Facility Access Controls
Physical safeguards controlling who can enter facilities containing ePHI.
1 min read · Last reviewed May 23, 2026
At a glance
- Category
- Security
- Primary sources
- 2
- Workspace handoff
- compliance binder →
Where this comes up
This sits inside the security risk analysis under 45 CFR 164.308(a)(1)(ii)(A) — workstation controls, EHR access roles, ePHI transmission encryption, audit logging, vendor risk, and incident response. Reviewers expect dated evidence of the control, not a policy PDF that says it exists.
Full definition
What it is in practice
45 CFR 164.310(a) requires controls for contingency operations, facility security plan, access control and validation, and maintenance records.
How it shows up in your practice
Inventory access methods (badges, keys, codes). Maintain a visitor log. Cross-check active badge holders against the active-workforce list.
Sources
- 45 CFR 164.310 — Physical safeguardshttps://www.ecfr.gov/current/title-45/section-164.310
- NIST SP 800-66 Rev. 2https://csrc.nist.gov/pubs/sp/800/66/r2/final
Audit facility access in the Compliance Binder
Open compliance binder →Related terms
- SecurityPhysical SafeguardsPhysical measures, policies, and procedures to protect a covered entity's electronic information systems and related buildings and equipment from natural and environmental hazards and unauthorized intrusion.
- SecurityWorkforce Termination ProceduresProcedures that promptly remove workforce member access to ePHI upon termination of employment or change of role.
- SecurityAdministrative SafeguardsPolicies and procedures designed to manage the selection, development, implementation, and maintenance of security measures protecting ePHI.
D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.
Reviewer status: a named credentialed reviewer (CHC, CHPC, or healthcare attorney) is being engaged. Until that engagement is finalized, this page does not claim credentialed review.
Related across the archive
- GlossaryAdministrative SafeguardsPolicies and procedures designed to manage the selection, development, implementation, and maintenance of security measures protecting ePHI.
- GlossaryPhysical SafeguardsPhysical measures, policies, and procedures to protect a covered entity's electronic information systems and related buildings and equipment from natural and environmental hazards and unauthorized intrusion.
- GlossaryWorkforce Termination ProceduresProcedures that promptly remove workforce member access to ePHI upon termination of employment or change of role.
- GlossaryAccess ControlsTechnical policies and procedures that allow only authorized persons or software programs to access ePHI.
- GlossaryAudit LogA record of system activity (logins, record access, configuration changes) that can be reviewed to detect inappropriate access or system compromise.
- ComplianceAnnual HIPAA Training Curriculum (What to Cover + How to Document)A 2026 annual HIPAA training curriculum for small healthcare practices — eight required modules under 45 CFR 164.530(b) and 45 CFR 164.308(a)(5), with documentation templates.
- RegulationNIST Cybersecurity Framework 2.0The 2024 update to the NIST CSF added the Govern function alongside Identify, Protect, Detect, Respond, and Recover — providing a common language for organizational cybersecurity risk management.
- SRAHIPAA Contingency Plan for a Small PracticeWhat the Security Rule contingency plan standard at 45 CFR 164.308(a)(7) actually requires, including data backup, disaster recovery, emergency mode operation, and testing — for a small practice.
This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.