A key part of the Security Rule is the requirement to conduct a Risk Assessment — a process that helps identify where your organization might be vulnerable.
What’s a Risk Assessment?
It’s a systematic review of:
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Where ePHI is stored or transmitted
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Who has access to it
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What security measures are in place
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What could go wrong (risks)
Common Risk Areas:
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Weak passwords
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Unencrypted emails or backups
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Old devices that store PHI
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Untrained staff
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Shared login credentials
What Happens After the Assessment?
You create a Risk Management Plan to fix issues. This could include:
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Updating passwords
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Limiting user access
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Encrypting portable devices
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Offering refresher training to staff
Even a small practice is responsible for doing this annually (or sooner if a major change occurs). It’s not just a checkbox. It’s your roadmap to preventing HIPAA violations.