Identity and Access Management

A Healthcare Services Group in Latin America Strengthens Patient Data Access Controls Across a Multi-Site Operation with eMudhra SecurePass

Case Study Illustration

Client Overview

The organisation is a privately held healthcare services group in South America operating five outpatient clinics and two diagnostic centres across two cities. The group employs around 600 clinical and administrative staff and runs an electronic health records system, a diagnostic imaging platform, and an administrative management system. As the group has expanded and digitalised its clinical operations, managing who has access to patient data systems has become a more pressing concern.

The Challenge

Clinicians and administrative staff accessed patient records, imaging systems, and administrative tools using separate credentials for each platform. There was no single sign-on, which clinicians found disruptive in a fast-paced clinical environment where switching between systems frequently was the norm. The group had also grown through the acquisition of two diagnostic centres, whose staff had been absorbed into the organisation but whose access to the group's central systems had been set up manually without a consistent role framework. A patient data compliance review highlighted that several accounts had broader access to patient records than was appropriate for the account holder's role, and that one account belonging to a former administrative staff member had remained active for three months after their departure.

“Clinicians having to log in separately to three different systems between patient consultations is time they don't have. And access to patient data has to be tightly controlled — we can't have people with access that isn't right for their role.”
— Chief Operating Officer

The Solution

eMudhra deployed SecurePass across all seven sites. A centralised identity directory was established, and role-based access profiles were defined for each clinical and administrative role — doctors, nurses, radiographers, administrative coordinators, and billing staff — with access scoped to the patient data and systems each role legitimately needed. SSO was configured for the EHR system, diagnostic imaging platform, and administrative management system, giving clinical staff a single authenticated session across all three tools. MFA was enabled using TOTP for all access to patient records systems. The integration with the HR system automated account provisioning for new staff and triggered deactivation on departure, addressing the former employee access gap identified in the compliance review. An access review workflow was configured to run every six months, generating reports for the compliance officer on account access alignment.

Results

The former employee account and the over-privileged accounts identified in the compliance review were addressed within the first week of deployment. Clinicians report noticeably less friction accessing systems during consultations. The bi-annual access review process has been running without manual intervention since go-live.

Metric

Before

After

Clinician system access experience

Separate logins for EHR, imaging, admin tools

Single SSO session across all 3 clinical systems

Over-privileged accounts resolved

Multiple accounts with excess patient data access

All aligned to role-based profiles on go-live

Former employee access

Account active 3 months after departure

Automated deactivation on HR exit trigger

MFA coverage — patient records

Password only; compliance gap

TOTP MFA enforced for all EHR access

Access review process

No formal review; compliance gap noted

Bi-annual automated review reports for compliance officer

About eMudhra

eMudhra is a globally trusted provider of digital trust services, offering eSignatures, PKI, Certificate Lifecycle Management, Multi-Factor Authentication, and Identity & Access Management solutions. Licensed by the Controller of Certifying Authorities (CCA), India, eMudhra serves 1000+ enterprises across 40+ countries, helping organisations build secure, compliant, and paperless digital ecosystems.

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Industry
Other Enterprises
Region
Americas
Solution
Identity and Access Management

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