Beyond the Logs: The Operational Standard of Care

In the wake of a data breach or ransomware event, the difference between an unavoidable accident and operational negligence is often found in the gap between Policy and Practice.


Nathan Keeter is a 30-year veteran of Healthcare IT and Critical Infrastructure Security. He provides objective, forensic analysis to determine if the Standard of Care was met. While most experts look only at the code, Mr. Keeter analyzes the governance, the architecture, and the operational culture that allowed the failure to occur.

⚖️ Standard of Care Analysis

Evaluating adherence to HIPAA, HITECH, and NIST frameworks relative to organization size and resources.

🔎 Forensic Causation

Investigation of specific architectural failures, "Shadow IT" vectors, and unpatched vulnerabilities that led to data exfiltration or downtime.

🏛️ Executive Governance

Assessment of Board-level fiduciary oversight and whether Information Security leadership was empowered or suppressed.

🏥 Clinical-Cyber Impact

Analysis of how IT failures impacted clinical operations and patient safety, bridging the divide between the server room and the bedside.

🔒 Data Loss Prevention (DLP)

Technical evaluation of controls regarding PHI (Protected Health Information) and Intellectual Property theft.

The Unfair Advantage

The Unified Secure IT Methodology

Negligence is often hidden in the "Lag Layer"—the friction between IT Operations, Security, and Clinical demands.

As the architect of the Unified Secure IT (USIT) Framework, Nathan Keeter utilizes a proprietary methodology to audit the alignment of these pillars. He does not just identify what happened; he identifies why the organization’s structure failed to prevent it.

Qualifications

30-Year Veteran of Healthcare IT. Doctoral Candidate in Information Assurance.

CCISO
CISSP
CISM
CHFI
CCDP / CCNP
Director of Information Security, L.A. Care Health Plan Built the security department for the nation’s largest publicly operated health plan ($9B+ Revenue).
Manager, Security Engineering, City of Hope Managed forensics and threat intelligence for a world-renowned cancer research center.
Manager, IT Infrastructure, Maersk / Performance Team Managed critical logistics infrastructure during the global supply chain crisis.

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