Skip to content

Evaluation

Last 1 Enterprises LLC / LastVet Safeguard category: Administrative HIPAA Security Rule citation: 45 CFR §164.308(a)(8) Status: Scaffold (Bucket 1c). Not approved for enforcement until Ryan review.


Document metadata

Field Value
Policy owner TODO (Ryan)
Version 0.1-scaffold
Effective date TODO (Ryan)
Review cadence Annual (TODO: Ryan confirm)
Approver TODO (Ryan)
Last reviewed 2026-08-26 (scaffold only)

1. Purpose

Perform periodic technical and non-technical evaluation of security policies and controls.

2. Scope

All HIPAA Security Rule policies and LastVet implemented controls.

3. Policy statements

  1. LastVet shall evaluate security controls at least TODO (Ryan): annually or upon material environmental/operational change.
  2. Evaluations shall include review of risk analysis, policies, audit logs, and penetration test results.
  3. Findings shall feed risk register updates (HIPAA_RISK_ANALYSIS.md).

4. Roles and responsibilities

Role Responsibility
Security Officer (Ryan) TODO (Ryan): assign formal Security Rule responsible person per §164.308(a)(2)
Workforce members TODO (Ryan): acknowledge policy when hired / annually
Contractors / BAs TODO (Ryan): flow-down via BAA and agreements

5. LastVet-specific context (from existing docs)

External pentest completed; retest planned after RLS batch 2. Platform observability deployed 2026-08. Tier 2 last1.id migration in progress (separate from LastVet clinical store).

7. Ryan TODO (substantive content deferred)

  • Define evaluation calendar and responsible party.
  • Comp AI / audit evidence packing workflow.
  • Trigger evaluation on VA prod access approval (#00015000).