & CEO of HealthPrevent360

Privacy is clinical. In an era where many “wellness” companies are not HIPAA covered entities, patients can unknowingly trade away sensitive information. Some direct-to-consumer firms blend diagnostic data with browsing, tracker, and lifestyle signals and then monetize those profiles. Meanwhile, many people turn to public AI tools with intimate health questions—sometimes even uploading medical records—without realizing how those data could be stored, shared, or repurposed.

A JAMA Network Open analysis of top depression and smoking-cessation apps found 92% transmitted user data to third parties, often beyond what privacy policies described—illustrating privacy risks with non-HIPAA-covered consumer tools. JAMA Network

Concierge practices sit at the trust frontier. Patients expect you to understand the data landscape, protect their information, and steer them toward safe, professional pathways. That means tightening governance around what enters your workflows, maintaining clear BAAs with vendors, and ensuring that any AI used in care is deployed within HIPAA-compliant environments with audit trails, access controls, and no secondary use of PHI. If you leverage foundation models, ensure they operate in an enclave where patient data never leaves your protected systems, and where the model provider does not ingest or train on PHI.

Transparency is part of governance. Teach patients how HIPAA differs from the consumer web, what consents cover, and why emailing records to non-covered services (or pasting them into public chatbots) can create irreversible exposure. Explain your practice’s rules: where data lives, who can access it, how long you retain it, and what logs and alerts protect it.

When privacy posture is explicit and enforced, patients share more relevant information, adherence improves, and reputational risk falls. Governance isn’t paperwork—it’s the substrate of trust.

How HP360 can support your concierge practice

Privacy by design, trust by defaultWe align prevention intelligence with HIPAA and your governance standards—without leaking data into consumer ecosystems.

• HIPAA-aligned deployments with audit trails and access controls

• Vendor BAAs and clear data-handling playbooks

• Foundation models operated in protected enclaves (no PHI to vendors)

• Patient education assets on safe data behaviors

• Provenance and logging for every summary and recommendation

Learn About our Concierge Clinic Programs

About Dr. Jimenez

Board-certified physician, triple Ivy League–trained innovator leading the nation’s first prevention-only clinic. Dr. Jimenez has built physician-led technology adopted by 3,000+ hospitals and clinics, guided companies through acquisition and IPO, and serves as Assistant Clinical Professor (Environmental & Public Health) at Mount Sinai School of Medicine in NY. At HealthPrevent360, he applies clinical informatics and prevention science to help individuals anticipate risk, prevent and early-detect disease. The clinic’s prevention engine has analyzed hundreds of thousands of clinical pages and supports thousands of patients.