e1 Assessment
A foundational, lower-effort readiness assessment. Built for startups, small businesses, or organizations with lower risk profiles. Valid for one year and renewed annually.
HITRUST
HITRUST CSF is the healthcare industry's most rigorous security framework. Cstream helps you get certified quickly and easily, so you can prove your security posture to health plans, providers, and partners who demand the highest bar.

What is it
HITRUST certification is increasingly becoming the standard payers and large health systems look for, beyond a HIPAA attestation alone. If you're selling into health plans, large health systems, or handling sensitive health data at scale, HITRUST certification can be a decisive factor. The HITRUST CSF (Common Security Framework) unifies requirements from HIPAA, NIST, ISO 27001, PCI DSS, and other standards into a portfolio of assessments built for organizations of different sizes, risk profiles, and assurance needs. Unlike HIPAA, which is a legal requirement without formal certification, HITRUST results in an actual certification issued by HITRUST after an independent assessment.
A foundational, lower-effort readiness assessment. Built for startups, small businesses, or organizations with lower risk profiles. Valid for one year and renewed annually.
A broader, moderate-assurance assessment, evaluating how effectively controls are implemented, not just whether they exist. Also a one-year certification, renewed annually.
The most comprehensive, risk-based certification, valid for two years with an interim assessment required in year one.
How we help
Cstream takes the manual work out of HITRUST readiness, so your team can focus on running the business, not managing hundreds of overlapping controls by hand.
Cstream connects to your cloud, HR, and IT tools and pulls evidence against HITRUST CSF controls automatically.
Stay ahead of controls drift with ongoing monitoring, instead of discovering it during a breach investigation or audit.
Since HITRUST overlaps with HIPAA, ISO 27001, SOC 2, and NIST, Cstream maps shared controls automatically so you're not doing the same work multiple times.
Monitor the HITRUST or security posture of vendors and sub processors feeding into your own assessment.
Pre-built, assessor-ready policy templates aligned to the HITRUST CSF.
Generate a clean, organized evidence report that your HITRUST assessor can review without back-and-forth.
Related frameworks
Already working on HIPAA, SOC 2, or ISO 27001? Cstream maps your existing controls to HITRUST and other major frameworks, so you're not starting from scratch each time.
Frequently asked questions
Companies selling into health plans, large health systems, or handling significant volumes of sensitive health data may need HITRUST, especially when HIPAA alone is not sufficient to win enterprise healthcare deals.
That's fine. Most Cstream customers start there. We'll help you assess your current posture, recommend the right starting assessment level, and build a plan to get you certification-ready.
HIPAA is a legal requirement with no formal certification. HITRUST is a certifiable framework that incorporates HIPAA requirements alongside NIST, ISO 27001, and other standards, resulting in certification after an independent assessment.
Yes. Compliance experts at Cstream will guide you through choosing the right assessment level for your organization and support you as you progress from e1 to i1 to r2 over time.
Cstream prepares your evidence, monitors your controls, and organizes everything for review, but a HITRUST-authorized external assessor firm conducts the actual assessment. If you need one, we can refer you to certified assessors in our partner network to make the process seamless.
Yes. Cstream automatically maps your existing HIPAA controls to HITRUST CSF requirements, so you're not duplicating work you've already done.
