Crosswalk pair

HIPAA and NIST SP 800-171, control by control

18 canonical controls in Keel’s library satisfy clauses of both HIPAA and NIST SP 800-171. Implement each once, attach the evidence once, and it counts toward each standard. The overlap is the work you don’t repeat.

Start free with HIPAA + NIST SP 800-171 See all pairs

The overlap

What the two libraries have in common

Every figure here counts canonical controls in Keel’s library, not clauses of either standard. Each standard’s own authored count is on its framework page.

18

Controls that satisfy both

Canonical controls that crosswalk to at least one clause of each.

31

In Keel’s library for HIPAA

58% of them also map to NIST SP 800-171.

41

In Keel’s library for NIST SP 800-171

44% of them also map to HIPAA.

77

Evidence artifacts expected

Across the shared controls, from Keel’s evidence guidance. Gathered once.

HIPAA Security, Breach & Privacy 58%

18 controls of 31 in Keel’s library for HIPAA also map to NIST SP 800-171.
NIST SP 800-171 Rev. 2 44%

18 controls of 41 in Keel’s library for NIST SP 800-171 also map to HIPAA.

The mapping

Controls that satisfy both

Each row is one control in Keel’s library and the clauses it answers on each side. Do the work once; both columns are then evidenced by the same artifacts.

HIPAA and NIST SP 800-171 controls that satisfy both, with the clauses each maps to
Canonical control	HIPAA clauses	NIST SP 800-171 clauses
Governance & Risk
Internal audit program A risk-based internal audit program evaluates conformity and effectiveness at planned intervals, and again when an environmental or operational change could have undermined what was last evaluated; each evaluation covers both technical testing and non-technical review of whether the documented policies and procedures are actually being met. The program itself is written down - how often audits run, what methods they use, who is responsible for them, what each one covers and how it reports - and nobody audits their own work, so a finding is an independent judgment rather than a self-assessment. The results of each audit go to the management responsible for the area audited, and the program and its results are retained as evidence that it ran. It rests on a documented assessment, authorization and monitoring policy with supporting procedures, issued to the roles it binds, owned by a named official, and reviewed and updated on a defined cadence. Independence is a property of the assessor and not only of the reporting line: assessments are carried out by assessors or assessment teams with no responsibility for what they are assessing and no stake in the result - internal to the organization but outside the area, or brought in from outside it - and the organization states what level of independence it requires before the assessment is commissioned rather than judging it afterwards. That independence extends to the ongoing case as well as the scheduled one: where controls are monitored continuously between audits, independent assessors monitor them too, so the periodic audit is not the only unbiased look the organization ever takes. What an evaluation produces is treated as an input to improvement and not only as a conformity verdict: the findings, the observations and the opportunities each audit identifies are recorded as improvements with owners and dates and carried into the organization’s improvement process, so an audit changes something rather than closing.	164.308(a)(8)	3.12.1
Risk assessment & treatment A documented process to identify, analyze, evaluate, and treat information security risks on a defined cadence, and again whenever a significant change is proposed or has happened - a new system, a new supplier, a reorganization, a serious incident - so the picture is refreshed by events and not only by the calendar. The process is repeatable: the criteria for accepting risk and for deciding when an assessment is performed are set in advance and applied the same way each time, so repeated assessments produce consistent, comparable and valid results rather than a different answer depending on who ran it. Every risk has a named owner who approves how it will be treated and accepts what is left afterwards. The assessment covers risks and vulnerabilities to the confidentiality, the integrity and the availability of the data the organization holds - all three, not confidentiality alone - and is accurate and thorough enough to be relied on by the decisions taken from it. Treatment brings each risk down to a level that is reasonable and appropriate for this organization, which is the target the process is judged against rather than merely recording that a risk exists. Each assessment and its results are retained as documented information. The process is set down as a documented risk assessment policy with supporting procedures, issued to the roles it binds, owned by a named role, and reviewed and updated on a defined cadence and after an event that changes how the organization assesses risk. The criteria are stated as risk appetite and risk tolerance: how much risk the organization is willing to seek in pursuit of its objectives, and how much variation around that it will tolerate - written down, communicated to the people who take risk decisions, and maintained as the organization and its environment change rather than set once and inherited. The method itself is standardized and communicated: how a risk is calculated, how it is documented, which category it falls into and how it is prioritized against the others, so two people assessing the same thing produce the same rating. What the assessment works from is recorded rather than assumed. The threats to the organization, internal as well as external, are identified and written down. The impacts each could have, and how likely each is, are identified and recorded against them. And the threats, the vulnerabilities, the likelihoods and the impacts are then used together to understand the risk as it stands before any treatment is applied, and to decide which responses are taken first.	164.308(a)(1)(ii)(A), 164.308(a)(1)(ii)(B)	3.11.1
Access Control
Access control policy Rules for granting, reviewing, and revoking access to systems and data based on business need and least privilege; anyone who works with sensitive data, or in a place from which it can be reached, is individually authorized for that work or supervised while doing it; and a documented emergency route exists to obtain the data when the normal access path is unavailable, with every use of that route recorded and reviewed afterwards. The rules also settle the opposite question: which actions, if any, a person may take on a system without identifying or authenticating themselves at all. Those actions are identified rather than left as whatever the system happens to permit, they are limited to what the organization’s business actually requires, and each one is documented in the system’s security plan together with the reasoning that justifies it, so an unauthenticated path is a decision somebody made and can be asked about. The rules are enforced by access control lists set on the data itself, not only by what an application chooses to show: permissions on local and remote file systems, on databases and inside applications are configured to the holder’s need to know, so information a role has no business reading is unreachable rather than merely unadvertised. What an authorized user may DO is limited on the same terms as what they may read: the types of transaction and function each role is permitted to execute are decided in advance and enforced by the system, so holding access to an application does not carry the right to run every operation inside it, and an action outside the permitted set is refused rather than merely unadvertised in the interface. Enforcement is centralized wherever the systems support it - access decisions for enterprise assets are made by a single directory service or single sign-on provider rather than by each system keeping its own list - and the systems that make those decisions are themselves known: an inventory of the organization’s authentication and authorization systems is maintained, including those run by a service provider on its behalf, and reviewed on a defined cadence.	164.308(a)(3)(ii)(A), 164.308(a)(4)(ii)(B), 164.312(a)(2)(ii)	3.1.1, 3.1.2, 3.1.5
Multi-factor authentication Documented procedures verify that a person or system seeking access to sensitive data is the one it claims to be, on every path by which that data can be reached - and multi-factor authentication is the enforced mechanism for remote access, administrative access, and access to sensitive systems and data. The multi-factor mechanism itself is configured so it cannot be bypassed, so the factors it uses are genuinely independent of one another - one factor’s success granting no knowledge of and no route around another - and so access is refused unless every factor required has succeeded. The requirement is not confined to the accounts that carry privilege: every account is covered, privileged and non-privileged alike, because an ordinary account is the usual way into a privileged one. The mechanisms chosen are resistant to replay, so an authentication captured on the wire or lifted from a log cannot be presented again to gain access. Authentication is not a single event at the start of a session either: the person is required to authenticate again when the organization’s defined circumstances arise - a change of role or of the authenticators themselves, an escalation to privilege, a session that has run beyond its defined life, or a request to perform an action the organization has designated as requiring fresh proof.	164.312(d)	3.5.2, 3.5.3, 3.5.4
Password & credential management Rules for the authentication credentials themselves: passwords are unique per account and meet a defined strength standard, a new or changed password is screened against a list of commonly used, expected and compromised passwords and refused if it appears there, a credential issued for first use must be replaced immediately, reuse of previous passwords is refused, changes follow a defined procedure, repeated failed authentication attempts lock the account for a defined period, and passwords, keys and other authentication secrets are stored and transmitted only in protected form. The rules are a documented policy with supporting procedures covering identification and authentication as a whole - who and what must be identified, to what assurance, and by which mechanisms - issued to the people and roles it applies to, owned by a named role, and reviewed and updated on a defined cadence and after a change that affects it. Repeated failure is handled to a stated rule rather than to a default: a limit is set on consecutive invalid authentication attempts within a defined time window, and when that limit is exceeded the system responds automatically in a way the organization has chosen and configured - locking the account for a defined period, delaying further attempts by a defined algorithm, or notifying a defined role - rather than continuing to accept attempts. What is displayed back to the person authenticating is obscured while they do it, so a credential cannot be read off the screen or recovered from the feedback the system gives. The protection an authenticator receives is proportionate to the sensitivity of what its use unlocks, so a credential granting access to the most sensitive information is stored, transmitted, issued and revoked under stronger handling than one that opens a low-impact system.	164.308(a)(5)(ii)(D)	3.1.8, 3.5.7, 3.5.8, 3.5.9, 3.5.10, 3.5.11
User provisioning & deprovisioning Joiner/mover/leaver process to grant, change, and promptly remove access across systems, in which every person is issued an account of their own carrying a unique name or number, so an action in a log traces back to one named individual rather than to a shared or generic login. Each person’s right of access is recorded when it is established and reviewed on a schedule thereafter, as well as granted and changed - so what someone holds is a documented position that has been looked at again, not the accumulated residue of past requests - and what may be granted follows the organization’s access authorization rules rather than the judgment of whoever processes the request. Identity is managed as a lifecycle in its own right and not only as the access hung off it: an identity is created only after the person or the thing behind it has been verified to a stated standard, is linked to a single accountable human owner, and is disabled and then retired on a defined path rather than deleted where the record has to survive for an audit trail. A shared or generic identity exists only where there is a reason it cannot be individual, and then it is authorized, given an owner who answers for what is done with it, and reviewed. Identities issued to services, applications, devices and automation are registered on the same terms as human ones, with an owner, a purpose and a review date, because an unowned machine identity outlives every person who knew what it was for. Dormant identities are detected and removed rather than waiting for a leaver process that was never triggered. The lifecycle is run by automated mechanisms wherever the systems allow it: accounts are provisioned and deprovisioned from an authoritative source of record, and each act of creating, modifying, enabling, disabling or removing an account generates an audit record automatically rather than depending on the administrator to note it. An account issued for a temporary or emergency purpose carries an expiry from the moment it is created and is disabled or removed automatically when that expiry passes, so a route opened for one situation does not stay open after it. An account is disabled within a defined period when it has expired, when it is no longer associated with any individual, when it is in violation of the organization’s policy, or when it has been inactive beyond a defined period - and where an individual is found to pose a significant risk, within a defined period of that discovery rather than at the next scheduled review. Identifiers are managed as an object in their own right: an identifier is authorized before it is assigned, is selected to a defined convention, is never reused for a different person or entity, and is issued on the same terms whether it names an individual, a group, a role, a service or a device - and where the organization needs to distinguish one class of person from another, such as an employee from a contractor or a vendor, the identifier or its record carries that status rather than leaving it to be inferred. Identity proofing is performed to the assurance level the access warrants: the applicant is resolved to a single unique individual, is required to present identity evidence to whoever registers them, and that evidence is validated and verified by methods the organization has defined rather than accepted on sight, with an address of record confirmed through an out-of-band channel where the assurance level calls for it. All of it is answerable from one INVENTORY OF ACCOUNTS rather than from each system in turn: every account the organization manages is listed - ordinary user, administrator and service alike - with the person or function behind it, the account name, the dates it starts and stops, the department or owner it belongs to and the privilege it carries, and the list is validated against what is actually active on a defined recurring schedule, so an account nobody can account for is found by the review rather than by an incident. Accounts are managed centrally through a directory or identity service wherever a system can be brought into one, because an account that lives only inside an application is the one a leaver process misses.	164.308(a)(4)(ii)(B), 164.308(a)(4)(ii)(C), 164.312(a)(2)(i)	3.1.1, 3.5.1, 3.5.5, 3.5.6, 3.9.2
Data Protection & Privacy
Data classification & handling Information is classified and handled per its sensitivity, with rules for labeling and protection - including the everyday handling rules that stop it being seen, overheard or picked up by people with no business reading it, so exposure that happens incidentally alongside legitimate work is limited rather than accepted. The handling rules are written to cover disclosure that nobody intended as much as disclosure that somebody chose, they say what an unauthorized disclosure is against the organization’s own privacy and confidentiality rules rather than leaving that to judgment in the moment, and they reach every medium the information travels in - spoken, on paper, on a screen and in a system - because the incidental exposure they exist to limit does not respect the boundary between an administrative, a physical and a technical safeguard. Labeling is the procedure that makes the classification visible, and it is defined rather than left to habit: there is a label for each level of the scheme, a rule for how the label is applied in each form the information takes - a document, an email, a file, a database field, a screen, a report, a piece of removable media, a printed page - and, where a system supports it, the label is carried in metadata so it can be acted on automatically rather than only read. The person who creates or receives the information applies the label at that point rather than later, the label travels with the information when it is copied, extracted, exported or transferred so a copy does not arrive unclassified, and information derived from or aggregated out of classified sources is labeled for what the combination is worth rather than for what the least sensitive input was. Where a label would itself disclose something, an agreed alternative is used and recorded, and the procedure covers what to do when unlabeled information is found. On storage media the marking carries more than the level: it states the distribution limitations that apply and any handling caveats that travel with the contents, so somebody who picks the item up knows what they may do with it without having to ask. Where the organization exempts a class of media from marking because it never leaves a controlled area, that exemption is defined and recorded as a decision rather than practiced as an omission. Underneath the scheme sits a documented DATA MANAGEMENT PROCESS that the classification and the handling rules are derived from: it states how sensitivity is decided, who owns each category of data, how each category is handled, the retention limits that apply to it and what disposal it requires, and it is reviewed and updated on a defined cadence and whenever a change to the organization would alter it. That process is also what the DATA FLOWS are documented against - where each category of information originates, which systems and processes it moves between, and where it crosses out to a service provider - recorded as documentation somebody maintains rather than reconstructed when a question is asked, and reviewed on the same cadence.	164.530(c)(2)	3.8.4
Data retention & secure disposal Data is retained per policy and securely destroyed when no longer needed. Retention periods are set against the purpose the data was collected for and any legal or contractual obligation to keep it, recorded per category of data rather than left to whoever is looking at the record, and enforced when they run out - data goes because its period ended, not because somebody finally objected to keeping it. Destruction leaves it unrecoverable rather than merely removed from an index, and what was destroyed, when, by what method and on whose authority is recorded. The hardware and media that held it reach a defined final disposition at end of life, by a route the organization has decided in advance rather than by whatever happens to the box; and any media that stays in service is cleared of that data before it is reused, reassigned, or passed to anyone else. Disposal is not confined to data and media: the documentation, the tools and the system components the organization has defined as needing it are disposed of by techniques and methods it has approved in advance - so a decommissioned appliance, a retired build server, a set of network diagrams or a licensed utility leaves the organization by a route somebody chose, and the route is recorded on the same terms as a data destruction. A retention period has two ends and both are stated: the minimum the organization must keep the data for, and the maximum beyond which it may not be kept - so retention is bounded in the direction of keeping too long as well as of destroying too early.	164.310(d)(2)(i), 164.310(d)(2)(ii)	3.8.3
Encryption in transit & at rest Strong cryptography protects sensitive data in transit over public networks and at rest in storage. The mechanisms are chosen to do two things and are judged against both: prevent unauthorized disclosure of the information, and prevent or detect unauthorized change to it - in transit, so a message altered between sender and receiver is caught rather than delivered, and at rest, so a stored record cannot be modified undetectably by somebody with access to the storage but not to the key. Which information is protected at rest, and on which system components, is decided and recorded rather than left to whatever the platform encrypts by default. The scope named explicitly reaches the end-user device as well as the server: data held on laptops, desktops and other end-user devices that carry sensitive information is encrypted at the device or volume level, so a device that leaves the building is an object somebody lost rather than a disclosure. And data in transit is encrypted wherever it is sensitive, not only where it crosses a public network - a session between two internal systems is protected on the same terms when what it carries warrants it. Where a law, a regulation or a contract requires the cryptography to be VALIDATED rather than merely strong, the organization uses a cryptographic module that carries the validation that instrument names, and it confirms that validation against the specific module, version and operating mode actually deployed rather than inferring it from the product’s name - because a validated module run outside the configuration it was validated in is not a validated module, and the certificate that proves the point is held as evidence rather than assumed to exist.	164.312(a)(2)(iv), 164.312(e)(2)(ii)	3.13.8, 3.13.11, 3.13.16
Infrastructure & Operations
Asset inventory An inventory of hardware, software, and information assets with assigned owners, in which the movement of equipment and removable media into, out of, and within the organization’s premises is recorded against the person responsible for it. The record is maintained by the acts that change it rather than by a periodic sweep: installing a component, removing one, or updating a system updates the inventory as part of that work, and the estate is scanned for hardware, software and firmware that is present but not authorized, with the response to an unauthorized component - disable its network access, isolate it, remove it, notify a defined role - decided in advance. The inventory answers WHERE INFORMATION IS as well as what exists: for the categories of information the organization has defined as sensitive, it records where that information is processed and stored, which system components host it, and which users and roles can reach it, and it is updated when any of those change - with automated tools used to locate that information across components and to confirm the required protections are actually in place there, rather than relying on what a system was designed to hold. Each asset also carries its support status: the date vendor support ends is recorded, and a component that reaches end of support is replaced, or is covered by an alternative source of continued support that the organization has arranged and recorded, rather than left in service because it still runs. The inventory is kept current by discovery as well as by the acts that change it: an active discovery tool interrogates the network on a defined frequency, a passive tool identifies assets from the traffic they generate, the DHCP and address-management logs are read on a defined cadence so an address issued to something nobody registered surfaces, and automated software-inventory tooling documents what is installed across the estate rather than relying on a manual return. Support status decides authorization rather than merely being recorded: only software the vendor still supports is designated authorized in the inventory, and software that is unsupported and carries no documented exception setting out its mitigating controls and the residual risk somebody accepted is designated unauthorized, so the process that removes unauthorized software picks it up. What the register holds about those categories of information is itself a DATA INVENTORY: for each data type the organization has designated, the record carries the metadata that makes it usable - what the data is, who owns it, how it is classified, where it came from, what it is retained for and for how long - so the question of what data exists is answered from the register rather than from the systems one at a time. And the register tracks lifecycle STATE as well as existence: each system, device, piece of software, service and data set carries where it has reached in its life - requested, acquired, deployed, in service, superseded, withdrawn, disposed of - with the acts that move it between those states recorded against it, so an asset is managed from acquisition through operation to disposal rather than entered once and forgotten.	164.310(d)(2)(iii)	3.4.1
Logging & monitoring Security-relevant events - including successful and failed log-in attempts - are logged, protected, retained, and reviewed for anomalies, and the discrepancies that review finds are reported to the people who act on them. The review runs on a defined cadence and covers the records of system activity as a set - the audit logs, the reports of who accessed what, and the record of security incidents - rather than the log stream alone. For those records to be correlated into one sequence of events, the systems producing them agree on the time: every in-scope system synchronizes its clock to a single approved reference source, the source and the tolerance the organization will accept are specified rather than left to defaults, and timestamps are recorded in an unambiguous form so a reader does not have to infer a time zone. Synchronization is monitored in its own right - a system that drifts beyond tolerance or loses its source raises an alert, because a clock that is wrong makes an investigation reach the wrong conclusion rather than no conclusion - and where equipment cannot be synchronized, its offset is known and recorded so its records can still be placed. Timestamps are generated from the system’s own clock, expressed in Coordinated Universal Time or a recorded offset from it, and cut to a granularity the organization has stated rather than to whatever the platform defaults to. All of this rests on a documented audit and accountability policy with supporting procedures, aligned with the laws and obligations that apply to the organization, issued to the roles it binds, owned by a named role, and reviewed on a defined cadence. WHAT A RECORD CONTAINS is specified rather than accepted: every audit record establishes what type of event occurred, when it occurred, where it occurred, the source it came from, the outcome - success or failure - and the identity of any individual, subject or object associated with it, plus whatever further fields the organization has decided it needs to reconstruct an event afterwards. Because every person holds an account of their own, the identity a record carries resolves to one named individual rather than to a shared or generic login, so an action can be traced to whoever actually took it and that person can be held accountable for it - which is the whole reason the identity field is mandatory rather than useful. WHICH EVENTS ARE LOGGED is decided and then kept under review rather than configured once: the set of event types selected for logging is agreed with the roles who investigate, is reviewed on a defined cadence and again after an incident that showed the set was wrong, and is updated as a result - so the log answers the questions being asked now instead of the ones somebody anticipated at build. Storage is sized for that: enough capacity is allocated to hold the volume produced for the retention period the organization has set, and records are retained for that period specifically so an investigation after the fact is possible and so regulatory and internal obligations are met, rather than for as long as the disk happens to last. When the logging process itself fails - the pipeline stops, the store fills, a source goes silent - a defined role is alerted within a defined time and the organization takes the response it decided on in advance, because a logging failure is the one failure the logs cannot tell you about. REVIEW AND ANALYSIS are supported by machinery rather than by reading. Automated mechanisms integrate the review, analysis and reporting of audit records into a single process, and records drawn from separate repositories are correlated so the organization sees one organization-wide picture of activity instead of several partial ones. A reduction and reporting capability supports on-demand review, analysis and reporting and the investigation of an incident, and it does so without altering the original records or their ordering; it lets an analyst filter, sort and search records by the criteria the organization has defined, so events of interest surface in time to matter. THE RECORDS THEMSELVES ARE PROTECTED as an asset. Audit information and the logging tools that produce it are protected from unauthorized access, modification and deletion, a defined role is alerted when evidence of tampering is detected, and the ability to manage the logging function - what is collected, what is retained, what is deleted - is restricted to a named subset of privileged users rather than being available to every administrator whose activity it records. MONITORING runs on top of the record. The organization monitors its systems to detect attack and indicators of potential attack, unauthorized local, network and remote connections, and use that is outside what it has authorized; it identifies that use against defined criteria for what unusual looks like. Inbound and outbound communications traffic is watched for those conditions specifically, because exfiltration and command traffic look ordinary unless somebody has said what ordinary is. Automated tools and mechanisms support analysis close to real time rather than at the next review, and when the system produces an indication of compromise or potential compromise a defined role is alerted. What monitoring finds is reported to the people who act on it, at the frequency the organization has set. WHICH SOURCES ARE COLLECTED is decided rather than left to whatever a platform emits by default. Access to information the organization has classified as sensitive is logged, including modification and disposal and not only reading. DNS queries, URL requests and command-line activity are collected where the asset supports it, because those three are what an investigation reconstructs an intrusion from, and network traffic flow records are collected from the network devices so that movement between systems can be reviewed and alerted on. Logs from the service providers the organization depends on are collected too, so authentication, user-management and data-lifecycle events that happen outside its own estate sit inside the same record. Collection and retention are centralized so far as the estate allows, into a platform that correlates sources rather than storing them side by side, and security event alerting is centralized on top of it so that a pattern spanning two sources raises one alert to one place. The alerting thresholds are tuned on a defined cadence rather than set once, because an alert stream nobody can read is the same as no alerting at all. Time synchronization uses more than one source: at least two reference sources are configured wherever an asset supports it, so losing one does not silently leave the estate drifting. WHAT IS WATCHED includes people as well as machines: the activity of personnel and their use of the organization’s technology are monitored against what has been authorized for them and against what the organization has told them is monitored, so misuse and a compromised account surface from the same record. Analysis goes past the alert to the activity behind it - what else the same account, host or address did before and after, and whether the separate events form one sequence - so a potentially adverse event is understood rather than merely counted. And each such event is scoped before it is handed on: the estimated impact and the reach of it - which systems, which data, which accounts, over what period - is established from the correlated record and carried into the incident assessment rather than left for the responder to rebuild.	164.308(a)(1)(ii)(D), 164.308(a)(5)(ii)(C), 164.312(b)	3.3.1, 3.3.2, 3.3.3, 3.3.4, 3.3.5, 3.3.6, 3.3.7, 3.3.8, 3.3.9, 3.14.6, 3.14.7
Malware protection Anti-malware controls prevent, detect, and respond to malicious software on endpoints and servers, and detections are reported to the people who act on them. The mechanism is kept live rather than merely installed: signatures, definitions and detection engines update automatically as the vendor issues them rather than on someone remembering to apply them, what it detects and what it does about it is logged, and it runs where an ordinary user cannot switch it off, uninstall it or exclude their way around it - only a documented, authorized change may disable it, and then for a stated period. UNSOLICITED MESSAGES are handled by the same program rather than treated as a nuisance: spam protection is deployed at the system entry and exit points - the mail gateway, the web gateway, the remote access path and the mobile devices - to detect unsolicited messages and to act on them, and its mechanisms and signatures update automatically at a defined frequency and as new releases are issued, on the same terms as the anti-malware engine, because a spam filter running last quarter’s rules is where the phishing message that starts an incident gets through. The estate is managed from one place rather than device by device: policy, exclusions, engine versions and detections are administered centrally, so what is deployed and what it found are answerable without visiting a machine. Detection is not signature-only - behavior-based detection runs alongside the signature engine to catch what no definition describes yet - and it extends into host-based intrusion detection and prevention on enterprise assets: an agent that watches for and blocks malicious ACTIVITY on the host rather than only files it recognizes as malware. The operating system’s own anti-exploitation features are enabled wherever the platform provides them, because a protection already built into the system and left switched off is the cheapest gap in the estate. REMOVABLE MEDIA are handled as an entry route: automatic execution on insertion is disabled, and the media are scanned automatically when they are connected rather than at the holder’s discretion. The EMAIL PATH carries anti-malware in its own right - the mail server or gateway scans attachments and detonates what it cannot judge by inspection alone - and file types the organization has no business need to receive are blocked at that gateway before anybody has to make a decision about them. SCANNING RUNS ON TWO SCHEDULES rather than one, because they catch different things. The estate is scanned in full on a defined periodic cadence, so a file that was clean when it landed is re-examined against what is known today. And files arriving from outside the organization are scanned in real time as they are downloaded, opened or executed - at the moment of use rather than at the next sweep - so nothing waits for a scheduled scan to be caught.	164.308(a)(5)(ii)(B)	3.14.2, 3.14.4, 3.14.5
Workstation & endpoint security The devices people use to reach sensitive data are governed on three axes. What may be done on them and how - the permitted functions, software and networks, and the way each is to be carried out. Where they may be used - the physical surroundings a screen can be overlooked from, and what has to be true of a place before work happens there. And how the device itself is protected so only authorized users reach it - screens and desks cleared when unattended, devices locked down or taken with the person when they leave. Two separate mechanisms run here and a screen lock does not stand in for the other. A device left idle LOCKS after a defined period, concealing what is on screen, and stays locked until the user re-establishes access through identification and authentication. Separately, a user session on an application or system holding sensitive data is automatically TERMINATED - torn down, not merely obscured - so it cannot be resumed by whoever is at the keyboard. The conditions and trigger events that require termination are defined by the organization and written down rather than left to be inferred: a predetermined period of user inactivity is one of them and is the one required wherever health data is in scope, but the set also reaches a targeted response to particular kinds of incident and restrictions on the time of day a system may be used. The automatic mechanisms do not excuse the person: users are required to log out when the organization’s stated conditions apply - at the end of a period of expected inactivity, and when leaving the device where somebody else could reach it - so the timer is a backstop rather than the control. What the lock puts on the screen is decided too: the display is replaced with a publicly viewable image that discloses nothing about what was there, rather than dimmed or left showing the last window.	164.310(b), 164.310(c), 164.312(a)(2)(iii)	3.1.10, 3.1.11
Resilience & Continuity
Backups Regular, tested backups of critical data and systems with defined retention, each one a RETRIEVABLE EXACT COPY of the data it protects - complete and restorable, not a partial or lossy snapshot - including a copy taken before equipment holding that data is moved. Backup information is tested on a defined cadence to verify that the media are still reliable and the information still has its integrity - a restore actually performed, not a job that reported success - and it is protected by cryptographic mechanisms so a copy obtained by somebody who should not have it discloses nothing and cannot be altered undetected. Copies are held somewhere other than where the original lives: an alternate storage site is established, with the agreements needed to store backups there and to retrieve them when they are wanted, carrying security controls equivalent to those at the primary site rather than weaker ones because it is only a copy. The alternate site is chosen far enough from the primary that the same fire, flood, outage or regional event is unlikely to take both, and the organization identifies in advance the problems that would make the site hard to reach during a wide-area disruption - roads, transport, staff availability, network dependency - and states explicit mitigation actions for each rather than discovering them on the day. The recovery itself is a documented process and not only a schedule: it states which assets are in scope for recovery, the order in which they are brought back, and how the backup data is protected while it waits, and it is reviewed and updated on a defined cadence and whenever a change to the organization would alter it. Recovery data carries protection EQUIVALENT to the data it copies rather than weaker protection because it is a copy. And at least one instance of it is ISOLATED - held offline, off-site, or in a separately controlled service, out of reach of the credentials and the network paths that operate the live environment - so an event that reaches production does not also reach the copy that would undo it. Verification is performed at the point of USE as well as on the cadence: before a backup or any other restoration asset is relied on to bring a system back, its integrity is checked against the value recorded when it was taken and the check is logged - so a restoration does not carry corrupted or tampered data into a system that has just been cleaned.	164.308(a)(7)(ii)(A), 164.310(d)(2)(iv)	3.8.9
Incident response A documented, tested plan to detect, triage, contain, remediate, and communicate security incidents, and to mitigate - so far as is practicable - the harmful effect of a use or disclosure of personal data the organization knows breached its own policies or the law. Each incident is recorded together with its outcome - what happened, what was done about it and how it ended - as a record of that incident, which is a different artifact from the plan being documented. The mitigation duty runs to violations by the organization itself AND to violations by the processors, vendors and other parties handling that data on its behalf: the plan reaches an incident somebody else caused with the organization’s data, so learning of one triggers the same containment and remediation as an incident inside its own walls rather than a request that the other party deal with it. Where an incident carries a duty to tell someone outside the organization, the plan discharges it on the clock the applicable law sets - and, where the organization has itself committed to a timeframe for telling people, on that commitment too, whether or not a statute stands behind it - rather than whenever the investigation happens to conclude: whether an incident is notifiable is decided against written criteria rather than argued after the fact, the regulator or supervisory authority is notified inside the deadline that regime states and inside any shorter or additional timeframe the organization has committed to, the people whose data is affected are told where the risk to them warrants it and, independently of that threshold, wherever the organization’s own privacy commitments say they will be told - so individual notification is never conditioned solely on a statutory risk test - and any other party that law or those commitments require to be notified is told on the same terms, and where a deadline is missed the notification itself explains the delay instead of passing over it. What a notification carries is fixed in advance rather than composed under pressure: to a regulator it describes at least the nature of what happened, including where possible the categories and the approximate number of people affected and of records involved; names a contact point - the data protection officer where there is one, otherwise whoever can answer - from whom more can be obtained; describes the likely consequences; and describes the measures taken or proposed to address it, including where appropriate the measures that will mitigate its adverse effects. Where all of that cannot honestly be given at once, it is given in phases without further undue delay rather than held back until the picture is complete, and each phase says what is still outstanding. The communication to the people affected describes what happened in clear and plain language and carries the same contact point, likely consequences and measures. Every compromise of personal data is documented whether or not it turned out to be notifiable - the facts of it, its effects, and the remedial action taken - in enough detail that a regulator reviewing the file can verify for itself that the notification decision was the right one. Recovery is part of the plan rather than something that follows it: service and data are restored to a state the organization has established is clean, the restoration is verified before the system is handed back to use, the cause is determined rather than inferred from the symptom, and the weakness the incident exposed is fixed - with the plan itself updated for what the incident showed about it. Between the report and the response sits an assessment step that is a duty of its own: every reported event is assessed against written categorization and prioritization criteria by people competent to apply them, and the decision - whether this event is an incident, and at what severity - is recorded with the reasoning, so two assessors reach the same answer and an event judged not to be an incident is a decision somebody made rather than a report that went quiet. Learning is treated as a duty separate from fixing the incident in front of you: the types, volumes and costs of incidents are quantified and reviewed as a set for what the pattern says, and what is learned is pushed back into the controls, the risk assessment, the awareness material and the assessment criteria themselves rather than staying in the report of the incident that produced it. The plan is a documented incident response policy with supporting procedures, issued to the roles it binds, owned by a named role, and reviewed and updated on a defined cadence. The people the plan assigns roles to are trained for them: within a defined period of taking the role, again when the system or the plan changes in a way that affects it, and on a defined cadence thereafter, with the content revised for what exercises and real incidents have shown. The capability is TESTED rather than assumed - on a defined cadence, using tests the organization has chosen for the purpose, such as a tabletop, a walkthrough, a simulation or a live exercise - and that testing is coordinated with the organizational elements that own the related plans, incident response and contingency planning in particular, so the two do not each assume the other. Handling and reporting are supported by automated mechanisms rather than run by hand at the worst moment: detection, triage, tracking, evidence collection and the routing of a report are automated so far as the organization’s systems allow, and the reports that must go outside are produced and sent by mechanism rather than composed under pressure. The roles the plan assigns are named across the functions an incident actually needs and not security alone - legal, IT, information security, facilities, communications, human resources, the responders and the analysts - and the assignment is reviewed on a defined cadence. So are the CHANNELS: a primary and a secondary mechanism for communicating and reporting during an incident are chosen in advance, on the understanding that the ordinary one may be the thing that is unavailable or compromised, and both are reviewed on the same cadence. The plan reaches the parties outside the organization that an incident actually involves: the suppliers and other third parties whose services, staff or systems would be part of the response are named in it, take part in the planning and the exercises, and are called on during response and recovery on terms agreed in advance rather than negotiated during the event. ESCALATION is a defined step and not a judgment call - the plan states the conditions under which an incident is escalated or elevated, whether by severity, by elapsed time, by the functions it has reached or by the obligations it triggers, who it goes to at each step, and what changes when it gets there. The analysis establishes what actually took place during the incident as well as why it happened, and the incident’s magnitude - how many systems, records and people it reached, and over what period - is estimated as the investigation proceeds and then VALIDATED against the evidence rather than left at the first number anybody said out loud. Notification runs to internal stakeholders as well as external ones, so the functions inside the organization that have to act on an incident are told on the same defined terms as the parties outside it. And containment is followed by ERADICATION as a separate act: the malicious code, the unauthorized access and the persistence left behind are removed and their removal is confirmed, so a contained incident is not mistaken for a finished one.	164.308(a)(6)(ii), 164.530(f)	3.6.1, 3.6.2, 3.6.3
People & Culture
Personnel security (HR) Background screening, confidentiality agreements, and onboarding/offboarding security steps. Before a person is given access to sensitive data, and again whenever their role changes, a documented determination is made that the access their work calls for is appropriate to it - the screening informs that decision but is not the decision. What screening may ask is itself bounded: inquiries about a candidate’s health, disability or medical history are not made, and medical examinations are not required, before a conditional offer of the role has been made, and where such inquiries or examinations are made after an offer they are applied to everyone entering that role rather than to the individuals somebody chose to ask. Access is ended when their employment, or any other arrangement under which they worked for the organization, comes to an end, and whenever that determination says they should no longer hold it. The security responsibilities a person carries are stated in the terms under which they are engaged - in the employment contract or the equivalent agreement for a contractor or temporary worker - together with the organization’s own obligations to them, the duties that continue after the engagement ends and for how long, and what happens if the terms are broken; the terms are accepted before access is given. At the end of an engagement, and on a change of role that removes the need, every asset the person holds is returned and the return is recorded against the inventory rather than assumed - devices, media, tokens and keys, documents and any organization information held on equipment they own - and where information exists only on equipment the organization is not taking back, its transfer and deletion are performed and confirmed before the person leaves. The practice is governed by a documented personnel security policy with supporting procedures, issued to the roles it binds, owned by a named role and reviewed on a defined cadence. Security and privacy responsibilities are written into the POSITION DESCRIPTION for each role rather than only into the contract everybody signs, so what a particular job is accountable for is visible when it is advertised, filled, evaluated and re-scoped - and the descriptions are revised when the responsibilities change.	164.308(a)(3)(ii)(B), 164.308(a)(3)(ii)(C)	3.9.1
Security awareness training Ongoing security and data-handling awareness training for all personnel, with completion tracking, and periodic security updates - reminders, bulletins and alerts - issued to the workforce between training cycles. New joiners are trained within a defined period of starting, anyone whose work is affected is retrained within a defined period after a material change to the policies or procedures, and every completion is recorded. The program itself rests on a documented awareness and training policy with supporting procedures, issued to the people and roles it binds, owned by a named role, and reviewed and updated on a defined cadence rather than at whatever point somebody notices it is stale. The curriculum names two threats explicitly, because both are answered by a person rather than by a system. The first is INSIDER THREAT: what the potential indicators look like - unexplained access outside a role, bulk copying, hostility after a disciplinary or a passed-over promotion, working around a control rather than raising it - and where to report a concern about a colleague, without the reporter being asked to conclude anything. The second is SOCIAL ENGINEERING AND SOCIAL MINING: the phishing message, the pretext phone call, the urgent request from an apparent executive, the person following somebody through a door, and the slower pattern of harmless-seeming questions that assembles into an answer nobody would have given at once - together with the instruction to report both the attempts that worked and those that did not. The curriculum is stated as a set of topics rather than left to whoever assembles the material. AUTHENTICATION: how multi-factor authentication works and why it is required, what makes a passphrase strong, and how credentials are stored and never shared. DATA HANDLING: how to identify sensitive information and how to store, transfer, archive and destroy it, together with the clear screen and clear desk habits that go with it - locking a screen on standing up, clearing a whiteboard at the end of a meeting, and putting paper and portable media away rather than leaving them out. UNINTENTIONAL EXPOSURE: the ways data leaves by accident, such as a message sent to the wrong recipient, a portable device left behind, or a file published to a wider audience than intended. INCIDENTS: how to recognize that something may be an incident and how to report it without first establishing that it is. MISSING UPDATES: how to tell that an asset is not receiving its security updates, and to report a failure of an automated patching tool rather than assume somebody is watching it. INSECURE NETWORKS: the risk of connecting to and sending organizational data over networks the organization does not control, including what is expected of a home network where people work from one. And beyond the common curriculum, ROLE-SPECIFIC training is given where a role carries specific risk - system administration, secure development, and the roles most likely to be targeted directly.	164.308(a)(5)(ii)(A), 164.530(b)(2)	3.2.1, 3.2.2, 3.2.3
Physical & Environmental
Physical security Physical access to facilities and equipment holding sensitive data is restricted and monitored, and a person’s access is validated against the role or function that justifies it rather than only logged; visitors are controlled as a case of their own, and so is access to software programs held for testing and revision. The facility and the equipment in it are safeguarded against tampering and theft as well as against unauthorized entry, and so is the SUPPORT INFRASTRUCTURE the systems depend on - the power feed and its distribution, the cabling and patching, the cooling and environmental plant, the fire detection and suppression, and the points at which communications enter the building - which is protected and monitored on the same terms rather than treated as building services somebody else owns, because a system is stopped as surely by reaching its power or its cooling as by reaching its data. The people who have to reach the site and the equipment when a continuity or recovery plan is invoked can still get in, by a route that is planned rather than improvised; and repairs and modifications to the physical security components of a facility - doors, locks, walls, and the hardware that controls entry - are recorded. The offices, rooms and facilities themselves are designed and fitted for that job rather than simply occupied: rooms holding sensitive information or the equipment that processes it are sited away from public access and from routes people pass through for other reasons, the building’s signage, directories and public information do not advertise where sensitive processing happens, doors, windows, walls and any shared boundary with another tenant are specified against the risk the room actually carries, and a room is locked and checked when it is unoccupied rather than left secured by whoever was last out. Monitoring is continuous rather than periodic: the premises are watched for unauthorized physical access by detection suited to the site - intruder alarms, cameras, contact and motion detection, staffed reception or patrols - covering every way in including delivery and fire doors and including the hours nobody is there, with an alarm going to somebody who responds and a stated response. The monitoring system is protected in its own right, so its configuration, its coverage and its recordings cannot be altered or read by the people it is watching, and recordings are retained and handled under the privacy rules that apply to them. The detection is specified rather than generic: intrusion alarms and surveillance equipment are employed as the means of monitoring physical access, and what they cover, what raises an alarm and who responds is decided in advance. Visitors are escorted for the whole time they are inside a controlled area and their activity while there is monitored, rather than being signed in at a desk and then left to move around; that applies to contractors, delivery and service personnel and auditors alike, and where somebody is authorized to work unaccompanied that is a recorded decision rather than a courtesy. Visitors leave a record: who came, who they were visiting, when they arrived and left, and the identification presented; the record is retained for a defined period, reviewed on a defined cadence rather than only after an incident, and anomalies in it are reported to a designated role. Deliveries and removals are controlled as a class - system components and equipment entering or leaving the facility are authorized before they move, the movement is monitored, and a record of what came in and what went out is kept - and the delivery area itself is arranged so that a delivery does not become unescorted access to the interior. PHYSICAL ACCESS IS LOGGED and not only permitted: entry to the facility and to each controlled area inside it is recorded - who entered, which area, and when - by the entry system, the staffed reception, the visitor register or a combination of them, and the log is retained for a defined period and reviewed on a defined cadence, so a person can be placed in a room at a time and matched against what the systems in it recorded. PHYSICAL ACCESS DEVICES are managed as a controlled inventory rather than handed out: the keys, locks, combinations, badges, cards, fobs and biometric enrollments that open a door are listed with the holder of each, issue and return are recorded against that person, the inventory is reconciled on a defined cadence, and combinations are changed and locks re-keyed when a device is lost or stolen, when a holder leaves or moves, and on the cadence the organization has set rather than only after an incident. All of this rests on a documented physical and environmental protection policy with supporting procedures, issued to the roles it binds, owned by a named role and reviewed on a defined cadence.	164.310(a)(2)(i), 164.310(a)(2)(ii), 164.310(a)(2)(iii), 164.310(a)(2)(iv)	3.10.1, 3.10.2, 3.10.3, 3.10.4, 3.10.5

Beyond the pair

Where else this work counts

A framework is lit when a shared control above also maps to it. Unlit means none of them do — an absence, not a judgment about that standard.

Also reached by these 18 controls

AI Governance Essentials not reached
Amazon Appstore Child-Directed Apps not reached
Apple App Store Kids Category not reached
CIS Critical Security Controls also reached
COPPA also reached
ESG Essentials also reached
EU AI Act not reached
GDPR also reached
Google Play Families not reached
ISO 9001 also reached
ISO/IEC 27001 also reached
ISO/IEC 42001 also reached
NIST AI Risk Management Framework not reached
NIST Cybersecurity Framework also reached
NIST SP 800-53 also reached
PCI DSS also reached
PIPEDA also reached
SOC 2 also reached
SOX (Sarbanes-Oxley) Section 404 also reached
US Employment Law - Federal Baseline also reached

Nearby pairs

The thesis

Why this is one project, not two

On a crosswalk-native model, NIST SP 800-171 mostly lights up controls you already built for HIPAA. You’re not re-uploading the same screenshot for a second audit. You apply the framework and see the genuine delta worth working. That’s the whole idea behind collect once, comply everywhere.

Next step

Add NIST SP 800-171 to the work you already did

Apply both frameworks in one workspace and see the overlap measured against the controls you already hold.

Start free with HIPAA + NIST SP 800-171 See all pairs