Trello’s board-and-card model is simple, visual, and genuinely useful for a lot of small teams. It is also a tool clinics reach for when they need a shared task board — often without realizing Atlassian’s published HIPAA posture does not make Trello a BAA-eligible product. A card titled “Follow up with a patient about Tuesday labs” would store PHI in a tool without a BAA, without an audit trail scoped to HIPAA, and without field-level controls.
The BAA Problem
Per Atlassian’s public Trust Center, Trello is not listed among the Atlassian products covered by a BAA. Confirm current coverage before using Trello for any clinical workflow. If PHI is stored on Trello today, that is, by default, a compliance issue.
What Changes With PHIGuard
PHIGuard is built for covered entities. Every tier — starting at $99/month per clinic — includes a signed BAA at account creation. You also get:
- Immutable audit trail on every task action, satisfying HIPAA §164.312(b)
- PHI-aware fields that keep patient detail out of notification emails and logs
- Compliance templates for annual training, risk analysis, policy reviews, and incident response
- Role-based access scoped to clinical staff, front desk, billing, and admin
Pricing Comparison
| Trello | PHIGuard | |
|---|---|---|
| BAA available | No | Yes, every tier |
| Pricing model | Per user/month | Per clinic/month |
| HIPAA audit trail | No | Yes, built-in |
| Compliance templates | No | Yes |
| Starting price | $5/user/mo | $99/clinic/mo |
Who Should Use PHIGuard Instead of Trello
Any clinic that currently uses Trello to coordinate tasks involving patient names, appointments, clinical detail, or billing information should move that work to a HIPAA-native tool. PHIGuard replaces the clinical boards without requiring a sales call, an enterprise contract, or a per-user pricing model.
Trello remains fine for truly non-clinical work — office supplies, marketing, internal projects with no PHI. PHIGuard handles the rest.