Control Recommendations - Strengthen access controls with role-based access and multi-factor authentication - Encrypt patient data in transit and at rest using strong encryption - Establish reliable offsite backups with versioning and investigate DR options - Continuously monitor, log and analyze activity with SIEM tools - Isolate sensitive systems using network segmentation - Mandate regular security awareness training for all staff - Conduct external penetration tests and proactively remediate vulnerabilities - Establish a cybersecurity governance framework and conduct regular audits - Allocate necessary financial resources for implementation and maintenance Implementing these evidence-based controls would help optimize security and lower risks to an acceptable level over