20+ years of patient privacy expertise

Patient Privacy Violations Are Happening in Your Health System Right Now

Most programs never catch them. Haystack iS does.

Haystack iS is AI-powered patient privacy monitoring and HIPAA compliance software that continuously monitors every PHI access across all your clinical systems — surfacing real violations, automating investigations, and giving your privacy team the evidence to act.

Schedule a Free Consultation See How It Works

$9.77M

average total cost of a healthcare data breach

258 days

average time to identify and contain a breach

$1.39M

saved when a breach is contained within 200 days

Source: iatricSystems / IBM Cost of a Data Breach Report

20+

Years in privacy monitoring

1,300+

Health systems served

800+

Vendor integrations

The Problem Your Current Privacy Program Cannot Solve

Every day, millions of interactions with protected health information take place across your hospital network. The vast majority are entirely appropriate — but a small fraction are not. A curious employee looks up a neighbor's record. A staff member accesses a celebrity patient out of interest. A disgruntled employee reviews records on the way out the door.

Each of these incidents can lead to a HIPAA violation, an OCR investigation, costly breach notifications, and lasting reputational damage. And in the vast majority of cases, no team of privacy auditors can manually catch them all.

“It used to take a lot of effort to audit patient access. There was no way we could look at the thousands of patient records accessed every day, not to mention the thousands of users.”
— Brian Colonna, Director of Compliance, Renown Health

The gaps in a manual approach:

Fragmented auditing across disconnected systems.
Privacy teams must run separate reports for each EHR, document management platform, lab system, and clinical app — piecing together a partial picture while consuming enormous staff time.
False positives overwhelm your team.
Legacy tools flag everything that looks unusual — which in a busy hospital is an enormous amount of activity. Hours consumed on false leads leave less time for real violations.
Reactive auditing means the damage is already done.
Waiting until a breach is reported by a patient, coworker, or news story is no longer acceptable. By then, the OCR is already involved.
Self-access management drains compliance resources.
A significant portion of privacy teams' time is consumed by low-level policy violations that are not HIPAA breaches — requiring individual manual follow-up with each employee.

Your privacy program has blind spots. Haystack iS closes them.

Introducing Haystack iS: Patient Privacy Monitoring Software Built for Modern Healthcare

A comprehensive, AI-powered platform that continuously ingests audit trail data from every clinical system in your environment — then applies Machine Learning, expert- written detection rules, and a proprietary Risk Index to surface only what truly demands your team's attention. Unlike periodic audits or single-source reports, Haystack iS watches every PHI access, every user, every system — 24 hours a day, 7 days a week.

Purpose-built for:

Privacy Officers & Compliance Directors

Get signal, not noise. A prioritized, AI-scored event list means your team investigates only what genuinely warrants attention — not a flood of unscored alerts.

Compliance & Risk Management Teams

OCR-compliant documentation, full investigation trails, and PDF exports make regulatory submissions and breach determinations faster and cleaner.

Department Managers

Respond immediately when a privacy incident is flagged on your team. AVA routes manager reviews directly to you with context, priority, and due dates — no phone tag required.

Health System Executives & Boards

Get organizational risk visibility, trend data, and executive dashboards for board-level reporting, OCR readiness, and proactive compliance program management.

How Haystack iS Patient Privacy Monitoring Works

Four interconnected capabilities working together around the clock — so no inappropriate PHI access falls through the cracks.

Unifies Every Clinical System Into One View

Modern health systems operate across a complex ecosystem. Haystack iS consolidates audit trail data from every system that generates PHI access records — EHRs, document management platforms, lab systems, PACS, HR platforms, and more — into a single unified event list.

Electronic Health Records: Epic, Cerner, MEDITECH, Allscripts, and 180+ additional vendors
Document Management: Hyland, Perceptive/ImageNow, and more
Clinical & Administrative Systems: Labs, PACS, pharmacy, HR, and Active Directory

Applies AI and Expert Rules via Solomon Engines

At the heart of Haystack iS is Solomon Engines — the platform's proprietary AI and Machine Learning framework that continuously learns your organization's specific access patterns.

Machine Learning identifies deviations from your organization's normal patterns — adapting as workflows change and new facilities come online.
Expert-Written Rules codify known privacy risk indicators with clinical precision — from co-worker access to VIP patient monitoring.

HighImmediate review

MediumPrioritized queue

LowFiltered out

Surfaces a Prioritized, Risk-Scored Event List

Every flagged event arrives on your auditors' desks pre-scored with a Risk Index — a numeric indicator of how suspicious the access appears based on the specific risk types identified.

Risk Type	Description
Co-worker access	Same facility, same unit, or known relationship between user and patient
Self-access	Employee accessing their own medical record
Geographic proximity	Same household, same street, or nearby address
High-profile patients	VIP, celebrity, or watchlisted individuals
Discharged employee access	Former staff member accessing records after departure
Patient is employee	Dual-role individuals accessing sensitive records
Guarantor / subscriber match	Financial relationship indicators between user and patient

Streamlines Investigation, Documentation & Reporting

From flagged event to closed investigation, every step is handled inside a single platform — no bouncing between systems, no manual documentation, no compliance gaps.

Dynamic Forensics: Full access history for the user and patient, geographic proximity mapping, watchlist visibility
Manager's Portal: Automates manager review assignments with priority levels, due dates, and full activity logs
OCR-Compliant Documentation: Risk summaries, breach determinations, corrective actions, and PDF export for regulatory submissions
Executive Dashboard: Trends by department, facility, job title, and time period for proactive program management

Meet AVA: Your Always-On Virtual Privacy Investigator

When Haystack iS identifies suspicious activity, its Advanced Virtual Assistant (AVA) takes action automatically — so your privacy team never has to chase down a follow-up again.

How AVA works

Identifies the interaction requiring follow-up

AVA automatically detects events that need direct employee engagement — immediately upon flagging, without waiting for an auditor to review.

Notifies the employee via email or SMS

A structured questionnaire is delivered to the user with configurable response options — gathering context without a single phone call or manual email.

Re-evaluates the risk score based on response

The employee's response is captured and evaluated. If the access was legitimate, AVA closes it cleanly. If it warrants escalation, AVA opens and assigns the investigation.

Escalates automatically if there is no response

Unanswered questionnaires trigger automatic re-notification and escalation through your configured chain — ensuring nothing falls through.

Why AVA changes everything

Done manually, the process of flagging a potential privacy violation, contacting an employee, collecting context, and reaching a determination can take days, weeks, or even months. Teams routinely spend hours managing self-access cases — violations that aren't even true HIPAA breaches — at the direct expense of time that should be spent preventing genuine OCR-reportable incidents.

AVA compresses the entire follow-up workflow to near-zero and ensures it executes every time, for every flagged event, without exception. And because employees know that every PHI interaction is monitored and that abnormal behavior is instantly detectable, AVA also builds a culture of compliance across your organization.

Reduces false negatives — not just false positives
Builds a deterrent culture around PHI access accountability
Generates compliance statistics for board and executive reporting
Fully configurable: risk types, recipients, questionnaires, escalation chains
Expanding automation: self-access, co-worker access, family access reviews

“Before we had AVA, we would need to connect with users manually for self-access. It was so time consuming to have to follow up with every individual, knowing that these aren't even real HIPAA violations. AVA gathering that information instead has significantly reduced our workload, and lets our team focus on preventing what could be a true OCR breach.”
— Nicole Gaarenstroom, Compliance Coordinator, Renown Health

“The feature that's reduced our workload the most has been AVA.”
— Brian Colonna, Director of Compliance, Renown Health

“What I envision is for AVA to reduce the amount of time our team spends looking at suspected issues and automate all the manual back-and-forth communication, so we can focus on more important tasks.”
— Miranda Brown, Enterprise Privacy Manager, WVU Medicine

From Alert to Resolution — and Beyond

Haystack iS is not just a detection tool. It's a complete patient privacy compliance workflow platform.

Dynamic Forensics & Investigation

When an event is flagged, Haystack iS provides every piece of context your auditors need to reach a determination quickly and confidently — all within the platform.

User access report — every record the user touched that day
Patient access report — every user who accessed the patient's record
Geographic proximity mapping — visual representation of user and patient addresses
Watchlist integration — immediate visibility into elevated monitoring flags
Investigation history — complete record of all prior investigations for the user or patient
Social media monitoring — tracks connections between employees and patients

Proactive Compliance & Leadership Reporting

Haystack iS gives compliance teams and executives the data-driven intelligence to get ahead of risk — not just respond to it.

Executive Dashboard — trends by department, facility, job title, and time period
Proactive training intelligence — identify access behavior spikes before they become breaches
OCR-compliant investigation records — risk summaries, breach determinations, corrective actions
PDF export formatted for regulatory submissions and board reporting
Customizable reporting shared with executives, boards, and compliance committees
Watchlist monitoring — flag VIP patients, active investigations, and returning employees

Everything you need for board-level reporting, OCR readiness, and an ongoing compliance program that gets ahead of risk.

What Health Systems Are Achieving with Haystack iS

Real outcomes from real customers — because no feature description beats proven results.

WVU Medicine

West Virginia's Largest Health System — 23 Hospitals

West Virginia University Health System operates 23 hospitals and has partnered with iatricSystems for over 14 years. Before Haystack iS, their privacy team ran separate audit reports across multiple clinical systems, EHRs, document management platforms, and lab applications — a reactive, fragmented process that drained resources and missed violations.

Metric	Before	After
Audit approach	Suspicion-based, reactive	AI-driven, proactive
System coverage	Separate reports per system	Single unified audit view
Self-access management	Manual follow-up	Fully automated via AVA

“It used to take us a lot longer to review multiple audit logs, because we had to run separate reports for everything. With Haystack, we can run one audit for all our applications, which cuts down on the review and gives us a better picture of what's going on.”
— Miranda Brown, Enterprise Privacy Manager, WVU Medicine

“We have a terrific support team. It's not like a typical hospital and vendor relationship. They're like our co-workers.”
— Miranda Brown, Enterprise Privacy Manager, WVU Medicine

Renown Health

Northern Nevada Healthcare Leader — 1,200+ Providers, 375,000 Epic MyChart Users

Renown Health manages thousands of PHI accesses daily across a complex and growing IT environment. Before Haystack iS, comprehensive auditing of that volume was simply impossible. Manual self-access follow-up consumed disproportionate resources — time spent on non-HIPAA violations at the expense of monitoring for genuine OCR-reportable breaches.

“Haystack has helped us with proactive monitoring, but the feature that's reduced our workload the most has been AVA.”
— Brian Colonna, Director of Compliance, Renown Health

“Now we can start getting ahead of things. If we see a spike in say family snooping around the holidays, we can schedule educational sessions 30 days or 90 days out to avoid that spike.”
— Brian Colonna, Director of Compliance, Renown Health

“AVA gathering that information instead has significantly reduced our workload, and lets our team focus on preventing what could be a true OCR breach.”
— Nicole Gaarenstroom, Compliance Coordinator, Renown Health

Works with Your Existing Systems. Secured for Healthcare.

Haystack iS integrates with the technology stack you already have — built to fit your environment, not the other way around.

800+ Vendor Integrations

EHR Systems: Epic, Cerner, MEDITECH, Allscripts, Athena, Meditech, Quadramed, and 180+ more
Document Management: Hyland, Perceptive/ImageNow, Chartmaxx, and more
Clinical Systems: PACS, pharmacy, lab, and radiology platforms
HR & Administrative: Workday, PeopleSoft, ADP, Kronos, Active Directory

HIPAA-Grade Security

HIPAA-compliant deployment with BAA support
Encrypted data transport and storage
Role-based access controls and comprehensive audit logging
Supports all major web browsers — no client software required
International support: Canada, UK, and Australia compliance options

Open Standard Architecture

Open standard audit file import specification — works with virtually any system that generates an audit file
If your system isn't on the supported list, iatricSystems will build the integration
Scales from single-facility to large multi-hospital enterprise systems
200+ customer implementations completed

Haystack iS by the Numbers

$9.77M

average total cost of a healthcare data breach

258 days

average time to identify and contain a breach

$1.39M

saved when a breach is contained within 200 days

configurable PHI risk types monitored continuously

24/7

continuous monitoring — every PHI access, no gaps

800+

vendor integrations across EHR, PACS, HR, and clinical systems

1,300+

healthcare systems that trust iatricSystems

20+

years of patient privacy monitoring expertise

Backed by 35 Years of Healthcare IT Partnership

Haystack iS is developed and supported by iatricSystems, a healthcare IT company with over 35 years of experience and a track record trusted by 1,300+ hospitals nationwide. With more than two decades focused specifically on patient privacy monitoring, iatricSystems brings unmatched depth to a problem that demands both technical precision and healthcare domain expertise.

When you implement Haystack iS, you are not deploying software and figuring it out alone. The iatricSystems team works alongside your organization to configure the platform to your specific environment, policies, and priorities.

“Before Haystack iS, we used to audit based on certain suspicions, like co-worker or same last name. But now with Haystack iS, it's a more streamlined process where it's alerting to only what is more than likely inappropriate access.”
— Miranda Brown, Enterprise Privacy Manager, WVU Medicine

Healthcare IT solutions since 1988

35+ Years1,300+ Health Systems800+ IntegrationsHIPAA Compliant

Talk to a Haystack iS Specialist

Schedule a free 15-minute discovery call. We'll discuss your current patient privacy monitoring program and help you determine whether Haystack iS is the right fit for your health system — no commitment required.

What to expect on the call

A 15-minute conversation with a Haystack iS specialist — not a sales pitch

We'll ask about your current privacy auditing program, existing clinical systems, and compliance goals

You'll get an honest assessment of whether Haystack iS is a strong fit for your environment

If there's a mutual fit, we'll follow up with a full product walkthrough at a time that works for you

Trusted by 1,300+ health systems | 20+ years in patient privacy monitoring