AccessPulse

AccessPulse is a web app (with optional lightweight desktop agent) that continuously monitors and validates user access to EHRs and other PHI systems. It focuses on a common, ugly reality in hospitals: stale accounts, shared logins, role creep, and vendor access that never gets shut off. The app connects to identity providers (Azure AD/Entra ID, Okta) and pulls audit/access logs from key systems, then flags anomalies like off-shift chart access, excessive patient record lookups, and privileged accounts used from new locations. It also runs periodic “access attestations” where managers must confirm who still needs access, with automated reminders and escalation. This is a combination traditional + AI app: traditional rules for baseline compliance plus AI to prioritize alerts and reduce noise. It won’t replace a full SIEM; it’s a focused, practical layer for access governance in healthcare.