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Patient data security gaps and missing HIPAA safeguards in the cloud

HIPAA cloud security review for health-tech infrastructure

Implement the technical safeguards HIPAA expects in your cloud: encryption, access logging, log redaction and secure video. Compliance itself also rests on your risk analysis, policies and agreements.

Symptoms

Signs your platform has this problem

If several of these sound familiar, the plan below is where we would start.

01

Exposure to HIPAA penalties

Patient data stored unencrypted, or vendors handling ePHI without a Business Associate Agreement.

02

No tamper-evident access logs

No way to show who viewed, changed or exported a patient record.

03

Insecure video consultations

Telehealth calls routed through services that aren't covered by a BAA.

Remediation plan

How we fix it, step by step

Each phase ends with a measurement, so you can see what changed before the next one starts.

01

ePHI data flow and vendor review

Mapping where patient data flows and listing every vendor that needs a BAA in place.

02

Encryption with KMS

Encrypting ePHI at rest with KMS keys, plus field-level encryption for the most sensitive values.

03

Immutable access logging

Writing an audit record for every ePHI access and change to S3 with Object Lock.

04

Secure telehealth video

Encrypted WebRTC media through infrastructure covered by your BAAs.

Technical checklist

Remediation checklist

What we check before a change goes to production:

  • Confirm a signed BAA is in place with every vendor that handles ePHI
  • Encrypt databases, EBS volumes and S3 buckets with KMS keys
  • Redact patient identifiers from application logs before they leave the service
  • Keep immutable access audit trails with S3 Object Lock

What we measure

We take a baseline first and report the same measurements after each change, from your own monitoring — evidence, not promised results.

Encryption
Data stores holding ePHI that are encrypted with KMS
Access logging
ePHI read and write paths that emit an audit record
Log leakage
Patient identifiers found when scanning application logs

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Questions

Questions about this remediation

AWS offers HIPAA-eligible services and will sign a BAA with you. Your workload is only covered when it uses eligible services configured with encryption, access control and logging — compliance remains a shared responsibility.

We add log redaction filters that detect and mask identifiers such as medical record numbers, SSNs and names before logs reach monitoring systems.

Want an engineer to look at this with you?

Send us the symptoms and any metrics you have. We'll reply within one business day, set up a call and agree what to measure before anything changes.