Named-role governance with defined authority, escalation hierarchy, review cadence, and board-level reporting. Every control has an owner. Every incident has a protocol.
Each role has defined authority, reporting lines, and review cadence.
Overall information security strategy, risk appetite, incident escalation authority.
Cadence: Weekly security review, monthly board brief
Reports to: CEO / Board of Directors
HIPAA, SOC 2, ISO 27001, ONC Cures Act alignment. Regulatory change tracking, audit coordination.
Cadence: Bi-weekly compliance sync, quarterly audit prep
Reports to: CISO
PHI data lifecycle, consent management, breach notification, DSAR fulfillment, privacy impact assessments.
Cadence: Monthly privacy review, annual PIA cycle
Reports to: CISO / General Counsel
FHIR R4 API design, EHR partner onboarding, SMART on FHIR auth, HL7v2/C-CDA interoperability, data normalization.
Cadence: Sprint-based, partner sync bi-weekly
Reports to: CTO
ISO 27001 Annex A control ownership, risk register maintenance, internal audit scheduling, corrective actions.
Cadence: Monthly ISMS review, annual surveillance audit
Reports to: Compliance Officer
ISO 9001 QMS processes, CAPA tracking, NCR management, customer satisfaction metrics, continuous improvement.
Cadence: Monthly quality review, quarterly management review
Reports to: COO
Standing committees with defined membership, frequency, and charter.
Review security posture, risk register changes, incident trends, policy updates, and control effectiveness.
Members: CISO (Chair), CO, PO, IA, ISMS-M, Engineering Lead
Frequency: Monthly
Approve production changes, review change risk, track change success rate, manage emergency changes.
Members: CTO (Chair), IA, Engineering Lead, QA Lead, CISO delegate
Frequency: Weekly
Root cause analysis, corrective action assignment, breach determination, notification decisions.
Members: CISO (Chair), PO, On-Call Engineer, External Counsel (if breach)
Frequency: Post-Incident
Risk appetite review, compliance dashboard, security investment decisions, regulatory update briefing.
Members: Board Member (Chair), CEO, CISO, General Counsel
Frequency: Quarterly
Four-tier escalation hierarchy with defined SLAs and response protocols.
CISO + on-call engineer immediately paged. War room opened. Board notified within 1 hour.
Security team lead engaged. CISO notified. Root cause within 4 hours.
Assigned to security team. Investigation within 24 hours. Tracked in risk register.
Logged and triaged. Addressed in next sprint. Tracked in quality metrics.
Structured review schedule ensuring continuous compliance monitoring.
| Activity | Frequency | Owner |
|---|---|---|
| Security Posture Review | Weekly | CISO |
| Compliance Sync | Bi-weekly | CO |
| Security Committee | Monthly | CISO |
| ISMS Management Review | Monthly | ISMS-M |
| Quality Management Review | Quarterly | QM |
| Board Risk Brief | Quarterly | CISO |
| Risk Assessment (Full) | Annual | ISMS-M |
| Penetration Test | Annual | CISO |
| ISO 27001 Surveillance Audit | Annual | CO |
| SOC 2 Type II Audit | Annual | CO |
| Privacy Impact Assessment | Annual | PO |
| BCP/DR Tabletop Exercise | Annual | CISO |
Our governance model is designed for auditability. Auditors and procurement teams can review evidence of governance operations via our Evidence Vault.