HIPAA Risk Analysis
It’s important to get a second opinion from time to time – especially how you line up with HIPAA recommended guidelines. When was the last time you had a HIPAA Risk Analysis to identify gaps in your security and compliance program?
The Office for Civil rights (OCR) can walk in your office at anytime and request an audit of covered entities and their business associates. This includes, review of your policies and procedures that meet the standards and implementation specifications of the Privacy, Security, and Breach Notification Rules.
What Are The Necessary Components Of HIPAA Risk Analysis?
According to Health and Human Services (HHS), a HIPAA Risk Analysis must be in line with the following:
- The Scope of the Analysis: Any potential risks and vulnerabilities to the privacy, availability, and integrity of the PHI, such as portable media, desktops, and networks.
- Data Collection: Locate where the data is being stored, received, maintained or transmitted.
- Identify and Document Potential Threats and Vulnerabilities: Identify and document any anticipated threats to sensitive data, and any vulnerabilities that may lead to leaking of PHI.
- Assess Current Security Measures: What kind of security measures are you taking to protect your data?
- Determine the Likelihood of Threat Occurrence: Take account of the probability of potential risks to PHI—in combination with the third item on this list, this Analysis allows for estimates on the likelihood of ePHI breaches.
- Determine the Potential Impact of Threat Occurrence: By using either qualitative or quantitative methods, assess the maximum impact of a data threat to your organization.
- Determine the Level of Risk: Take the average of the assigned likelihood and impact levels to determine the level of risk.
- Finalize Documentation: Write everything up in an organized document. Make sure that any risks that you’ve identified be documented and a separation “Action Plan” for addressing those items is included.
- Periodic Review and Updates to the Risk Analysis: It is important to conduct a risk analysis on a regular basis. The HHS says that this guidance is not intended to provide a one-size-fits-all blueprint for compliance with the risk analysis requirement. Rather, it clarifies the expectations of the department for organizations working to meet these requirements.
BlueHat Cyber will perform your HIPAA Risk Analysis for you. After completing our comprehensive analysis, we’ll review every detail of our findings with you to facilitate the process of improving your compliance.
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