HIPAA HiTrust

Compliant infrastructure shouldn’t

be so hard

Building and maintaining HIPAA/HITRUST-compliant infrastructure is normally a massive undertaking, especially for teams handling protected health information (PHI).

For HIPAA, you need encryption, access controls, and audit logging for electronic PHI (ePHI). For HITRUST CSF, you need over 2,000 controls from frameworks like NIST 800-53, ISO 27001/27002, and COBIT.

‍

Typical challenges of HIPAA and HITRUST

Manual setups and drift

ClickOps or unversioned scripts create inconsistencies across dev, staging, and prod, leading to failed tests, security gaps, and audit nightmares.

Security implementation hurdles

Enforcing perimeter security, encryption, and least-privilege access usually leads to bloated configurations (e.g. 100+ security group rules per instance).

Resource intensity

DIY approaches and hiring consultants (e.g. AWS ProServ) can delay projects by months and cost 5-10x more, diverting focus from core business.

Legacy and growth pains

Teams often outgrow PaaS like Aptible or Heroku due to cost, limited control, or single-cloud constraints. Moving to self-managed AWS and staying compliant is a lot of work.

Difficult to self-host

Many teams want full control over their infrastructure but find it hard to self-host HIPAA-aligned systems without falling behind on patching, upgrades, or configuration drift.

Gruntwork accelerates your

compliance journey

We give DevOps engineers reusable patterns to build on, so you can customize them for your workloads (e.g. EC2, ECS, EKS). Our IaC components are built to provide a clear audit trail, consistent environments, and detect and remediate drift.

And, you own the infrastructure. It's hosted by you, where you want it, and you get the code.

‍

Key capabilities:

Actually-easy audits

Gruntwork Pipelines provide a complete, inspectable trail for every change. See what changed, who approved it, when it was tested, and when it hit prod, all on the same PR.

Drift detection and automatic remediation

Make sure whatever’s running matches what’s declared. Run drift detection as often as you like and get pull requests to automatically report and resolve drift.

Modular, production-ready OpenTofu/Terraform

Enforce consistency and reduce custom development with pre-built modules for VPCs, IAM, security, and more.

Perimeter-based network security

Use VPCs, NACLs, and private subnets to minimize exposed endpoints, simplifying HITRUST audits no matter how or where you’re hosted.

IAM policies, audit logging (CloudTrail), and role-based access controls (RBAC)

Meet technical safeguards with least-privilege controls and centralized monitoring.

Our infra patterns deliver roughly 80% of HIPAA/HITRUST requirements upfront. Operationally: Pipelines automate compliant builds, Drift Detection catches config changes early, and Account Factory ensures every account is created the same, auditable way.

Case Study

Healthtech company's journey to

HITRUST

A leader in healthcare training, certification, and SaaS tools for medical coding, was HIPAA-compliant but struggling with legacy infra as they eyed HITRUST for B2B expansion.

Before Gruntwork

No IaC or Terraform

Manual ClickOpS

Inconsistent envs

Legacy DNS complications

Heavy reliance on security groups (100+ inbound rules per server)

Config drift

Poor visibility

Slow migrations

With Gruntwork

Adopted modules for VPCs, ECS clusters, and security patterns

Migrated workloads to containerized deployments

Enabled GitHub-based change history

Provided developer self-service via PRs

Outcomes

Achieve environment consistency

Faster dev cycles and UAT parity

Reduced audit complexity

Gained confidence in timelines

Saved the equivalent of a mid-level DevOps hire

Moving toward HITRUST with fewer headaches

"Gruntwork gives you that head start. It accelerates time to market really fast and now we’re moving faster with fewer mistakes.”

Senior Director of Platform Engineering and DevOps

‍

What sets

Gruntwork

apart

Faster than DIY

Feature body copy, this is some text that highlights the benefits of the feature.

Feature Headline

Feature body copy, this is some text that highlights the benefits of the feature.

Feature Headline

Feature body copy, this is some text that highlights the benefits of the feature.

Feature Headline

Feature body copy, this is some text that highlights the benefits of the feature.

Who Gruntwork is for

DevOps engineers managing PHI workloads in AWS

Teams outgrowing PaaS platforms due to cost or control needs

Companies modernizing legacy infrastructure (e.g. ClickOps => IaC)

Organizations targeting HITRUST to unlock B2B opportunities and build customer trust.

Let’s discuss how Gruntwork can help

We’ll start by asking about your current infrastructure needs and goals. Then we’ll show you what’s possible with Gruntwork.

Thank you! Your submission has been received!

Oops! Something went wrong while submitting the form.

Thousands of engineers build with Gruntwork

Frequently Asked Questions

FAQ

Gruntwork and HIPAA/
HITRUST compliance

Platform

Services

Open Source

Resources

Company