Observance Solutions
Solutions / Security & Compliance

Healthcare Security & Compliance

HIPAA-ready security built into your architecture from day one - encryption, access control, audit logging, and hardened cloud infrastructure - backed by real HIPAA and HITRUST-aligned delivery, not a compliance checklist.

The problem

Where healthcare organizations get stuck

Security gets bolted on after the first customer asks

Retrofitting encryption, access control, or audit logging into a system not designed for them is a multi-month project, not a sprint.

PHI access isn't consistently logged or queryable

Many teams log access events but can't quickly answer "who viewed this patient's record" during a real security review or incident.

Multi-tenant systems risk cross-customer data exposure

Without structurally enforced tenant isolation, a single missed filter in application code can expose one customer's PHI to another.

What we build

Capabilities

HIPAA-eligible cloud architecture

Built on HIPAA-eligible cloud services under a signed BAA, not just infrastructure that happens to be capable of it.

Encryption at rest & in transit

Managed encryption for databases and storage, TLS enforced for all traffic including internal service-to-service calls.

Field-level encryption for sensitive data

Additional encryption for the most sensitive fields - SSNs, payment data, certain behavioral health data - decided field by field.

Role-based access control

Least-privilege by default, with elevated access as an explicit, logged, time-bound action.

Queryable audit logging

Audit logs designed around the actual questions a security review or incident response needs answered - not just stored, but usable.

Multi-tenant data isolation

Structurally enforced tenant isolation (row-level security keyed to tenant) for multi-tenant SaaS platforms.

Network isolation & IAM hardening

PHI-handling systems isolated into their own network segment, with least-privilege IAM as the real control plane.

HITRUST-aligned assessment support

Architecture and documentation support for HITRUST or SOC 2 assessments, informed by real delivered HITRUST-aligned work.

How we work

Our process

1

Assess current architecture against HIPAA/HITRUST control requirements

2

Design encryption, access control, and audit logging as core infrastructure, not add-ons

3

Harden network isolation and IAM policy around PHI-handling systems

4

Implement structural tenant isolation for multi-tenant platforms

5

Support ongoing compliance operations and security review readiness

FAQ

Common questions

Yes - we designed and implemented a secure AWS cloud infrastructure project for a healthcare client, incorporating security controls, access management, encryption, network isolation, monitoring, and auditability aligned to HIPAA and HITRUST requirements.

Ready to talk about your healthcare security & compliance project?

Tell us what you're building. A senior healthcare technologist — not a salesperson — will get back to you within one business day.