COMPLIANCE FOUNDATION PRESENT
You’ve established important compliance and security elements, but opportunities exist to strengthen your posture. If CMS/ONC compliance is partial, prioritize completing Patient Access API, Provider Directory API, and Payer-to-Payer exchange (to avoid non-compliance penalties).
Implement comprehensive FHIR support using official testing tools, enable OAuth 2.0 security, and plan for USCDI updates. If not HITRUST certified, make this a priority – it provides independent validation increasingly required by enterprise customers and demonstrates security maturity (12-month certification process, $150K-$300K investment).
Implement dynamic data masking and role-based access control to enable self-service analytics while maintaining security.
Deploy automated security controls (vulnerability scanning, SIEM, configuration management) and comprehensive logging.
Establish regulatory monitoring process with assigned compliance lead and quarterly horizon scanning.
Consider FHIR platforms or unified solutions like Cedar Gate that handle FHIR compliance, security, and interoperability as part of core platform, eliminating need for separate point solutions. Moving from a medium to a strong security posture typically requires 12-18 months with focused investment.
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