HIPAA configuration

Configure Almanac for workflows involving protected health information.

This page describes a suggested configuration, not legal advice. Your signed BAA determines Almanac’s contractual responsibilities. Confirm your configuration with the Almanac team and your privacy or security officer.

Understand shared responsibility

Your BAA covers how Almanac handles the information you provide. Your organization remains responsible for its devices, access policies, connected services, and use of the product.

Devices and workstations. Use your organization’s requirements for device encryption, screen locks, browser access, and physical privacy.

Plugins and connectors. Each connected service is a separate destination for data. Confirm that your organization has the appropriate agreement with the provider before allowing it to receive PHI.

Require appropriate sign-in

Use single sign-on when your organization manages access through an identity provider. This keeps provisioning and removal connected to your existing directory.

See Authentication.

Review your responsibilities

Your organization is responsible for:

  • Completing its own risk analysis.
  • Securing members’ devices and workstations.
  • Granting and removing access.
  • Approving plugins, connectors, and other data destinations.
  • Training members on appropriate use.
  • Reviewing configuration after relevant product or policy changes.

Configure Almanac for PHI

The following settings provide a starting point. Set policy controls as organization requirements when members shouldn’t be able to change them.

SettingSuggested configurationPurpose
Sign-inRequire SSOKeeps access aligned with your directory
JoiningInvitation onlyRequires explicit authorization
Approval modeAsk for approvalPauses before file edits and commands
Plugins and connectorsAdministrator approvedLimits data destinations
Web accessRestrict to an allowed listLimits which websites Almanac may use
Patient contextUse your connected EHRPreserves existing EHR access
File uploadsAllow with a defined retention policySupports document workflows while controlling retention
MemoryOff by default, with member choiceMakes cross-conversation context a deliberate choice
RetentionMatch your records policyAligns stored content with organization requirements

See Managed configuration.

Review plugins and connectors

For every plugin or connector, determine:

  1. What information leaves Almanac.
  2. Which service receives it.
  3. Whether your organization has the required agreement with that service.

Connectors to your own systems use a member’s existing access. Review third-party destinations separately.

Prepare for rollout

  1. Complete the BAA and your organization’s risk analysis.
  2. Configure SSO and verify your domains.
  3. Assign administrators and define who removes access.
  4. Set organization requirements before inviting members.
  5. Approve only the plugins and connectors your organization has reviewed.
  6. Train members on appropriate use and incident reporting.
  7. Review configuration regularly and after significant changes.

Almanac security practices

Almanac restricts and logs access to production systems, encrypts data in transit and at rest, and doesn’t use customer conversations to train models.

Current architecture, subprocessors, and control information are available during a security review.

See Compliance, Privacy and data, Permissions, and Rolling out Almanac.