HIPAA
RISK ASSESSMENT

RESULTS FOCUSED GUIDANCE

HIPAA regulations play a critical role in safeguarding sensitive patient information in the healthcare industry. HIPAA controls are designed to protect the confidentiality, integrity, and availability of electronic protected health information (ePHI) from unauthorized access, use, and disclosure. However, implementing these controls can be complex and challenging, especially for smaller healthcare organizations that may not have dedicated IT and security teams. That’s why having an experienced assessor review HIPAA controls is critical.

The healthcare industry is constantly evolving, and so are the threats to patient data. Partnering with RedLegg’s Advisory team will assist with staying up-to-date with the latest HIPAA regulations, industry standards, and emerging threats. We provide results focused guidance on not only where
the gaps are in your policies and processes, but also on implementing and maintaining effective security controls, conducting risk assessments, and developing remediation plans.

Download The HIPAA Service Sheet

 

OUR HIPAA ASSESSMENT SERVICES INCLUDE:

Our HIPAA assessment service provides organizations with the help they need to achieve compliance with HIPAA regulations and ensure they are taking the necessary steps to protect patient privacy and data security.

Risk assessment

We conduct comprehensive risk assessments to identify potential vulnerabilities and improve alignment with HIPAA requirements

Policy and procedure review

Our experts review and enhance your policies and procedures, supporting your efforts to meet HIPAA standards

Technical controls review

We assess your technical infrastructure to strengthen data security measures and safeguard patient information

Remediation plan

Our detailed remediation plans outline actionable steps to address any compliance gaps and improve overall data protection

ASSESSMENT METHODOLOGY

RedLegg's HIPAA Risk Assessment Program is structured into five key phases:

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PHASE 1:
EXAMINE
PHASE 2:
INTERVIEW
PHASE 3:
CLARIFY
PHASE 4:
DELIVER REPORTS
PHASE 5:
DEBRIEF

PHASE 1:
EXAMINE

In this phase, RedLegg examines relevant documentation and policies to determine the maturity level of the HIPAA framework already in place within the organization. The assessment team will review the organization's procedures, security measures, and protocols related to HIPAA compliance. This examination helps establish a baseline understanding of the organization's current state of compliance and identifies any existing gaps or areas that require improvement.

PHASE 2:
INTERVIEW

During this phase, RedLegg conducts interviews with key stakeholders within the organization. These stakeholders may include executives, department heads, IT personnel, and other staff members involved in handling protected health information (PHI). The purpose of these interviews is to gain insights into the organization's practices, identify potential challenges related to HIPAA compliance, and gather additional information that may not be evident from the documentation alone.

PHASE 3:
CLARIFY

After completing the examination and interviews, RedLegg moves to the clarification phase. Here, they seek to resolve any ambiguities or discrepancies found in the documentation or interview responses. This phase involves seeking additional information, asking follow-up questions, and validating details to ensure a comprehensive and accurate understanding of the organization's HIPAA compliance status.

PHASE 4:
DELIVER REPORTS

In the final phase, RedLegg compiles the assessment findings into a detailed report. This report typically includes an executive summary, assessment findings, remediation recommendations, and a roadmap for enhancing the organization's HIPAA compliance beyond the current framework. The report may also highlight areas where the organization is performing well and provide actionable steps to address any identified non-compliance issues.

PHASE 5:
DEBRIEF

Following the completion of the report, RedLegg conducts a debriefing meeting with the organization's stakeholders. During this meeting, they present the assessment findings, discuss the recommendations, and collaborate with the organization to determine the necessary changes or improvements to be made. The debriefing phase aims to ensure that the organization fully understands the assessment results and can take appropriate actions to enhance their HIPAA compliance and data security practices.

  • PHASE 1:
    EXAMINE

    • PHASE 1:
    EXAMINE

    In this phase, RedLegg examines relevant documentation and policies to determine the maturity level of the HIPAA framework already in place within the organization. The assessment team will review the organization's procedures, security measures, and protocols related to HIPAA compliance. This examination helps establish a baseline understanding of the organization's current state of compliance and identifies any existing gaps or areas that require improvement.

  • PHASE 2:
    INTERVIEW

    • PHASE 2:
    INTERVIEW

    During this phase, RedLegg conducts interviews with key stakeholders within the organization. These stakeholders may include executives, department heads, IT personnel, and other staff members involved in handling protected health information (PHI). The purpose of these interviews is to gain insights into the organization's practices, identify potential challenges related to HIPAA compliance, and gather additional information that may not be evident from the documentation alone.

  • PHASE 3:
    CLARIFY

    • PHASE 3:
    CLARIFY

    After completing the examination and interviews, RedLegg moves to the clarification phase. Here, they seek to resolve any ambiguities or discrepancies found in the documentation or interview responses. This phase involves seeking additional information, asking follow-up questions, and validating details to ensure a comprehensive and accurate understanding of the organization's HIPAA compliance status.

  • PHASE 4:
    DELIVER REPORTS

    • PHASE 4:
    DELIVER REPORTS

    In the final phase, RedLegg compiles the assessment findings into a detailed report. This report typically includes an executive summary, assessment findings, remediation recommendations, and a roadmap for enhancing the organization's HIPAA compliance beyond the current framework. The report may also highlight areas where the organization is performing well and provide actionable steps to address any identified non-compliance issues.

  • PHASE 5:
    DEBRIEF

    • PHASE 5:
    DEBRIEF

    Following the completion of the report, RedLegg conducts a debriefing meeting with the organization's stakeholders. During this meeting, they present the assessment findings, discuss the recommendations, and collaborate with the organization to determine the necessary changes or improvements to be made. The debriefing phase aims to ensure that the organization fully understands the assessment results and can take appropriate actions to enhance their HIPAA compliance and data security practices.

REPORTING & DELIVERABLES

By providing these deliverables, RedLegg aims to equip the organization with a comprehensive understanding of its HIPAA compliance status, actionable recommendations for improvement, and a clear roadmap to enhance data security and patient privacy practices.

  • Executive Summary
  • Assessment Findings
  • Remediation Recommendations
  • Remediation Roadmap

Executive Summary

A concise overview of the assessment's key findings, highlighting the organization's overall HIPAA compliance status and its performance in critical areas.

Assessment Findings

A detailed breakdown of the organization's compliance with specific HIPAA requirements and any identified non-compliance issues.

Remediation Recommendations

Concrete suggestions and action items for addressing non-compliance issues and enhancing the organization's HIPAA compliance program.

Remediation Roadmap

A step-by-step plan outlining the recommended actions and timeline for implementing the remediation measures.

  • Executive Summary

    • A concise overview of the assessment's key findings, highlighting the organization's overall HIPAA compliance status and its performance in critical areas.

  • Assessment Findings
    • A detailed breakdown of the organization's compliance with specific HIPAA requirements and any identified non-compliance issues.
  • Remediation Recommendations

    • Concrete suggestions and action items for addressing non-compliance issues and enhancing the organization's HIPAA compliance program.

  • Remediation Roadmap

    • A step-by-step plan outlining the recommended actions and timeline for implementing the remediation measures.

YOUR ADVISOR WILL HAVE...

  

Over 10 years of advisory experience and up-to-date knowledge of the information security landscape

Diverse consulting and management experience in a variety of corporate environments, including Fortune 100 enterprises

Successful planning and solutions rapid deployment experience on a national and international scale

Experience with technical architecture, system, and application platform standardization

Experience with addressing cultural, technical, and compliance challenges as a result of national and international mergers and acquisitions

Audit and compliance expertise as an assessor, trusted security advisor, and compliance manager

Experience with managing large organizations and project-based teams of full-time employees and consultants

GET GUIDANCE.

Make sure your company taking the necessary steps to protect patient privacy and data security.

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