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HIPAA SECURITY RULE COMPLIANCE

HIPAA Security Risk Assessment.

A self-service HIPAA risk assessment mapped to the Security Rule. Answer the questions, get a PDF report from assessments@ztekcyber.com, and a Z Cyber security advisor will walk it through with you.

HOW IT WORKS

  1. 01

    Take the assessment

    Twelve yes / partial / no questions across all four HIPAA Security Rule safeguard families. About 5 minutes.

  2. 02

    Email the report to yourself

    Enter your details. The PDF lands in your inbox in about 30 seconds, mapped to the Security Rule with per-family scoring.

  3. 03

    Walkthrough with a Z Cyber advisor

    Within one business day. We translate the report into a prioritized remediation plan and a defensible risk analysis.

HIPAA SECURITY RULE

Take the assessment.

12 questions across the four HIPAA Security Rule safeguard families. About 5 minutes. Your results are emailed to you as a PDF.

  • Administrative, physical, technical, and organizational coverage
  • Each question cites the relevant HIPAA Security Rule provision
  • Email required only to deliver your report

THE REGULATION

45 CFR § 164.308(a)(1)(ii)(A)

Requires every covered entity and business associate to conduct an accurate and thorough risk analysis of ePHI confidentiality, integrity, and availability.

THE ENFORCEMENT

OCR resolution agreements

The absence of a documented, accurate risk analysis is the single most-cited deficiency in HHS Office for Civil Rights enforcement actions.

THE BUSINESS DRIVER

Insurance and customers

Cyber insurance renewals, hospital and payor vendor reviews, and SaaS procurement now all ask for a current SRA before proceeding.

SCOPE OF THE ASSESSMENT

Every safeguard the HIPAA Security Rule requires.

Z Cyber's SRA covers all 54 standards and implementation specifications across the four control families, plus the interaction with the Privacy Rule and Breach Notification Rule.

Administrative

§ 164.308
  • Security management process and risk analysis program
  • Workforce security, training, and sanctions
  • Information access management and access authorization
  • Security incident response procedures
  • Contingency planning, including data backup and disaster recovery
  • Evaluation and periodic technical and non-technical reviews
  • Business Associate contracts and arrangements

Physical

§ 164.310
  • Facility access controls and visitor management
  • Workstation use and security
  • Device and media controls, including disposal and reuse

Technical

§ 164.312
  • Access controls, unique user identification, and emergency access
  • Audit controls and log review
  • Integrity controls for ePHI
  • Person or entity authentication
  • Transmission security and encryption

Organizational, policies, and documentation

§§ 164.314 – 164.316
  • Business Associate Agreement adequacy
  • Policies and procedures in scope and current
  • Documentation retention and availability
  • Breach notification readiness under § 164.400 series

THE DELIVERABLE

What you receive.

A complete, evidence-backed report that holds up under OCR audit, satisfies your insurance carrier, and gives your team a prioritized remediation plan.

  • Scoping document

    Sized to your organization and environment, delivered within one business day of your submission.

  • Findings report

    Every finding cites the relevant standard or implementation specification, includes evidence reviewed, a risk rating, and a recommendation.

  • Prioritized remediation roadmap

    Findings ordered by risk and effort, with quick wins separated from program-level changes.

  • Executive summary

    Board-ready and audit-ready. Translates findings into business risk and a clear path forward.

  • Attestation-ready documentation

    Structured to drop directly into OCR audit responses, cyber insurance applications, and customer security reviews.

FREQUENTLY ASKED

Questions worth answering up front.

Who is required to conduct a HIPAA Security Risk Assessment?

HIPAA Security Rule 45 CFR § 164.308(a)(1)(ii)(A) requires every covered entity and business associate to conduct an accurate and thorough risk analysis of the confidentiality, integrity, and availability of electronic protected health information. That includes hospitals, clinics, dental and behavioral health practices, payors, MSPs serving healthcare, billing companies, SaaS vendors that touch ePHI, and any organization that signs a Business Associate Agreement.

How often does the SRA need to be performed?

The Security Rule requires an SRA when material changes occur and on an ongoing basis. In practice, OCR examiners and most cyber insurance carriers expect a documented assessment within the past 12 months. We help clients establish a repeatable annual cadence with continuous evidence collection in between.

What does Z Cyber actually deliver?

A written report aligned to the HIPAA Security Rule's administrative, physical, technical, and organizational safeguards, plus the breach notification and privacy interactions. Each finding includes a risk rating, citation to the relevant standard or implementation specification, evidence reviewed, and a prioritized remediation recommendation. The deliverable is structured to support OCR audits, cyber insurance underwriting, customer security reviews, and board reporting.

How is this different from a vendor questionnaire or template SRA?

Template SRAs check boxes. They do not produce defensible documentation, and OCR has issued resolution agreements specifically citing the absence of an accurate and thorough risk analysis. Z Cyber's assessment is conducted by experienced security practitioners who interview your team, review actual technical controls, and produce evidence-backed findings. If your insurance carrier or auditor pushes back on a template, we get you to defensible.

What is the timeline?

Scoping happens within one business day of your submission. A baseline assessment typically takes two to four weeks depending on organization size and environment complexity. Organizations facing an imminent OCR audit or insurance deadline can be fast-tracked.

What happens after the assessment?

Most clients move into a remediation engagement with Z Cyber as their cybersecurity operating partner. We do not just hand you a report and walk away. Our forward-deployed security team implements the controls, runs the program, and produces evidence on your behalf so the next assessment is straightforward.

Get the HIPAA documentation OCR and your insurer expect.

Submit the form above or reach out directly. A Z Cyber security advisor will respond within one business day.