EvidenceSheet

164.308(a)(3)(ii)(B) Workforce Clearance Procedure (Addressable)

Determine that access to ePHI is appropriate. NIST recommends background screening proportionate to role sensitivity and documented clearance decisions.

4
artefacts
0
held by a system
1
at each review
hard
to go live
HR system / LMS
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

  • Clearance determination records · HR system / LMS

governing documentDocuments that govern the control

  • Background check policy · HR system / LMS
  • Role-to-screening mapping · Policy repository / GRC workspace
  • Re-screening schedule for sensitive roles · Policy repository / GRC workspace

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

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.

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164.308(a)(3)(ii)(A) Authorization and Supervision (Addressable) · 164.308(a)(3)(ii)(C) Termination Procedures (Addressable)