Acuity Risk Management STREAM® vs Ostendio HITRUST: Side-by-Side Comparison (2026)

Acuity Risk Management STREAM®

Mid-market and enterprise security teams drowning in compliance checkbox work should seriously consider Acuity Risk Management STREAM® because it actually automates evidence collection across 50+ frameworks instead of just templating them. The platform covers 8 of 8 NIST CSF 2.0 Govern function areas, including the often-neglected supply chain risk management piece, and its continuous controls monitoring with security tool integrations means you stop running manual audit prep sprints every quarter. Skip this if your organization has zero appetite for configuration work; the no-code flexibility that makes STREAM adaptable to your specific regulatory mix requires someone to actually do that adaptation.

Ostendio HITRUST

Security and compliance teams pursuing HITRUST certification will find Ostendio HITRUST most valuable for its evidence collection and audit collaboration features, which compress months of manual prep into repeatable workflows. The platform's ability to cross-walk evidence across 150 frameworks and guarantee HITRUST audit readiness removes the grinding work of mapping controls, though that same strength exposes a real weakness: Ostendio prioritizes governance and audit readiness over continuous security monitoring, with minimal coverage in detection and response functions. Skip this if your organization needs a GRC platform that doubles as a security operations tool; Ostendio is built for compliance teams who want auditors embedded in their process, not for those seeking unified threat detection alongside their framework mapping.