Healthcare compliance isn’t about meeting checklists
Without a full inventory, risk assessments fall flat. Gap assessments miss critical blind spots. And remediation plans become guesses instead of strategy.
You can’t:
Before you assign responsibilities, write policies, or remediate risks, you need to know the people, systems, assets, and controls already in place.
Here's what you need to documents to understand your current state and uncover gaps before they become liabilities:
What systems, tools, and infrastructure are in play?
Why It Matters
Why It Matters:
Every asset is a potential risk vector. You can’t monitor, protect, or audit what you haven’t logged and classified.
How is your organization and decision-making structured?
Why It Matters
Why It Matters:
Your org chart affects scope, responsibility, and control mapping — especially when frameworks like SOC 2 and ISO require role clarity.
Where does your company operate and store data?
Why It Matters
Why It Matters:
Many frameworks include physical security controls. Knowing where sensitive data resides helps narrow your focus and avoid unnecessary scope.
Who are the personnel involved in your systems?
Why It Matters
Why It Matters:
Every security control eventually ties to a person. Roles, access, and accountability need to be mapped before anything else.
What policies and procedures already exist?
Why It Matters
Why It Matters:
No need to reinvent the wheel — leverage existing documentation where possible. Just make sure it’s current, consistent, and complete.
What security safeguards are already in place?
Why It Matters
Why It Matters:
Controls are the backbone of any compliance program. You’ll need to know where they exist (and don’t) to accurately perform your risk and gap assessments.
Spreadsheets and one-time exports age quickly. They miss changes in staff, tools, and structure.
Use a living inventory that updates regularly and reflects your current systems, people, and assets—not what you had six months ago.
Listing users without understanding what they do leaves big gaps in responsibility and risk mapping.
Map users to roles and responsibilities so you know who owns what—and where policies and controls apply.
It’s easy to miss cloud services, mobile apps, and 'shadow IT' —especially those procured without IT involvement.
Take a comprehensive view of assets across departments, device types, and platforms, not just what’s centrally managed by IT.
Policies, procedures, and system diagrams often live in folders, disconnected from controls or audit prep.
Link every document to a control, risk, or requirement so it actually supports your compliance narrative and audit readiness.
Now that you have the right people and platform in place, it’s time to uncover what could go wrong — before it does.
Kick off a foundational risk assessment to identify threats, assess their likelihood and impact, and document a plan that satisfies auditors and protects your organization.