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The Playbook for Healthcare Security Compliance

How regulated healthcare companies can manage compliance (SOC 2, HIPAA, etc.) while avoiding the mistakes that delay audits and drain time and resources.

   Benchmark your Compliance Program >   

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Audit Management

 

The Compliance Traps that Stall Healthcare Companies

Healthcare companies today are under pressure to prove HIPAA, SOC 2, or ISO 27001 compliance.

Most teams are told to comply - without a roadmap of how to approach cybersecurity or which GRC tools to use.

Whether you're protecting PHI, securing APIs, or partnering with hospitals, the stakes are high—and getting higher.

This guide show healthcare leaders how to avoid common cybersecurity pitfalls and confidently build a compliant security program.

Why Most Healthcare Companies Hit a Wall with Security & Compliance
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Reactive Audit Preparation 

Without a repeatable process, teams scramble every year to collect evidence, prove policies, and “look” compliant in time for the audit.

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Lack of Internal Expertise

Your team knows healthcare - but not how to build a scalable ISMS (Information Security Management System) or map controls across frameworks.

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Fragmented Tools & Spreadsheets 

Compliance gets buried across policies, risk registers, email threads, and shared drives—none of which talk to each other. 

 

6 Lessons Healthcare Teams Learn The Hard Way

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Documenting ≠ Demonstrating

You can’t just upload policies—you need to prove it’s been read, acknowledged, and followed.

How to stay audit-ready

Action Steps:

  • Assign policies to employees and track acknowledgments automatically
  • Link policies directly to associated training sessions or tasks
  • Set recurring reminders for policy reviews and updates
  • Maintain an audit trail showing who completed what—and when
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Compliance Isn’t a One-Time Project

It’s a demonstration of an ongoing security program that requires ownership and updates.

How to stay audit-ready 

Action Steps:

  • Establish role-based responsibilities across your team for ongoing tasks
  • Create a compliance calendar with recurring reviews and assessments
  • Automate renewal tasks for vendor reviews, risk assessments, and policy updates
  • Monitor your program’s health with dashboards showing real-time status
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Frameworks Overlap—If You Let Them

You’re wasting time with redundant work unless your system maps controls across frameworks like HIPAA and SOC 2.

Steps to crosswalk frameworks 

Action Steps:

  • Use a platform that allows one control to satisfy multiple frameworks
  • Build a single policy library mapped to multiple standards
  • Eliminate duplication by linking evidence and assessments across frameworks
  • Save time by applying existing documentation to new certifications or audits

 

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Auditors Expect Structure

Audit readiness isn’t about perfection—it’s about demonstrating evidence in a clear, centralized way.

How to structure your compliance  

Action Steps:

  • Align your evidence collection process with your auditor’s expectations from day one
  • Give auditors access to your platform to streamline review
  • Centralize all policies, evidence, risks, and training records in one system
  • Maintain real-time status tracking for all compliance tasks and documentation

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Spreadsheets Break Down at Scale

What works with 5 employees doesn’t work with 50. Or 150. Or vendors. Or auditors.

How to replace spreadsheets 

Action Steps:

  • Replace spreadsheets with a scalable, people-focused compliance platform
  • Automate tracking, version control, and task assignments
  • Ensure multiple team members can collaborate in real time without confusion
  • Prepare for scale with workflow automation and team-wide visibility

 

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You Need More Than a GRC Tool

Checklists and dashboards are great - but without guidance, they still leave you guessing.

Stop the compliance guesswork  

Action Steps:

  • Use guided workflows that tell you exactly what to do and when
  • Work with experts who’ve helped healthcare companies pass real audits
  • Get a prebuilt project plan tailored to HIPAA, SOC 2, or ISO 27001
  • Ask questions and get support from compliance professionals—not just tech support
The Roadmap to Audit Readiness

Whether your Security Management System is established or you're just getting started, this roadmap is your step-by-step guide to an always audit-ready posture.

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Lay the Groundwork

Step 1:
Set Up Your Security


  Align teams around compliance

  Assign roles and accountability

  Consolidate existing documentation

GET STARTED

 

Set Program Expectations

Step 2:
Start Smart. Align Early


  Align on goals and timeline

  Set expectations for all departments

  Schedule check-ins and milestones

GET STARTED

 

Identify Current Resources

Step 3:
Identify What You Have


  List users, assets, orgs, documents

  Collect data from all departments

  Confirm completion with owners

GET STARTED

 

Start Your Risk Assessment

Step 4:
Spot What Could Go Wrong


  Complete formal risk analysis

  Add risks to your risk register

  Generate a risk assessment report

GET STARTED

 

Develop Your Gap Assessment

Step 5:
Discover What’s Missing


  Compare current state vs. requirements

  Identify all compliance gaps

  Produce Gap Assessment Report

GET STARTED

Create Your Remediation Plan

Step 6:
Create Your Action Plan


  Prioritize and assign remediation tasks

  Build timeline and accountability

  Document in a Remediation Plan

GET STARTED

 

Remediate and Operationalize

Step 7:
Put Plan Into Action 


  Close gaps with documented proof

  Implement training and controls

  Align practices with policies

GET STARTED

 

Test Audit Readiness

Step 8:
Test Before You’re Tested


  Conduct a mock internal audit

  Review evidence and gaps

  Document findings and fixes

GET STARTED

 

Work With Your Auditor

Step 9:
Pass With Confidence


  Engage with auditor and platform

  Provide evidence from system 

  Address any final comments quickly

GET STARTED

Reassess and Remediate

Step 10:
Close The Loop. Stay Secure


  Resolve audit findings

  Monitor risks, assets, and evidence

  Refresh training and policies

GET STARTED

 

Audit Completion

Step 11:
Seal the Audit. Set the Pace


  Accept final audit deliverables

  Conduct an introspective

  Set a compliance monitoring plan

GET STARTED

 

Build Security Maturity

Step 12:
Strengthen & Scale


  Drive continuous ISMS improvements

  Follow documented processes

  Set the stage for ongoing readiness

GET STARTED

 

What leading healthcare teams do differently

  • Centralize Everything
    No more scattered policies, training logs, or evidence records
  • Audit Prep Is Ongoing
    Each process, task, and training should naturally generate evidence
  • Enable Cross-Team Accountability
    Task assignments, reminders, and version tracking across stakeholders
  • Invite Auditors, Don’t Chase Them
    Enable secure auditor access to view only what’s approved and relevant
  • Lean on Compliance Experts

    Work with experts who’ve actually guided healthcare companies through audits

 

Bonus Checklist

Are you just checkbox-ready or are you truly audit-ready?

 

 

Checkbox-Ready


Audit-Ready


Do you know which framework(s) apply to you? 

 

Have you assigned ownership for security tasks and policies? 

 

Can you demonstrate that your policies are being followed, not just uploaded? 

 

Are you centrally tracking risks, vendors, and incidents? 

 

Do you have a repeatable, documented audit process? 

 

Benchmark your Compliance Program

Download your free Healthcare Compliance Blueprint Checklist and 12-Step Action Plan to identify gaps, improve traceability, and prepare for any audit with confidence.

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What We Hear Most Often...Kevin Brown, ISO & Director of Professional Services, Ostendio

Kevin Brown

 ISO & Director of Professional Services


Kevin responds to your common questions.
 
Still not sure where to turn? Schedule a chat with Kevin or one of our GRC experts. 
What’s the difference between HIPAA and HITRUST?

HIPAA is a US law establishing baseline requirements for protecting sensitive patient health information, while HITRUST is a framework that provides a more comprehensive and scalable approach to security and compliance, including HIPAA, but also other standards. 

In essence, HIPAA sets the legal foundation, and HITRUST offers a detailed framework and certification process to help organizations meet and demonstrate compliance. 

 

What tools or services can help healthcare providers with compliance?

Rather than relying on spreadsheets or shared drives, healthcare companies can use a GRC tool to track and manage policies, risk assessments, training, access controls, and vendor management. Many platforms also include workflows that align with specific frameworks

Compliance-as-a-Service (CaaS) solutions provide further guidance to help smaller, less experienced teams save time, reduce human error, and prepare for audits.

Everyone Secure.

Learn more by speaking to one of our experts