HIPAA Cloud Security and Evidence Guide
A focused implementation model for safeguarding ePHI in cloud-hosted workloads.
Security priorities for ePHI systems
- Identity governance for workforce and service-account access to ePHI resources
- Encryption at rest and in transit with key ownership and rotation accountability
- Audit logging across storage, compute, and API layers touching regulated data
- Business continuity evidence for backups, restores, and failover testing
Evidence collection cadence
Establish monthly control evidence collection and quarterly access recertification. Map each artifact to owner, retention policy, and remediation SLA.
Risk-reduction sequence
- Baseline: asset inventory and data-flow mapping for ePHI boundaries
- Enforcement: IaC policy checks and runtime detection with response workflows
- Assurance: regular mock evidence reviews before external assessments