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Cybersecurity

HIPAA security risk analysis

The HIPAA Security Rule expects covered entities and business associates to conduct an accurate and thorough assessment of risks to electronic protected health information. We provide the technical analysis, so your compliance and legal teams can rely on it.

The problem this service solves

Regulators repeatedly cite the same failure: no risk analysis, or an outdated one that did not cover all systems holding ePHI. Many organizations do not know every system that contains it: email, shared drives, backups, a vendor portal, a developer’s test database.

We trace where ePHI lives and moves, assess the safeguards around those systems and document risks and mitigation plans. The analysis is a record your team maintains, not a one-time report.

What is in scope

  • ePHI inventory

    Systems, applications, devices, vendors and data flows that create, receive, maintain or transmit ePHI.

  • Threat and vulnerability identification

    Realistic threats to each system and known weaknesses.

  • Technical safeguards

    Access control, audit controls, integrity, authentication and transmission security.

  • Administrative support

    Review the technical side of workforce access, contingency planning and incident response.

  • Business associates

    Technical review of vendors that handle ePHI and the evidence you hold for them.

  • Risk register and plan

    Risk ratings with owners, dates and mitigations.

How the work runs

Inventory

Find ePHI.

  1. 1

    Scoping and discovery

    Interviews, architecture review and data flow mapping.

Analyze

Rate the risk.

  1. 2

    Safeguard assessment

    Evaluate technical safeguards in place.

  2. 3

    Risk rating

    Combine likelihood and impact with a documented method.

Plan

Act.

  1. 4

    Remediation plan

    Prioritize mitigations with owners.

  2. 5

    Maintenance

    Define when the analysis must be updated.

What you receive

  • ePHI system inventory and data flow maps
  • Risk register
  • Technical safeguard assessment
  • Remediation plan with owners
  • Update triggers and schedule

Tooling and technique

Method references

  • NIST SP 800-30
  • NIST SP 800-66 Rev 2
  • HHS Security Risk Assessment Tool (as a reference)

Technical review

  • Cloud configuration review
  • Vulnerability scanning
  • Penetration testing

Tool categories describe how we work. They are not a claim of vendor partnership or certification.

Standards we map to

Frameworks and references

  • HIPAA Security Rule
  • NIST SP 800-66 Rev 2
  • NIST SP 800-30 Rev 1
  • HHS OCR guidance on risk analysis

Mapping findings to a framework is not the same as certification against it.

Before we start

What we need from you

  • A privacy or compliance lead
  • List of systems and vendors that touch patient data
  • Prior assessments, if any

What this service is not

  • Legal advice or compliance certification
  • Breach notification decisions

What changes afterwards

  • An accurate view of where ePHI is and how it is protected
  • A risk register that drives action
  • Evidence that a risk analysis was performed and is maintained

Questions people ask

Is there a HIPAA certification?

There is no official HIPAA certification. Compliance is your organization’s responsibility, and the Office for Civil Rights enforces it.

Is the Security Rule changing?

HHS published a proposed rule in January 2025 that would add requirements. Reporting indicates it had not been finalized as of this page’s last review. We recommend confirming current status with counsel.

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