Desert Smiles Dental is on the paid plan. Kim, the office manager, set it up. Dr. Anita Shah, DDS, approves what the practice publishes.
At setup, Kim names who approves what, and signs the business associate agreement before any work touches patient data. A law, medical or financial practice names its own licensee or compliance gatekeeper.
Dr. Shah gets an email asking for her approval, addressed to her by name.
At her desk, she reads the draft with each claim and its source next to it. She asks for "pain-free" to be removed. The house revises the page, its reviewer passes it, and it comes back to her.
Kim can see what is waiting and on whom, but she can't approve in their place. Reminders go out; nothing goes live on silence.
The privacy officer approves a reply that confirms nothing about the reviewer. A law firm's replies disclose nothing about a client.
The page goes live with a link and with who approved it and when, kept in the practice's history.