Scope of Access
Precisely list systems, IP ranges, network segments, and the permitted purposes for vendor connectivity to avoid unauthorized lateral movement.
A clear, complete TSA reduces operational risk by assigning responsibilities for security, incident response, and PHI protection. It clarifies compliance obligations under HIPAA, enables predictable service levels, and limits liability related to network access or data incidents.
Organizations and vendors that need formal network access controls and accountability typically use this TSA.
The TSA helps align operational, security, and legal expectations across technical and clinical stakeholders.
Precisely list systems, IP ranges, network segments, and the permitted purposes for vendor connectivity to avoid unauthorized lateral movement.
Require specific controls such as MFA, patching cadence, vulnerability scanning, encryption standards, and incident notification timelines tied to measurable SLAs.
Define permitted PHI uses, deidentification requirements, data minimization, and obligations to enter a Business Associate Agreement where HIPAA applies.
Specify logging retention, access to audit trails, periodic review windows, and the scope of audits or penetration tests the vendor must permit.
Include uptime metrics, maintenance windows, escalation paths, remedies for SLA breaches, and measurement/reporting procedures.
Detail data deletion or return, credential revocation steps, transition assistance, and verification that remote access paths are closed upon contract end.
| Field | Configuration |
|---|---|
| Signature Order | Require vendor then health system countersignature |
| Authentication Level | Use SMS or email plus SSO where available |
| Attachments | Require BAA, SOC2 report, and insurance certificate |
| Retention Setting | Auto-archive executed copy for 7 years |
Select a signing platform that supports audit trails, secure storage, and the authentication level required for PHI access.
Ensure the platform can produce tamper-evident signed PDFs and export audit records for compliance reviews and legal needs.
Access provisioned within agreed SLA (e.g., 5 business days)
Notify breaches within 72 hours of detection
Quarterly access reviews unless higher risk
Critical patches applied within 7 days
Credentials revoked within 24 hours of termination
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies by vendor | Varies by vendor | Varies by vendor | Varies by vendor |
| Bulk Send | Yes | Yes | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes | Yes | Yes | No | No |
A health system engaged a network provider for EHR integration
A vendor needed remote device telemetry access