Framework: HITRUST

Access control under the i1 program demands that privileges are systematically managed, reviewed, and enforced. Candidates must understand how this differs from e1—where emphasis was on basic policies—by focusing now on verifiable, operational consistency. Access provisioning, modification, and termination must follow documented workflows, and evidence must prove adherence. HITRUST requires demonstration that accounts are reviewed periodically and that access aligns with job responsibilities and least privilege principles. Audit logs and review signoffs serve as primary proof of effectiveness.

In the field, mature i1 access management includes automated user provisioning, periodic access reviews for critical systems, and centralized authentication mechanisms such as Active Directory or cloud identity providers. For exam purposes, candidates should be familiar with segregation of duties, role-based access control (RBAC), and privileged account monitoring. Demonstrating control operation through consistent records—rather than policy statements—is key. i1 assessments validate that access management is embedded into business operations, not handled as an occasional administrative task.
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