Framework: HITRUST

HITRUST’s quality assurance process is rigorous, and only specific types of evidence meet its expectations. Candidates must learn the three key evidence categories: Policy, which defines organizational intent; Procedure, which describes consistent execution steps; and Proof, which demonstrates actual operation. Each type aligns to different PRISMA maturity levels, ensuring that both documentation and performance are evaluated. Policies must be formally approved, procedures must be repeatable and maintained, and proofs—such as screenshots, reports, or logs—must clearly show the control in action.

Passing QA requires precise, unambiguous evidence presentation. Assessors and HITRUST reviewers look for version control, date alignment, and system-generated proof over verbal confirmation. For example, a procedure document outlining patching cadence is not enough unless backed by evidence showing that patches were applied according to that cadence. Candidates should remember that HITRUST QA aims to validate consistency and authenticity across all evidence types. Recognizing how these elements interconnect allows practitioners to build assessment packages that withstand scrutiny and support certification without rework.
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