None of this needs an IT department. The gaps that turn a small incident into a reportable one are ordinary practice habits — the same whether you see six clients a week or sixty.
Photos on a personal phone
Intraoral photos and progress videos syncing to a personal cloud account means PHI has left your control.
Texting from a personal number
A reminder that names the treatment discloses a treatment relationship. Standard SMS is not encrypted.
Vendors nobody counted as vendors
Scheduling tools, cloud storage, the accountant with spreadsheet access. No BAA is a gap today.
Exports that outlive their purpose
A client list pulled for one insurance question, still in Downloads two years later.
One login shared by the practice
Convenient, and it destroys the audit trail you would need after an incident.