Continuous Monitoring of Third-Party Risk: Best Practices for Healthcare Organizations to Stay Ahead of Emerging Threats

Healthcare organizations today rely heavily on many third-party vendors—from billing companies and electronic health record (EHR) providers to front-office automation services like Simbo AI, which automates phone answering to improve patient engagement. While these partnerships increase efficiency, they also bring concerns:

  • Sensitive Data Exposure: About 62% of data breaches involve third-party vendors, according to the Verizon Data Breach Investigations Report. Vendors often access Protected Health Information (PHI), Personally Identifiable Information (PII), and other sensitive data, which raises risk levels.
  • Complex Vendor Ecosystems: Healthcare organizations typically share confidential data with hundreds of vendors. Many vendors have subcontractors, which introduces fourth-party risks that are sometimes overlooked.
  • Regulatory Pressure: Compliance standards such as HIPAA, HITRUST, and emerging frameworks like HIPAA Security 2.0 require strict vendor oversight. Failure to comply can result in fines and damage to reputation.
  • Operational Disruptions: Vendor-related service failures or cyber incidents can directly affect patient care, causing delays, lost records, or compromised medical devices.

Given these factors, healthcare organizations need to move from periodic audits or one-time assessments to a continuous, proactive approach to vendor risk management.

Common Risks Associated with Third-Party Vendors

Third-party vendors expose healthcare organizations to various risk types. Administrators and IT managers must understand these to manage them properly:

  • Cybersecurity Risks: Attacks such as data breaches, ransomware, and malware often come through third-party access points. For example, the 2023 MOVEit breach affected over 2,500 organizations and exposed data for 62 million people.
  • Compliance Risks: Vendors must follow healthcare privacy regulations. Failure to meet HIPAA or HITRUST standards can expose health systems to legal penalties.
  • Reputational Risks: Breaches caused by vendors can erode patient trust and public confidence, affecting long-term prospects.
  • Financial Risks: Costs related to breach responses, legal fees, or downtime can reach millions. On average, third-party breaches cost organizations about $7.5 million.
  • Operational Risks: Vendor outages can disrupt clinical workflows, appointment scheduling, and billing.
  • Strategic Risks: Misaligned goals between organizations and vendors, especially those offering AI or cloud services, can lead to data handling and access control issues.

Addressing these risks requires ongoing identification, assessment, and mitigation efforts.

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Key Steps for Continuous Monitoring of Third-Party Risk

To improve vendor security through continuous monitoring, healthcare organizations should set up a clear process with these practices:

1. Develop a Comprehensive Vendor Inventory

Keep an accurate, updated list of all third-party vendors. This should include:

  • Vendor type and service scope
  • Access privileges granted
  • Data shared or processed by the vendor
  • Vendor risk tier based on criticality and sensitivity

Because organizations often interact with hundreds of vendors, including those with subcontractors, visibility into the full ecosystem helps tailor monitoring intensity effectively.

2. Classify Vendors by Risk and Criticality

Not all vendors carry the same risk. Organizations should score vendors based on:

  • Access to PHI or other sensitive data
  • Operational importance (e.g., patient scheduling vs. office supplies)
  • Vendor cybersecurity maturity and previous incident history
  • Regulatory compliance status
  • Other aspects like business continuity planning and financial stability

This risk-based tiering helps focus resources on high-impact vendors.

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3. Conduct Thorough Initial Risk Assessments

Before onboarding, vendors should be carefully evaluated through:

  • Security questionnaires aligned with standards such as CAIQ or SIG
  • Verification of certifications like SOC 2 or ISO 27001
  • Vulnerability scans to check for weaknesses
  • Review of incident response and disaster recovery plans

This establishes a baseline for ongoing monitoring.

4. Implement Automated Continuous Monitoring Tools

Modern monitoring platforms let organizations track vendor cybersecurity in real time. These tools detect issues like:

  • Unpatched software or weak authentication
  • Changes in compliance status
  • Signs of breaches or intrusion attempts
  • Financial instability or operational problems

Unlike annual audits that provide a snapshot, automated tools offer ongoing visibility and fast alerts, allowing for early responses.

5. Define and Track Key Risk Indicators (KRIs)

Monitoring relevant metrics helps track vendor reliability and trends. Useful indicators include:

  • Percentage of vendors lacking current risk assessments
  • Compliance rates with required standards
  • Response times to detected vulnerabilities
  • Number and severity of unresolved issues
  • Frequency and effectiveness of patching
  • Reviews of access controls and account removals

Regular review of KRIs enables timely adjustments to risk strategies.

6. Foster Transparent Communication with Vendors

Clear communication encourages prompt reporting of security incidents and collaborative risk reduction. This helps ensure vendors follow contract requirements and respond quickly to monitoring alerts.

7. Establish Incident Response and Vendor Exit Plans

Organizations should plan steps to limit exposure when vendors fail or are compromised, such as:

  • Immediate revocation of access to systems and data
  • Retrieval or securing of hardware or equipment
  • Secure deletion or transfer of data
  • Documentation of procedures to satisfy compliance audits

Proper offboarding reduces lingering vulnerabilities.

AI-Driven Risk Insights and Workflow Automation: Enhancing Third-Party Risk Management

Artificial intelligence and automation add capabilities to vendor risk management programs. They support scaling efforts, quicker detection, and more precise decision-making.

AI-Powered Continuous Monitoring: Machine learning can analyze large amounts of vendor data—including security reports, patch statuses, access logs, and threat feeds—to spot anomalies or threats faster than manual reviews. Real-time risk scores help prioritize vendors that need attention.

Automated Risk Assessments and Reporting: AI platforms create risk profiles and compliance reports automatically, lowering administrative tasks on often understaffed IT teams.

Integration with Security Frameworks: AI tools can connect with internal Security Information and Event Management (SIEM) and Governance, Risk, and Compliance (GRC) systems. This centralizes vendor risk data within broader security operations, improving response capabilities.

Workflow Automation for Vendor Risk Operations: Automated workflows simplify onboarding and ongoing assessments, helping organizations manage growing vendor networks. Platforms like Censinet RiskOps reduce time and resource demands on staff.

Proactive Threat Intelligence Sharing: AI platforms often include threat intelligence from global sources. This provides early warnings about vulnerabilities that could affect vendor software or services, enabling prompt patches or other responses.

Services such as Simbo AI’s phone automation benefit from these risk management processes by maintaining security standards and regulatory compliance consistently.

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The Impact of Regulatory Changes on Third-Party Monitoring in Healthcare

Recent updates to regulations in the US highlight the need for continuous oversight of vendor risks:

  • HIPAA Security 2.0: Requires more thorough assessments and ongoing monitoring to address modern cybersecurity threats.
  • HITRUST Certification: Increasingly adopted to verify vendor security and compliance rigor.
  • State-Level Regulations: States such as California and New York have added data privacy and breach notification laws that affect third-party relationships.
  • Federal Oversight: Agencies like the Office for Civil Rights (OCR) require proof of due diligence in managing vendor risks to protect patient privacy.

Providers must have vendor programs capable of producing audit-ready evidence of continuous monitoring. Automated and AI-powered tools that track compliance in real time are important.

Addressing Staffing and Resource Constraints in Vendor Risk Management

Healthcare administrators and IT managers often face limits on staff and expertise to manage large numbers of vendors dynamically. Continuous monitoring platforms with AI and automation lower manual work such as questionnaire distribution, risk scoring, and reporting.

Centralized dashboards provide risk visualization, helping small teams manage complex third-party ecosystems. Moving from reactive to preventive security helps reduce downtime and breaches, which benefits patient care.

Strategic Importance of Vendor Tiering and Focused Monitoring

Not all third-party risks are equal. Smaller vendors can pose high risks as criminals often target them to access larger systems. Best practices for 2025 recommend:

  • Using AI analytics to tier vendors based on actual risk instead of size or contract value.
  • Prioritizing continuous monitoring and response planning for vendors handling PHI or critical operations.
  • Creating cross-functional committees—including IT, legal, procurement, and compliance—to oversee vendor risk strategy.

A risk-based approach helps healthcare organizations maintain compliance, reduce financial exposure, and protect patients.

Case Examples and Industry Perspectives

  • Baptist Health: Aaron Miri, Chief Digital Officer, explains how integrated platforms like Censinet RiskOps automate and coordinate IT risk efforts across multiple vendors.
  • Intermountain Health: CISO Erik Decker values portfolio risk management and benchmarking that clarify cybersecurity investments and vendor exposure.
  • H3PT Council: Healthcare leaders from organizations including AdventHealth and CVS stress the importance of raising vendor security standards amid new regulations like HIPAA Security 2.0.

These examples show how better visibility and frameworks improve vendor management and operational resilience.

Healthcare providers, administrators, and IT managers should recognize that third-party risks are dynamic. Continuous, AI-supported monitoring provides better protection against evolving cyber threats. Efficient workflows, clear risk metrics, compliance tracking, and real-time incident response are essential to safeguarding patient data and maintaining healthcare services.

Frequently Asked Questions

What is third-party security?

Third-party security refers to the measures organizations use to ensure that vendors and service providers maintain adequate security to protect sensitive data and IT systems, minimizing risks posed by external entities.

What types of risks are associated with third-party vendors?

Common risks include cybersecurity risk (data breaches), compliance risk (regulatory violations), reputational risk (damage by association), financial risk (loss from vendor failures), operational risk (service disruptions), and strategic risk (misaligned goals).

How can organizations assess third-party risk?

Organizations can conduct risk assessments using questionnaires or due diligence processes to evaluate vendors’ cybersecurity practices, compliance with regulations, and potential risks associated with their services.

What is the significance of a third-party risk assessment?

A third-party risk assessment helps understand, quantify, and mitigate risks posed by vendors, ensuring informed decisions about partnerships and compliance with industry regulations.

How should organizations determine acceptable levels of third-party risk?

Acceptable levels of third-party risk depend on the organization’s strategic goals, regulatory environment, and financial capacity, with input from various stakeholders across the organization.

What is the role of fourth-party risks?

Fourth-party risks arise from subcontractors utilized by third-party vendors, which can also pose significant risks. Organizations should investigate how their vendors manage these relationships.

Why is continuous monitoring of third-party risk important?

Continuous monitoring ensures that organizations maintain an updated risk profile, allowing them to respond to any changes in vendors’ security postures or new emerging threats.

What are some key metrics for measuring third-party risk management success?

Key metrics include the number of vendors without current risk assessments, pass rates for security questionnaires, compliance issues, incident response times, and overall risk mitigation effectiveness.

What should be included in a vendor exit strategy?

A vendor exit strategy should outline procedures for removing access to IT resources, deauthorizing accounts, retrieving equipment, and ensuring that any data handled by the vendor is disposed of properly.

How can organizations reinforce vendor security?

Organizations can enhance vendor security by requiring minimum security standards in contracts, conducting regular audits, and ensuring vendors have effective incident response and disaster recovery plans.