Real-Time Clinical Data Governance Architecture: Financial Compliance-Inspired Model for HIPAA/HITECH Compliance

Abstract

This article proposes a novel cloud-native architecture for real-time clinical data governance inspired by advanced financial compliance systems. Drawing from robust financial sector frameworks such as BSA/AML, OCC, and SOX, the architecture integrates event-driven ETL pipelines, field-level encryption, and policy-as-code approaches to automate HIPAA and HITECH compliance in healthcare environments. The framework leverages serverless computing, comprehensive audit logging, and machine learning to provide continuous monitoring and enforcement capabilities while maintaining data lineage across clinical systems. By implementing defense-in-depth security strategies, role-based access control aligned with clinical workflows, and blockchain-verified audit trails, healthcare organizations can shift from retrospective to preventative compliance models. This cross-sector architectural blueprint demonstrates how financial industry governance tools can significantly reduce compliance incidents, decrease administrative overhead, enhance patient data security, and enable secure cross-institutional data sharing while maintaining regulatory compliance.