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Case Study HealthTech

HIPAA Compliance for Digital Health

An anonymized digital health startup implemented HIPAA-aligned controls and an evidence workflow to pass security reviews and unblock provider partnerships.

Fractional CISO Compliance Readiness

Results

Time to compliance
12 weeks
Findings
Zero critical

Overview

Provider partnerships required evidence of security controls and operational maturity. The team needed a realistic, HIPAA-aligned plan they could sustain, plus repeatable artifacts for security questionnaires and follow-up calls.

Starting point

Security and compliance work was mostly reactive. Policies were incomplete, evidence was collected ad hoc, and ownership of key controls wasn’t clearly assigned. As a result, partner reviews were slow and disruptive.

Goals & success criteria

  • Establish HIPAA-aligned controls appropriate for the organization’s stage
  • Create clear control ownership and a repeatable evidence cadence
  • Reduce disruption from partner security questionnaires and reviews
  • Ensure access, logging, and incident response practices were consistent
  • Reach a credible milestone in 12 weeks with zero critical findings

What we did

  • Gap analysis and prioritization: assessed the existing state against HIPAA expectations and focused on the controls that would move the needle for partner trust.
  • Policy and process foundation: created concise, practical policies and aligned them to real workflows.
  • Access and identity hardening: clarified access models, strengthened authentication and review processes, and ensured least-privilege principles were actionable.
  • Evidence workflow: built an evidence calendar and templates so recurring proof didn’t require last-minute scrambling.
  • Review readiness: prepared response packs for common questionnaire themes and coached the team on consistent answers.
  • Operational readiness: established incident-handling expectations and ensured logging/monitoring aligned to the data and risk profile.

Key technical decisions

  • Prefer evidence that is generated by systems (access logs, change logs) over manual screenshots
  • Keep policies short and enforceable
  • Define ownership for access reviews, incident response, and vendor management
  • Create “one source of truth” for security artifacts to reduce review friction
  • Build a cadence: small recurring work beats large annual sprints

Risk management

  • Avoided over-scoping into “perfect compliance” that would stall delivery
  • Ensured controls were tied to accountable owners, not aspirational docs
  • Designed evidence collection so it’s repeatable even during busy product cycles
  • Prepared clear narratives for reviewers to reduce follow-up churn

Outcomes

In 12 weeks, the team implemented HIPAA-aligned controls and reached a milestone with zero critical findings. Partner reviews became faster and lower-friction, and the organization gained a sustainable compliance cadence.

Handoff & operating model

  • Control ownership map and evidence calendar
  • Artifact templates and a lightweight security review playbook
  • Training materials and onboarding guidance
  • A repeatable process for future partner reviews and audit preparation

If you’re facing a similar challenge

If you’re preparing for security reviews and audits, start with Compliance Readiness.

Engagement Notes

Context

Provider partnerships required credible security controls and repeatable evidence. The company needed a HIPAA-aligned program that fit their stage and didn’t stall product work.

Constraints

  • Limited documentation and unclear risk ownership
  • Need to align security work with product delivery
  • Partner security reviews requiring evidence and repeatability
  • Controls had to be pragmatic and maintainable by a small team

Approach

  1. Performed a gap analysis against HIPAA expectations and prioritized controls
  2. Implemented policies, access controls, and evidence workflows
  3. Created a sustainable compliance cadence and team training
  4. Prepared artifacts and response packs for partner security reviews
  5. Hardened logging, monitoring, and incident handling expectations

Stack

Cloud platform SSO/IAM Logging and monitoring

Lessons Learned

  • Security reviews go faster when evidence is organized before the first questionnaire arrives.
  • Pragmatic controls win: better to run a few well-owned controls than many ignored ones.

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