HIPAA Security Risk Assessment Services
Protect Patient Data. Strengthen Security. Support Compliance.
A HIPAA Security Risk Assessment (SRA) is more than a compliance exercise; it serves as the foundation of an effective cybersecurity and risk management program. Deer Brook helps organizations identify risks to electronic protected health information (ePHI), evaluate existing safeguards, and prioritize practical improvements that reduce risk while supporting compliance and operational objectives. We support hospitals, Federally Qualified Health Centers (FQHCs), Community Health Centers (CHCs), physician practices, healthcare business associates, and other organizations subject to the HIPAA Security Rule.
HIPAA Security Rule Requirement
The HIPAA Security Rule (45 CFR Part 164, Subpart C), including the Risk Analysis requirement at §164.308(a)(1)(ii)(A), requires covered entities and business associates to conduct an accurate and thorough assessment of the potential risks and vulnerabilities to electronic protected health information (ePHI).
45 CFR §164.308(a)(1)(ii)(A) – Risk Analysis: Conduct an accurate and thorough assessment of the potential risks and vulnerabilities to the confidentiality, integrity, and availability of electronic protected health information.
Our assessments are designed to help organizations address these requirements while gaining meaningful insight into cybersecurity, compliance, and operational risk.
Deer Brook Professionals
Deer Brook helps organizations identify risks to electronic protected health information (ePHI), evaluate safeguards, and prioritize practical improvements that reduce risk, support compliance, and strengthen cybersecurity programs.
Our experience working alongside executive leadership, compliance professionals, clinical application teams, and information technology staff helps us provide recommendations that support security, operations, and patient care objectives.
Our team provides:
- Healthcare-focused cybersecurity and compliance expertise
- Practical, risk-based recommendations tailored to organizational priorities and available resources
- Clear reporting designed for leadership, compliance, and technical teams
- A collaborative process focused on knowledge transfer and continuous improvement
- Experience supporting organizations of varying size, complexity, and maturity
Assessment Scope
Our assessments evaluate the administrative, technical, and physical safeguards used to protect electronic protected health information (ePHI).
Administrative Safeguards
Assessment of organizational policies, procedures, workforce security, governance, training, and risk management practices.
- Policies & Procedures
- Workforce Security
- Governance & Oversight
- Training & Awareness
- Risk Management
Technical Safeguards
Assessment of access controls, authentication, monitoring, vulnerability management, and data protection controls.
- Access Controls
- Authentication
- System Security & Monitoring
- Vulnerability Management
- Data Protection
Physical Safeguards
Assessment of facility security, workstation protections, devices, media, and physical access controls.
- Facility Security
- Workstation Protections
- Devices & Media
- Physical Access Controls
- Onsite Observations (When Applicable)
Our Approach
1
Prepare
2
Interviews & Review
3
Risk Analysis
4
Reporting
Scope & Planning
Documentation & Controls
Risk Identification & Rating
Findings & Recommendations
Beyond the Assessment
Many organizations use the HIPAA Security Risk Assessment as the foundation of a broader cybersecurity and compliance program.
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Ready to Get Started?
Whether your organization is conducting an annual HIPAA Security Risk Assessment, preparing for an audit, responding to regulatory requirements, or seeking to strengthen its cybersecurity program, Deer Brook can help.
Contact our team to discuss your HIPAA Security Risk Assessment needs and learn how Deer Brook can support your organization's cybersecurity and compliance objectives.