Framework: HITRUST

PRISMA scoring at the r2 level requires organizations to demonstrate control maturity across all five dimensions—Policy, Procedure, Implemented, Measured, and Managed. Candidates must understand that each level builds cumulative assurance, with the Managed stage reflecting continuous monitoring and improvement. HITRUST assessors evaluate not only evidence of operation but also metrics that prove consistency and adaptability. Scoring at the r2 level is data-driven, using evidence trends and management oversight to confirm that controls are not static but dynamically managed based on performance.

In practice, successful PRISMA strategies begin with internal calibration—ensuring each control’s evidence aligns with defined maturity criteria before assessor testing begins. Organizations often develop scoring playbooks, internal validation checklists, and dashboards that track maturity by domain. For exam preparation, candidates should know that Managed maturity reflects governance-level integration, where results inform strategic decisions. Understanding how PRISMA scoring influences overall certification outcomes enables professionals to interpret results and plan continuous improvement cycles post-assessment.
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