Navigating the HITRUST Assessment Process: A Step-by-Step Guide

Achieving HITRUST certification is a significant milestone for organizations looking to strengthen their cybersecurity posture and demonstrate compliance with industry regulations. However, the assessment process can be complex, requiring careful planning and execution. This guide will break down each phase of the HITRUST assessment process, providing best practices to help organizations navigate their journey to certification successfully.

Understanding the HITRUST Assessment Types

Before beginning the assessment, organizations must choose the appropriate HITRUST evaluation:

  • Self-Assessment (e1, i1, r2) — A preliminary review conducted internally to gauge readiness before a formal assessment.

  • Validated Assessment (i1, r2) — Conducted by a HITRUST-approved assessor to evaluate security controls and determine compliance.

  • Certified Assessment (i1, r2) — A formal certification process that includes external validation and quality assurance from HITRUST.

Choosing the right assessment depends on factors such as regulatory requirements, business needs, and client expectations.

Step 1: Initial Scoping and Readiness Review

Key Actions:

  • Define the assessment scope, identifying in-scope systems, data, and processes.

  • Conduct a gap analysis to compare existing controls against HITRUST requirements.

  • Establish a project team, assigning roles for compliance, IT, and risk management.

Best Practices:

  • Keep the scope as focused as possible to reduce complexity.

  • Engage leadership early to ensure resource allocation.

  • Use HITRUST MyCSF to streamline assessment tracking and documentation.

Step 2: Control Implementation and Documentation

Key Actions:

  • Develop policies and procedures aligning with HITRUST CSF requirements.

  • Implement missing controls identified during the gap analysis.

  • Ensure evidence of control implementation is well-documented for audit readiness.

Best Practices:

  • Maintain clear documentation with mapped controls to facilitate the assessment process.

  • Automate compliance tracking where possible.

  • Conduct internal audits to validate control effectiveness before the formal assessment.

Step 3: External Validation and HITRUST Submission

Key Actions:

  • Engage a HITRUST-Authorized External Assessor to conduct a validated assessment.

  • Provide documentation and evidence demonstrating control implementation.

  • Address assessor feedback and correct any deficiencies before submission.

Best Practices:

  • Perform a mock assessment before the official audit to identify gaps.

  • Ensure personnel involved in the assessment process are prepared to provide detailed explanations of security controls.

  • Monitor findings closely and resolve issues promptly to avoid delays.

Step 4: HITRUST Quality Assurance and Certification

Key Actions:

  • Submit the validated assessment to HITRUST for quality assurance review.

  • Address any corrective actions required by HITRUST before final approval.

  • Upon passing, receive HITRUST certification, valid for up to two years with interim updates.

Best Practices:

  • Maintain a continuous compliance approach by integrating HITRUST requirements into daily operations.

  • Monitor regulatory changes and HITRUST updates to stay ahead of evolving compliance requirements.

  • Plan for re-certification early to prevent lapses in certification status.

Beyond Certification: What’s Next?

Achieving HITRUST certification is not the finish line — it’s a commitment to continuous improvement in security and compliance. Organizations should implement ongoing monitoring, annual updates, and proactive risk management to maintain compliance and strengthen their security posture.

In our next article, we’ll dive into how to sustain HITRUST compliance long-term, covering strategies for continuous security monitoring, control optimization, and adapting to evolving threats. Stay tuned!

Previous
Previous

Sustaining HITRUST Compliance: Strategies for Long-Term Success

Next
Next

Implementing HITRUST CSF: A Strategic Approach to Breach Prevention