Industry: Healthtech
Identity disaster recovery for healthtech
EHR access, HIPAA-bound PHI, BAA-covered vendor connections, and clinician identity all converge on Okta. A broken sign-on policy is not just an IT problem — it is patient care delayed and a HIPAA incident in progress.
What goes wrong
Three incidents you have already seen variations of
Authentication policy change locks clinicians out of the EHR
A well-intentioned tightening of step-up MFA requirements applied broadly to all clinician groups. Bedside staff could not refresh sessions during shift change. The fix had to be communicated through pagers because Slack also auth'd through Okta.
BAA-covered vendor app de-provisioned by mistake
A scheduled cleanup removed an app assignment for a covered third-party transcription vendor. PHI sync failed silently. The downstream HIPAA incident was discovered three weeks later during a vendor-management audit.
Group rule deletion breaks SCIM provisioning to PACS
The SCIM-feeding group rule for the radiology PACS system was deleted during a directory cleanup. New radiologists could not log in. Imaging studies routed manually, slowing turnaround on time-critical reads.
Regulatory shape
Compliance and audit angle
HIPAA, HITECH, 21 CFR Part 11, and increasingly state-level laws (CMIA, NY SHIELD) require demonstrable safeguards around the identity layer that protects PHI. Butterfly's Audit Pack maps to HIPAA Administrative Safeguards 164.308(a)(1) and Technical Safeguards 164.312(a)(1).
How Butterfly fits
The recovery layer for healthtech identity
Butterfly snapshots every Okta resource governing clinician access, BAA-covered vendor app assignments, and SCIM provisioning rules. Restore previews show the impact on EHR and PACS access before you click apply. The Restore Readiness Score is the answer to the HIPAA risk-assessment question every healthtech org gets asked: prove your identity recovery plan works.
Frequently asked
FAQ
Does Butterfly access PHI?
No. Butterfly snapshots the Okta configuration — users, groups, policies, app assignments — not the underlying applications or any PHI they store. The configuration data is encrypted at rest in your designated Cloudflare R2 region.
Can we sign a BAA?
Yes. Reach out via butterflysecurity.org/contact and we will route to the right person for a BAA conversation.
How does Butterfly map to HIPAA technical safeguards?
The Audit Pack PDF is HIPAA-filterable. It maps backup posture, restore readiness, and change history to 164.308(a)(1) (security management process), 164.308(a)(7) (contingency plan), and 164.312(a)(1) (access control).
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