PHIGuard vs Process Street: A HIPAA-Aligned Alternative

Process Street is a solid SOP tool but not a clinic compliance program. PHIGuard bundles the BAA, audit trail, and HIPAA content at a per-clinic price.

Short answer

Process Street is built for generic SOPs. PHIGuard is built for clinic compliance programs, with a BAA at every tier, immutable audit trail, and HIPAA-specific templates.

Why switch to PHIGuard

PHIGuard wins for small clinics needing HIPAA operations, not another generic workspace.

PHIGuard is the stronger fit when a clinic needs BAA coverage at every plan, audit history, per-clinic pricing, and compliance task, incident, vendor, and policy workflows in one operating system.

For alternative pages, the argument is sharper: keep generic tools where they fit, but move patient-adjacent compliance operations into PHIGuard when BAA coverage, audit history, and clinic workflows matter.

This does not mean PHIGuard is the best fit for every buyer. Enterprise teams with broad GRC, deep custom development, or non-clinic collaboration needs should compare those requirements directly.

Process Street is well-regarded as a checklist and standard-operating-procedure tool. Teams use it to turn repeatable work into structured templates. That is useful. It is also not the same thing as a HIPAA compliance program for a covered entity.

The BAA Problem

A BAA is the line between “vendor we happen to use” and “business associate under 45 CFR 164.502(e).” HHS’s own Business Associates guidance is the reference point.

Process Street’s pricing page presents tiered plans aimed at general process documentation. Public materials do not describe a BAA attached to standard self-serve tiers. That does not mean Process Street refuses to sign one, but it does mean a clinic has to ask, confirm scope, and handle the vendor management work before putting any PHI in a checklist.

A HIPAA-aligned tool is more than “a checklist with a BAA bolted on,” though. The substance matters: what PHI fields look like, where they appear in notifications, what the audit log records, whether access maps to clinic roles.

What Changes With PHIGuard

PHIGuard starts where Process Street stops for clinics:

  • BAA included on every plan, no sales cycle
  • Pre-built clinic compliance content: annual risk analysis, workforce training, policy review, incident response, vendor management
  • PHI-safe task fields that do not leak details into notification emails or export files
  • Immutable audit trail covering every action against tasks, policies, and incidents
  • Role-based access mapped to real clinic roles instead of generic “members” and “guests”

The difference is not “checklists vs. checklists.” It is a covered compliance program with audit evidence vs. an empty template surface.

Pricing Comparison

Process StreetPHIGuard
Primary jobGeneric SOP and checklist authoringClinic compliance program and PHI-aware task management
BAA includedPublic materials do not describe a BAA offeringIncluded on every plan
Pricing modelPer-user tiers; see Process Street pricingPer clinic: $99 / $249 / $499 per month
HIPAA audit trailNot described publiclyBuilt in, immutable
Prebuilt clinic compliance contentNoYes

Per-user pricing hurts small clinics because compliance work does not scale by headcount. A solo-provider clinic still needs the same annual risk analysis and the same documented policies as a 30-person group. PHIGuard’s flat per-clinic pricing matches that reality.

Who Should Use PHIGuard Instead of Process Street

PHIGuard is the right fit if your clinic:

  • Needs a BAA at signup, not after a back-and-forth
  • Wants a ready-made HIPAA compliance program, not empty templates
  • Has 3–50 staff and is tired of per-user SaaS math
  • Needs an audit trail a regulator or auditor can actually inspect

Process Street remains useful if you are documenting purely administrative SOPs that never reference patient information. The moment PHI enters the picture, move that content to a tool built for it.

FAQ

Does Process Street sign a BAA? Process Street’s public pricing pages do not describe a standard BAA offering. If you want to use it for PHI-touching processes, contact the vendor directly and get BAA scope in writing first.

Process Street already has conditional logic. Why do we need PHIGuard? Conditional logic is table stakes. What PHIGuard adds is the compliance program itself, a BAA, PHI-safe fields, and an immutable audit trail that maps to 45 CFR 164.312(b).

Can we keep Process Street for non-clinical work? Yes. Keep it for IT checklists or facilities procedures. Move anything that mentions patients into a tool with a BAA. See our vendor HIPAA audit guide.

How does PHIGuard compare to other options? See our HIPAA compliance software comparison for a broader view across the category.

Verified by PHIGuard

Written by: Angel Campa

Reviewed by: PHIGuard Compliance Research

Updated: April 23, 2026

Vendor posture reviewed: April 23, 2026

Sources

Free clinic resource

Vendor BAA Tracker

Track which vendors have a signed BAA, which still need review, and where contract follow-up is stalled.

FAQ

Questions clinics ask before leaving Process Street

Is Process Street enough for HIPAA compliance?

Process Street handles SOP checklists well, but a HIPAA compliance program is more than a checklist. Clinics also need a BAA, audit trail, access controls, and incident handling tied together as a program.

Where does Process Street fall short for a clinic?

Public materials do not describe a BAA on standard plans, and the product does not ship clinic-specific compliance content. The clinic has to build the HIPAA substance on top.

Should we move all SOPs to PHIGuard?

Anything that touches PHI or compliance evidence should live in PHIGuard. Non-PHI operational SOPs can stay wherever they already work for the team.

Operational assurance

Ready to put compliance on a proper foundation?

PHIGuard gives your clinic an audit trail, a signed BAA, and a task management system built for covered entities rather than adapted from generic software collaboration tools.

BAA included Legal baseline available on every plan.
Audit history Compliance actions stay reviewable later.
No card upfront Start evaluation before billing setup.

No credit card required. Add billing details later if you want service to continue after the trial.