HIPAA Security Rule readiness

Security
engineering
for healthcare.

We help providers, health plans, and business associates identify risks to electronic protected health information (ePHI), implement safeguards, and document what changed.

Principal-led delivery across Azure, AWS, and Microsoft 365.

01 Reference architecture

One identity plane across three domains

Security & governance boundary

  • Cloud infrastructure

    Azure & AWS

  • Modern workplace

    Microsoft 365

  • Applications & data

    SQL & integrations

Identity & access

Directories, federation, and cloud IAM

Identity connects the domains. Governance sets the rules for access across all three.

Security requirements.
Practical implementation.

HIPAASecurity RuleNISTCSF & SP 800-53CISControls & Benchmarks

Healthcare regulatory compliance

From risk analysis to tested safeguards

For providers, health plans, and business associates. Map where ePHI lives, prioritize remediation with your security and compliance teams, and plan changes around care delivery and health plan operations.

Healthcare regulation

HIPAA

Security Rule readiness & remediation

Support risk analysis by tracing ePHI across systems and reviewing existing safeguards. Turn findings into a prioritized remediation plan, then implement and test the controls in scope.

Case study: How AD DS uncovered shadow SQL infrastructure
Examples of deliverables
  • ePHI inventory, data flows, and risk findings
  • AD DS and Entra ID access reviews, audit logging, and recovery tests
  • Remediation records and evidence for security reviews
Risk & control guidance

NIST

Cybersecurity Framework and SP 800-53

Use NIST’s HIPAA implementation guide (SP 800-66 Rev. 2) to connect Security Rule safeguards to relevant NIST controls. Assign owners, track gaps, and record how each selected control was tested.

What we work on
  • Current & target assessments
  • Control mapping & remediation
  • Ownership & evidence tracking
Safeguards & configurations

CIS

Controls & Benchmark hardening

Use CIS Controls to prioritize work and apply relevant benchmarks to Azure, AWS, Windows servers, and endpoints. Test configuration changes and document exceptions with their owners.

What we work on
  • Baseline assessments
  • Tested configuration changes
  • Exceptions & validation evidence
Start with a focused assessment

Review your ePHI systems and agree on the first safeguards to address.

Discuss HIPAA readiness
Regulatory and framework references

Other regulated environments we support

Financial services

Finance & insurance

Access controls, resilient infrastructure, and documented security baselines for financial institutions and insurers.

Private equity & M&A

Investors & portfolio companies

Technical discovery, inherited control gaps, and integration or carve-out planning across cloud and on-premises systems.

Technology & services

Providers serving regulated customers

Cloud and security engineering for service providers trusted with sensitive customer information and shared systems.

Engineering expertise

Safeguards for the systems you run

We carry security requirements into identity, cloud infrastructure, endpoints, and data, with testing and documentation your team can use.

Endpoint operations

Make monitoring easier to act on

Get hands-on help from platform design and rollout through tuning, validation, and handoff. When RMM and Intune share devices, we clarify which platform owns patching and policy so changes don’t collide.

NinjaOne & RMM optimization

We bring deep NinjaOne and remote monitoring and management experience to new rollouts and existing deployments. Get clearer alerts and spend less time repeating the same fixes.

  • Organize device roles and tune monitoring, alert thresholds, and routing.
  • Set patch windows around operational needs and verify which devices updated.
  • Build and test remediation scripts, then document when they run and who owns exceptions.
Improve your NinjaOne setup

Intune workstation management

Get support for Windows enrollment, application rollout, configuration and device compliance policies, update rings, and Defender integration.

We can plan the pilot, carry out the rollout, resolve policy conflicts, and document the setup for your team.

Get help with Intune
SECURITY / COMPLIANCE ALIGNMENT / REMEDIATION

Control who can reach sensitive data

Trace access from legacy directories to cloud applications. Tighten privileges, strengthen endpoint protections, and document how the controls work.

  • Active Directory Domain Services (AD DS), Group Policy, and privileged group reviews
  • Entra ID, hybrid identity, federation, and Conditional Access
  • Endpoint security baselines and Microsoft Defender configuration
  • Microsoft 365 permissions and data protection
  • Access reviews, audit logging, and evidence for security reviews
Read the AD DS case study
THE WAY FORWARD

A clear view of risk. A prioritized plan. Practical implementation.

Talk through your environment
PLATFORMS WE WORK WITH

AD DS Entra ID Azure AWS Microsoft 365 Intune NinjaOne Microsoft Defender SQL Server VMware

Acquisitions & carve-outs

A new chapter
for the business.
A clear plan for IT.

An acquisition brings more than new people. It brings identities, applications, data, and dependencies that need to work together—or be carefully separated.

We help operating partners and IT leaders connect or separate Azure, AWS, Microsoft 365, and on-premises environments—with a plan for identity, shared services, control gaps, and cutover.

Talk through your transition
THE TRANSITION, MADE CLEAR
  1. 01

    Understand what’s connected.

    Discover identities, cloud accounts, workloads, inherited controls, and shared dependencies.

  2. 02

    Design the target.

    Define what integrates, what stays separate, and what should move—across Azure, AWS, and on-premises systems.

  3. 03

    Sequence the transition.

    Plan the work around business continuity, testing, and clear decision points.

  4. 04

    Carry it through.

    Execute the agreed changes, validate controls, and hand over evidence to the people who will operate them.

02 Reference workflow

The approval gate

Business systems

Documents, data, and applications

  1. Retrieve

    Read only what access policy permits.

  2. Prepare

    Draft the action and attach the sources.

  3. Human review

    An accountable reviewer makes the call.

  • Approve

    Run the action.

  • Revise

    Return to Prepare.

  • Stop

    End the run.

The audit trail records the source material, reviewer, and decision.

AI & workflow automation

Useful AI starts
with a real workflow.

Start with an administrative workflow, such as routing internal requests or preparing evidence for a security review.

We scope the data and permissions, build in human review, and test the pilot with the people who will operate it.

START SMALL. DESIGN FOR THE REAL WORLD.

Define the outcome. Set the boundaries.
Prove the value. Then expand.

Explore an AI opportunity

Our approach

Clarity at every step.
Ownership through delivery.

Work directly with a principal architect who connects business priorities to the technical details—and stays close to the implementation.

01

Understand.

Establish your current state, constraints, dependencies, and intended outcome.

Discovery & readiness
02

Decide.

Build a prioritized architecture and execution plan, with tradeoffs made explicit.

Architecture & roadmap
03

Implement.

Carry out the agreed work in controlled stages, with testing and decision points.

Engineering & delivery
04

Transfer.

Document the result and prepare the people who will operate it every day.

Handover & continuity
A defined starting point.

Begin with a focused assessment or a clearly scoped workstream. Leave with decisions you can act on.

Find yours

Get in touch

What needs
to change?

Tell us what you’re working toward, what’s in the way, and when it needs to happen.

Prepare a project email

The form prepares a draft on your device. Review and send it from your email app. Leave out patient information, credentials, and other sensitive details.