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RURAL HEALTHCARE · UNITED STATES

Identity security sized for rural hospitals and clinics.

Critical access hospitals, rural health clinics and community health centers run the same clinical systems as large health systems, with a fraction of the IT staff. Cross Identity gives them one platform to control who can access what, meet HIPAA access requirements and satisfy cyber insurers, without adding headcount.

Book a call Buy through a public sector contract

What a rural facility gets

One sign-in with multi-factor authentication for clinical and business applications
Access created on day one, changed on transfer and removed on the last day, automatically
Time-limited, recorded access for IT admins and outside vendors
Audit reports ready for HIPAA reviews and cyber insurance questionnaires
$6.64M
Average cost of a healthcare data breach, the highest of any industry for 13 years running.
IBM Cost of a Data Breach Report 2026
$50B
Rural Health Transformation Program funding to states, fiscal years 2026 to 2030. Enhancing cybersecurity is a permitted use.
CMS Rural Health Transformation Program
25 beds
The inpatient limit for a critical access hospital. A small facility still carries the full HIPAA Security Rule.
CMS Conditions of Participation
THE RURAL REALITY

Big-hospital risk. Small-hospital resources.

Attackers do not size their targets by bed count. A rural hospital may be the only emergency department for miles, which makes downtime a patient safety problem.

1

One or two people run IT

Every account is created, changed and removed by hand, across dozens of systems, alongside everything else IT has to do.

2

Short assignments, lasting access

Travel nurses, locum physicians and students rotate through on short contracts. Their access often outlives the assignment.

3

Shared workstations

Nurse stations and clinic front desks run on shared logins, which breaks the HIPAA requirement for unique user identification.

4

Vendors with standing access

EHR, imaging and billing vendors connect remotely with administrator rights that stay open between support calls.

5

Cyber insurance renewals

Underwriters ask for multi-factor authentication on remote, email and privileged access. Gaps mean higher premiums or declined coverage.

6

Stolen credentials

Many healthcare breaches start with a valid username and password. Without identity controls, one stolen login can reach the EHR.

WHAT CROSS IDENTITY DOES

One platform for every identity in the building.

Access management, identity governance and privileged access run as one system with one audit trail. A one-person IT team manages it from a single console.

Single sign-on and MFA

Clinicians sign in once to reach the applications their role needs, with a second factor where the risk calls for it. Fewer passwords, fewer help desk calls.

Joiner, mover, leaver automation

Access follows the HR record. New staff are ready on day one, transfers pick up the right access, and departing staff lose access on their last day.

Privileged and vendor access

Administrator and vendor sessions are approved, time-limited and recorded, so no one holds standing access to critical systems.

Access reviews and audit reports

Managers confirm who should keep access on a regular schedule. Reports for HIPAA reviews and insurer questionnaires come from one audit trail.

Identity risk alerts

Unusual sign-ins are flagged and can trigger a step-up check or a blocked session. Included with any Cross Identity platform module. Check with Cross Identity for current promotions.

WORKS WITH WHAT YOU RUN

No application left out.

Cross Identity's connector factory builds connectors to the applications a facility uses: cloud and on-premise EHRs, practice management, billing, lab, pharmacy, HR and Microsoft 365. New connectors do not depend on the application vendor offering an API. Bring the application list to the first call and Cross Identity scopes the connectors.

HIPAA AND BEYOND

The access controls auditors and insurers ask about.

A proposed update to the HIPAA Security Rule would make multi-factor authentication and one-hour access removal explicit requirements. The rule is still proposed, not final. Facilities that put these controls in place now reduce risk today and avoid a rushed deadline later.

REQUIREMENT
HOW CROSS IDENTITY SUPPORTS IT
Unique user identification
HIPAA §164.312(a)(2)(i)
Individual accounts for every user, including shared workstations, so every action traces to a person.
Emergency access procedure
HIPAA §164.312(a)(2)(ii)
Controlled break-glass access, logged and reviewed after use.
Automatic logoff
HIPAA §164.312(a)(2)(iii)
Session timeout policies across connected applications.
Audit controls
HIPAA §164.312(b)
One identity-linked audit trail across access, governance and privileged activity.
Person or entity authentication
HIPAA §164.312(d)
Multi-factor and risk-based authentication.
Termination procedures
HIPAA §164.308(a)(3)(ii)(C)
Access removed automatically when HR records a departure.
Two-factor for e-prescribing
DEA, 21 CFR Part 1311
Two-factor authentication for prescribers of controlled substances.
FUNDING

Rural Health Transformation Program

$50 billion to states over fiscal years 2026 to 2030. The law lists information technology advances among the permitted uses and names enhancing cybersecurity among them.

1
Each state runs its own plan
Awards go to states, which decide how funds reach hospitals and clinics. Ask the state rural health transformation office how cybersecurity projects are funded.
2
Scope the project
We start with a call to understand your issues. From there, Cross Identity provides the scope, timeline and pricing a funding request needs.
3
Buy through a contract
Public facilities can purchase through the cooperative contracts below, which keeps procurement simple once funds are approved.
HOW TO BUY

Buy through a cooperative contract.

Cross Identity is available through TD SYNNEX Public Sector on these state and local contracts. County, district and other public hospitals can use them in place of their own formal bid, subject to their procurement rules. Private rural hospitals and clinics buy through any authorized TD SYNNEX reseller.

Equalis Group Contract R10-1173F NCPA Contract 01-170 OMNIA Partners Contract R250307 PEPPM Catalog Contract 542242-001 Sourcewell Contract 020624-SYN Sourcewell Contract 030425-SYN

Contract details, terms and authorized resellers: TD SYNNEX Public Sector contract vehicles

GETTING STARTED

Two steps to get started.

STEP 1

Start with a call

We ask about your current accounts, shared logins and vendor access to understand the issues. Then we work out what the solution would be.

STEP 2

Scope and funding

Connectors, pricing and the details a budget request or state funding application needs.

Start with a conversation.

Resellers serving rural healthcare: Cross Identity supports partners with enablement, pricing and introductions to TD SYNNEX contract onboarding.

Iana Davis
Director, Americas (Business Development), Cross Identity
iana.davis@crossidentity.com partnersupport@crossidentity.com
+1 888-208-5076
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