How close does it come to making PCI-DSS Level 1 attainable on Heroku? What about HIPAA?
They asked us what we needed, and I responded with, "We need to be HIPAA compliant - what do we need to do to make that happen on Heroku?"
The sales rep immediately replied along the lines, "We don't do that."
He ended the call shortly after that, clearly uninterested in our money.
Since then, we started using Aptible (https://www.aptible.com)and they are AWESOME. The biggest difference for us is that they also provide the legal documentation and advice to working through HIPAA compliance. They're totally willing to go beyond just being a PaaS and really start to blend into a moderate level of legal counsel. Only downside is that their premium service entails a premium price.
Most of HIPPA compliance (from an IT perspective) is having a comprehensive security policy and documenting that you're doing certain activities with the appropriate frequency: risk analysis, security audits, auditing user accounts and privileges, security training for users, etc.
I think the biggest barrier to getting HIPPA compliance on more infrastructure providers is that infrastructure providers are engineering organizations, and HIPAA is mostly a CYA activity for lawyers (plus some easy, obvious OPSEC).
Also have had impressively short conversations with SaaS product companies after the acronym HIPAA or BAA is brought up.
- is it now possible to write a script that generates network diagrams, etc., that are sufficient for PCI-DSS Level 1?
- is the rest of Heroku's datacenter process documented so that it can be given to a QSA?
- Would it now be possible for companies like Aptible to sell their core competency/service as a Heroku add-on?
- Can add-ons be launched inside a private space?
- Can access to Heroku, git deploys, etc., add-ons be 100% protected by multi factor authentication?
The biggest thing to consider when adding another layer onto your compliant stack is how easily you can prove compliance when your customers ask. Whether it's BAAs, SSAE 16 documentation or access to HIPAA or HITRUST audits, you need your partners to be able to provide you with not only the documentation but the expertise to discern what that documentation needs. When your partner decides to build something as an add-on to a stack like `Your product > Heroku > AWS`, you need to guarantee that the middle man can either answer all of your questions or can find the person downstream who can when it's relevant. As we've needed to work with partners and considered doing add ons with compliance, this has been the #1 question we've needed to answer first. In a world where your customers should be willing to pay for compliance, the person you call on the phone with questions about what it takes to achieve compliance on their stack should be able to tell you from experience what it's like going through a HIPAA, HITRUST or PCI audit.
Most of the documentation we've provided where I work on the subject is free online: http://catalyzeio.github.io/policies. You can see through the forks that folks have used the documentation to prove compliance not only on our platform at Catalyze but also on other stacks like AWS.
Addon provider here: haven't heard anything official from Heroku on this, so this is my own personal speculation based on the current public Provider API. It seems that Heroku Postgres and Redis are available, and while they're _technically_ addons, they naturally have access to somewhat privileged APIs and architectural information that other addons do not have.
Currently, when an addon is provisioned, we're given a region identifier for the US East and EU public regions. My uninformed guess is that Private Spaces amounts to "your dynos run on servers in a private VPC." IF the Postgres and Redis integrations were "quick 'n dirty," they could very well get provisioned within the same VPC. However, it also seems plausible that AWS VPC peering can be used for other addons to provide their own Private Spaces support.
So it seems to me the question comes down to whether Heroku can (and/or _wants_ to) support VPC pairing with addons via their Provider API, so that other providers can provide their own private spaces.
There's a huge range of possible environments and combinations of add-ons available with Heroku and a huge range of available DevOps resources across companies. A small startup with no DevOps resources but a complicated Heroku app with fifteen add-ons will find their current setup vastly more cost effective than hiring someone to reproduce that setup on AWS.
People too often fail to account for human costs and just look at pricing tables to decide what's cost effective.
Furthermore, compliance is more than just doing the right thing. It's proving that you are compliant. There is immeasurable value with selecting a vendor who is audited to be HIPAA Compliant or HITRUST Certified because then the risk is offloaded to someone with credibility in the marketplace via a Business Associate Agreement. If you wanted to build your own HIPAA compliant stack on AWS, and you want to be taken as credible when trying to sell to a CIO at a hospital, then you will need to go through the procedure of becoming HITRUST Certified as well.
Otherwise you will just be nibbling at the edges and taking on all the risk while hampering your business model.
I'm pretty sure AWS has a package for HIPAA compliance that will checkmark most of the required fields outside of the application, and general settings fields. Most of the problems will come from the Application architecture. You can have a prebuilt envorionment for everything but if you're code is garbage then good luck.
Not sure how hosting in AWS is any different from hosting on Heroku, considering you're ultimately still responsible for the Application side. Does Heroku manages your logs in someway that AWS cannot?
Even with an agreement with a merchant, aren't you still responsible for your application code? Isn't that still subject to HIPAA requirements?
Also AWS is HIPAA compliant and they will do a Business Associate Agreement, and has been HITRUST certified iirc.
Healthcare is the main concern here with HIPAA but it should also apply to insurance, finance, and some industrial use cases.
I couldn't agree more
Recommended write-up: What is Heroku: getting started with PaaS development