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Healthcare Assessments (HIPAA)

CYBERSECURITY

Protect Patient Data and Ensure HIPAA Compliance

What is a Healthcare Assessment?

A healthcare assessment is a specialized evaluation of a healthcare organization’s security and privacy controls. Its primary goal is to ensure the protection of sensitive patient data and verify compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other relevant regulations. For hospitals, clinics, insurers, and business associates, these assessments are required. They are essential for operating legally and ethically. A thorough assessment identifies gaps in your administrative, physical, and technical safeguards, helping you prevent data breaches before they occur.

Why You Need a Healthcare Assessment

The healthcare sector is a top target for cybercriminals due to the high value of medical records. A proactive assessment protects your organization from financial penalties and reputational ruin.

  • Ensure Regulatory Compliance: Avoid severe fines and legal action by verifying adherence to the HIPAA Privacy and Security Rules.
  • Protect Patient Trust: Demonstrate to your patients that you value their privacy and are taking active steps to secure their most personal information.
  • Secure Sensitive Data: Identify vulnerabilities in your Electronic Health Records (EHR) systems and networks that could lead to ransomware attacks or data theft.
  • Qualify for Incentive Programs: Meet the security requirements necessary to participate in various federal healthcare incentive programs (like MIPS).

Contact Us

Services Overview

HIPAA Security Risk Analysis (SRA)

Conduct a thorough assessment of potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic PHI.

HITRUST Gap Analysis

Assess your readiness for HITRUST certification if you’re aiming for the highest standard of security.

HIPAA Privacy & Breach Notification Assessments

Review your policies and procedures to ensure you are handling patient information correctly and have a compliant plan for responding to data breaches.

Medical Device Security Reviews

Evaluate the security of connected medical devices (IoMT) to prevent them from becoming entry points for attackers.

The Assessment Process

The healthcare assessment process is designed to be thorough yet minimally invasive to your clinical operations – because the most effective controls are the ones that you and your staff will implement. As regulations evolve, PBMares can work with your healthcare organization to stay current on HIPAA changes and new cyber threats.

  1. Discovery & Scoping: Inventory your systems, data flows, and assets to understand exactly where PHI lives and moves within your organization.
  2. Gap Analysis: Compare your current controls against HIPAA standards and industry best practices to identify areas of non-compliance.
  3. Risk Determination: Analyze identified vulnerabilities to determine their likelihood and potential impact on your organization and patients.
  4. Reporting & Remediation: Receive a detailed report of findings along with a prioritized corrective action plan to help you fix issues efficiently.
HITRUST Assessments Differences graphic

THE PATH TO CERTIFICATION

What are the key differences in HITRUST Readiness Assessments?

As a global authoritative framework, HITRUST CSF is the foundation for healthcare data security. Achieving HITRUST certification demonstrates to your patients, partners, and regulators that your commitment to protecting health information is unwavering.

With HITRUST readiness assessments, you gain:

  • An in-depth analysis of your current security posture against HITRUST CSF requirements.
  • A roadmap tailored to your organization’s size and complexity.
  • Strategic guidance for addressing gaps and aligning with HITRUST’s prescriptive controls.
  • Support throughout the entire HITRUST certification process, from self-assessment to validated assessment (e1, i1, and r2).

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Meet the Team

Antonina McAvoy

CISA, CISM, QSA, PCIP
Partner, Risk Advisory Services
Norfolk

Jon-Michael “Jonny” Rosch

CPA
Partner, Healthcare Team Leader
Fairfax

Reid Peterson

CPA
Senior Manager
Norfolk