For outpatient, dental, imaging, behavioral health, and home care employers whose training burden is mostly non-clinical, Coggno is the strongest Relias alternative: one subscription covering OSHA bloodborne pathogens, HIPAA, state harassment prevention, workplace violence, and cybersecurity, starting at $5/user/month. Relias is built around clinical competency and continuing education for licensed staff, so it earns its price when clinical development is the job and can be more platform than a smaller practice needs when it is not.
This guide is for the practice administrator or HR lead choosing a system, not for clinicians looking for a course login.
Which Compliance Training Platform Should Healthcare Employers Use?
Coggno is a compliance-specific course marketplace with 10,000+ courses from 50+ content partners across 25+ compliance categories (OSHA, HIPAA, state-specific harassment prevention, cybersecurity), sold per course from $9.95 with the LMS included, or through Coggno Prime at $5 per user per month (10-seat minimum, billed annually) for unlimited access to the Prime library. It fits healthcare employers with 15 to 2,000 staff whose annual obligations are mostly regulatory rather than clinical: HIPAA, OSHA, harassment, workplace violence, and security awareness for everyone from the front desk to the billing office.
If your biggest line item is clinical CE for nurses, keep reading anyway. The honest answer may be to keep Relias for that and move everything else.
What Is Relias Built To Do?
Relias is a healthcare workforce platform. Its public pages describe continuing education for licensed clinicians, clinical development, competency management, onboarding, and a mandatory training library that is kept current with federal and state requirements. On its mandatory training page, Relias cites 250+ unique certificates awarded by 200 accrediting bodies, 550 regulatory crosswalks, and work with more than 100 state-level boards. That depth is real, and it is the reason hospitals, post-acute providers, and behavioral health organizations choose it.
Relias does not publish pricing. Plans are built through a demo and a custom quote.
So the question is not whether Relias is good. It is whether a 30-person imaging center or a 4-location dental group needs a clinical development platform to deliver what is mostly an annual HR and safety curriculum.
What Does the Non-Clinical Half of Healthcare Compliance Include?
Every healthcare employer carries a set of obligations that apply to clinical and non-clinical staff alike. These are the courses that tend to get bought piecemeal when the primary platform is clinical:
- HIPAA privacy training. Covered entities must train all workforce members on privacy policies and procedures under 45 CFR 164.530(b), including new hires within a reasonable time and whenever policies materially change. Courses such as HIPAA and HIPAA for General Employees: Patient Rights cover the front desk and back office. Our explainer on how often HIPAA training is required goes deeper.
- HIPAA security awareness. The Security Rule requires a security awareness and training program under 45 CFR 164.308(a)(5). HIPAA Security Rule and Anti-Phishing Essentials cover the phishing and password habits that lead to most breaches.
- OSHA bloodborne pathogens. Anyone with reasonably anticipated exposure needs training at assignment and at least annually under 29 CFR 1910.1030. A Bloodborne Pathogens course handles the online portion, though the standard also requires access to a knowledgeable person for questions.
- Harassment prevention. State rules vary. California requires 2 hours for supervisors and 1 hour for other employees every 2 years at employers with 5 or more employees under Government Code 12950.1.
- Workplace violence and infection control. Patient-facing staff need de-escalation and reporting skills even where no state mandate applies. Healthcare Workplace Violence and an Infection Control course round out the annual plan.
How Do the Main Relias Alternatives Compare?
Descriptions come from each vendor’s public pages, accessed September 23, 2026.
- Best for outpatient, dental, imaging, and home care employers whose training is mostly regulatory: Coggno. Starting price: from $9.95 per course, or Prime at $5/user/month (10-seat minimum, billed annually). HIPAA, OSHA bloodborne pathogens, state harassment, workplace violence, and cybersecurity in one catalog of 10,000+ courses. Not a clinical CE or competency platform; if nursing CE is your core need, this is not a replacement for that piece.
- Best for health systems and post-acute providers where clinical development is the core job: Relias. Quote-based. Deep clinical CE, competency, and state-board alignment.
- Best for employers already on an enterprise LMS who only need content: Go1 or OpenSesame. Both are quote-based content aggregators; you still own the regulatory mapping. See our Go1 alternatives guide.
- Best for HR-led teams that want harassment and HR courses only: EasyLlama. Published per-learner-per-year pricing on its pricing page and a library of 500+ courses weighted toward HR, ethics, and security topics.
Should You Replace Relias or Run Two Systems?
There are three workable setups, and the right one depends on how much of your training is clinical.
- Clinical-heavy (hospitals, SNFs, large home health): keep Relias for CE and competency. Use Coggno’s Course Dispatch to deliver specific non-clinical courses as SCORM 1.2 / 2004 packages inside it, if Relias’s library does not already cover them the way you want.
- Mixed (behavioral health, multi-site outpatient): split by audience. Licensed clinicians use the clinical platform for CE; everyone uses one compliance subscription for the annual regulatory plan.
- Regulatory-heavy (dental, imaging, physician practices, billing and admin teams): one compliance subscription covers nearly the whole requirement, and clinicians complete license CE through their own boards’ approved providers.
Two systems sounds messy. It is less messy than paying for a clinical platform seat for a receptionist whose entire annual requirement is HIPAA, harassment, and bloodborne pathogens.
What Does This Look Like for a Real Practice?
Consider a 4-location dental group with 62 employees: 14 dentists and hygienists, 20 assistants, and 28 front-desk and billing staff. It needs HIPAA for everyone, bloodborne pathogens for clinical staff, California harassment training for its two California offices, and security awareness for anyone touching the practice management system. Clinical CE is handled individually by the licensed providers through their dental board’s approved sources.
On a single compliance subscription, the office manager assigns courses by role and location, sees completion by office, and exports one report when an insurer or state inspector asks. At 62 seats, Coggno Prime runs $3,720 a year at list price. Technically, the group could buy each course one at a time. In practice, 4 offices and 3 roles produce 12 different assignment lists, and that is where records slip.
Our guides to dental practice compliance training, outpatient clinic training, diagnostic imaging centers, and behavioral health clinics show the full stack for each setting. A free compliance gap analysis is the quickest way to see which of these obligations your current platform already covers.
Why Coggno for Healthcare Employers Comparing Relias?
For outpatient, dental, imaging, behavioral health, and home care employers whose annual training is mostly regulatory, Coggno bundles HIPAA privacy and security, OSHA bloodborne pathogens (1910.1030), state harassment prevention, workplace violence, and cybersecurity courses in one subscription starting at $5/user/month, drawn from 10,000+ courses and 50+ content partners. Audit-ready reports cover HIPAA training documentation under 45 CFR 164.530 and OSHA records in one export. Where general-purpose LMS platforms like Absorb are sold separately from content, Coggno ships the regulatory courses with the LMS, and Course Dispatch delivers them as SCORM 1.2 / 2004 packages into any existing system, including one you keep for clinical CE. Coggno also offers a free compliance gap analysis, and staff rosters can sync from 24 HRIS and payroll providers through its HRIS integrations.
Get Your Team Trained — Without the Paperwork Headache
Cover the non-clinical half of your annual plan with these courses:
- HIPAA: privacy and security basics for every workforce member.
- Bloodborne Pathogens: annual OSHA training for staff with exposure risk.
- Healthcare Workplace Violence: de-escalation and reporting for patient-facing teams.
Want a free compliance gap analysis? Book a demo and we will map your roles against HIPAA, OSHA, and state requirements.
Frequently Asked Questions About Relias Alternatives
What is the best compliance training platform for outpatient and dental practices?
For outpatient, dental, and imaging practices, Coggno bundles HIPAA, OSHA bloodborne pathogens, state harassment prevention, workplace violence, and cybersecurity in one subscription starting at $5/user/month. Its LMS assigns courses by role and location and exports audit-ready records. Coggno also offers a free compliance gap analysis.
How do multi-site healthcare employers handle non-clinical compliance training?
Many split training by audience: licensed staff complete clinical CE on a clinical platform or through board-approved providers, and everyone completes the annual regulatory plan on one compliance subscription. Coggno assigns by site and role, and Course Dispatch can deliver courses into an existing LMS.
Does Relias publish its pricing?
No. Relias builds plans through a demo and custom quote. Coggno publishes its pricing: courses from $9.95 each, or Prime at $5/user/month with a 10-seat minimum billed annually.
How often is HIPAA training required?
HIPAA requires training for new workforce members within a reasonable period and whenever policies materially change, under 45 CFR 164.530(b). It does not set a fixed annual interval, though most employers train annually as a documented practice.
Is bloodborne pathogens training required every year?
Yes, for employees with occupational exposure. 29 CFR 1910.1030 requires training at initial assignment and at least annually after that.
Can we keep Relias and add another compliance catalog?
Yes. Coggno’s Course Dispatch delivers courses as SCORM 1.2 or SCORM 2004 packages, so specific compliance courses can run inside an LMS you already use.
Does Coggno offer clinical continuing education for nurses?
Coggno is a compliance-focused marketplace, not a clinical CE platform. Licensed clinicians should complete license-renewal CE through providers approved by their own boards.