Platform feature

Access Control

Unique IDs, provisioning, role-based access, periodic review, and same-day termination — the §164.308(a)(4) and §164.312(a) record OCR requests first.

Administrative safeguards Physical safeguards Technical safeguards Privacy rule Breach notification

Unique user identification and same-day termination are the two access-control findings OCR cites most. Access Control treats them as structured, dated workflows that produce evidence automatically — not as a quarterly spreadsheet exercise.

What it does

  • Models provisioning, role assignment, and deprovisioning as workflows that pull from your identity provider and HRIS.
  • Captures periodic access reviews with per-user, per-system attestation and a visible completion date.
  • Produces the termination evidence (same-day disable, dated, with the IdP record) that OCR requests after departures.
  • Supports emergency access with its own documented procedure and after-action review.

How it maps to HIPAA

The feature operationalises §164.308(a)(3) (workforce security), §164.308(a)(4) (information access management), §164.312(a)(1) and (a)(2)(i) (access control — unique user identification), §164.312(a)(2)(ii) (emergency access), and §164.312(d) (person or entity authentication).

Where it fits

Access Control is a Security module capability, pairs with MFA & Logging, and ties into Employee Training for the human side.

Questions

Why does OCR cite access control so often?

Settlements over the last two years keep naming unique user ID failures and missing termination evidence. The platform treats both as structured, dated workflows — not a quarterly spreadsheet exercise.

Does it integrate with our identity provider?

Yes. Integrations with Okta, Entra ID, Google Workspace, and major HRIS systems feed the access record directly, with manual entry for anything outside the identity perimeter.

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