Security & compliance

Patients trust your hospital with their lives. Your hospital can trust ACOS with that trust.

Patient data is sacred. We treat it that way.

What follows is what we actually do today and what's on the roadmap — for the IT lead, the compliance officer, and the hospital owner who needs to know. We're upfront about what's operational versus what's coming, and we don't claim certifications or capabilities that aren't real yet.

Data isolation

Your hospital's data is yours alone.

One ACOS system can serve many hospitals, but each hospital is completely walled off from the others. No one at another hospital can see, search, or open your patients' records

One hospital can't see another

Built so the lines never cross

Every record belongs to one hospital, and the system checks that on every single action. A user at another hospital has no path to your data — it can't be searched, exported, or stumbled into by accident.

More than one safeguard

Protection that doesn't rely on a single check

The separation between hospitals is enforced in more than one place, so a single mistake can't expose another hospital's data.

We don't train AI on your patients

Your patient data is never used to train AI

ACOS uses AI to help with notes and clinical decisions — but your patients' information is never used to train any AI model, ours or anyone else's. The outside AI services we use are set to keep nothing once they've answered.

We can't freely look at your data

Only a few named staff, only when you ask

Only a small, named team at ACOS can reach live data, and only to fix a problem or help when you've asked us to. Every time they do, it's recorded — and you can ask to see that record.

Access control

Each person sees what they need. Nothing more.

Role-based access

Doctors see clinical data. Cashiers see billing. Pharmacists see prescriptions. Roles defined per hospital, granular to individual permissions.

Per-unit scoping

Multi-site hospitals can scope access to a specific unit or branch — staff at one location don't see records from another unless explicitly granted.

Session security

Industry-standard session controls: secure HTTP-only cookies, automatic timeout after idle, rotating session tokens. No session data exposed to client storage.

Password policy

Configurable per hospital. Minimum length and complexity rules enforced at sign-in. Failed attempts are rate-limited and logged.

Privileged action logging

Administrative actions — role changes, permission grants, user creation, data exports — are logged separately and reviewable by hospital administrators.

Offboarding controls

Disable a staff account from a single screen; active sessions terminate within minutes. The audit trail preserves their historical actions.

Anomaly detection

Unusual access patterns — a clinician viewing hundreds of records they don't normally see — surface for administrator review.

Encryption & data handling

In transit. At rest. By default.

In transit

Encrypted on every connection

All traffic to and from ACOS runs over TLS — clinician laptops, lab integrations, payment processors, partner systems. No plain-HTTP fallback, anywhere.

At rest

Encrypted at the storage layer

Database, file storage, and backups are encrypted at rest using cloud-managed encryption. Encryption keys are managed by AWS KMS and never accessible in plaintext to ACOS staff.

Hosting

AWS, with regional options

ACOS runs on AWS. Hospitals with data residency requirements can request a specific region. Hosting inherits AWS's security certifications, including HIPAA-eligible services.

Backups

Automated, encrypted, geographically separated

Database backups run automatically with point-in-time recovery for recent activity and longer-retention snapshots for compliance. Backups are encrypted and stored in a separate region.

Audit and accountability

Every change logged. Every record reviewable.

Healthcare runs on accountability. Who changed what charge. Who logged in from where. Who modified which clinical record. ACOS records this for your administrators, your compliance team, and any regulator who asks.

Write audit trail

Every create, update, and delete is logged with user, timestamp, and the change captured. Logging is built in across modules so a workaround in one corner of the app doesn't bypass it.

Authentication audit

Sign-ins, sign-outs, session timeouts, failed attempts, and password resets — recorded with user, timestamp, and source IP.

Regulator exports

Audit data is exportable in standard formats for inspection by the Ministry of Health, Ghana Health Service, or contracted compliance bodies.

Admin visibility

Hospital administrators can review recent privileged actions, sign-in patterns, and data exports from a built-in dashboard.

Patient access logs

Patients (or their authorised representatives) can request a list of every staff member who accessed their record, with timestamps.

Compliance

Where we are. Where we're going.

We're transparent about what's in place today and what's on the roadmap. We don't list certifications we don't have.

Operational

Ghana Data Protection Act (Act 843)

ACOS operates in alignment with Ghana's Data Protection Act. Patient data rights — access, correction, deletion — are supported through hospital administrators. Breach notification follows the 72-hour disclosure requirement.

Operational

HIPAA-style controls

Underlying AWS services are HIPAA-eligible. We follow HIPAA-style administrative, physical, and technical safeguards as a security baseline, even though HIPAA itself is U.S. regulation.

Operational

ICD-10 coding

ICD-10 diagnosis and procedure codes are supported across clinical documentation, including IPD discharge summaries.

Operational

HL7 v2, FHIR R4, LOINC, SNOMED CT

Deeper interoperability standards are sequenced into the integration roadmap. Available today through targeted integrations on a per-hospital basis.

Incident response

When something goes wrong, you'll be the first to know.

The honest answer to 'what happens during a security incident' is the difference between a vendor and a partner.

Detection

24/7 monitoring across infrastructure

Automated alerting on infrastructure anomalies, failed authentication patterns, and unusual data access. On-call engineer paged for incidents that meet defined severity thresholds.

Notification

72-hour direct disclosure

If an incident affects your hospital's data, you hear from us directly — by phone and in writing — within 72 hours of confirmation, in line with the Ghana Data Protection Act.

Response

Coordinated remediation with your team

We work alongside your IT lead through containment and remediation. Affected systems are taken offline if needed; restoration is logged and verified before service resumes.

Review

Post-incident review shared with you

After resolution, we share a written review of what happened, what we changed, and what we'd do differently. Sent to affected hospitals — not buried.

For procurement teams

Documentation we provide on request.

If you're working through a vendor security review, the following are available on request — typically within five business days, faster for active sales conversations.

  • Architecture overview and data flow diagram
  • Custom security questionnaire response (we fill yours in)
  • Penetration test summary (annual third-party test)
  • Sub-processor list
  • Tenant data processing agreement (DPA)
  • Encryption and key management summary
  • Access control and audit overview

We're a maturing company on a clear path: formal disaster recovery and business continuity plans and ISO 27001 certification are sequenced into our roadmap as we scale. We'd rather tell you what we have than promise what we don't. Request the security documentation pack

The ask

Have a security review to run? We'll fill it in.

Send us your questionnaire — SIG, CAIQ, custom, doesn't matter. We respond within five business days. Or book a call to walk through the specifics for your facility.