At the r2 level, organizations often operate across multiple facilities, requiring consistent physical security management at scale. Candidates must understand that HITRUST expects evidence of standardized procedures for access control, surveillance, visitor management, and environmental safeguards across all locations. Policies must define how physical controls are monitored, maintained, and verified for effectiveness. Evidence includes site inspection reports, visitor logs, and centralized tracking of key or badge access events.

In practice, multi-site environments require uniform standards and local accountability. For exam readiness, candidates should understand how governance frameworks synchronize physical controls through automation and periodic review cycles. HITRUST assessors evaluate whether security measures are equally enforced regardless of geography or size. Demonstrating this consistency confirms that physical protection is embedded in enterprise operations, ensuring that data centers, offices, and third-party sites collectively maintain the same level of compliance and assurance integrity.
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