164.308(a)(3)(i) Workforce Security (Standard)
Implement policies ensuring workforce members have appropriate access to ePHI and that those who should not have access are prevented from obtaining it.
4
artefacts
0
held by a system
0
at each review
hard
to go live
Policy repository / GRC workspace
where the evidence lives
teal = a system already holds it · olive = produced at each review
system holds itEvidence a system already holds
none for this control
periodic reviewEvidence produced at each review
none for this control
governing documentDocuments that govern the control
- Workforce security policy · Policy repository / GRC workspace
- Role-based access design · Policy repository / GRC workspace
- Position sensitivity definitions · Policy repository / GRC workspace
- Onboarding and offboarding checklists · HR system / LMS
First move
This control is evidenced by people and documents, not systems. Put the document under version control with an owner and review date, and log each review as a record with reviewer and date. Do not try to automate it.
Common gaps auditors find
- No role-based access model
- Shared accounts widespread
- Workforce categories undefined
Do this for your whole sheet
Paste the rows you run your controls from and get this mapping for every control at once, with the periodic-review ones flagged and a first move per row. No account for the first run.
Build my evidence sheet164.308(a)(2) Assigned Security Responsibility (Standard) · 164.308(a)(3)(ii)(A) Authorization and Supervision (Addressable)