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IT21

Healthcare Operations and Technology

Protect patients without slowing the clinicians

Your last security risk analysis was done during an electronic health record implementation and has not been touched since. The rule requires it to be current, and a breach investigation starts by asking for it.

Every breach investigation opens the same way. The Office for Civil Rights asks for your risk analysis. Not a policy binder, not a vendor’s scan report — the analysis required under the Health Insurance Portability and Accountability Act (HIPAA) Security Rule, showing you identified where protected health information lives and what threatens it. If yours is four years old or was written to satisfy an implementation checkbox, the conversation gets longer and more expensive from there.

The harder truth is that most breaches in health care are not exotic. Credentials get shared because the login process is slow. Data ends up on a laptop because the sanctioned method takes too long. Access granted for a temporary coverage assignment is never removed. Controls that fight clinical workflow lose to clinical workflow, every time, and the staff working around them are the ones taking care of your patients.

IT21 does the security and compliance work in a way that accounts for that. Risk analysis that names your systems and your data flows. Access designed around how care is actually delivered. Vendor and business associate oversight that focuses on the vendors holding real volumes of patient data rather than treating all of them alike. Breach assessment you can run under time pressure, since the notification clock does not pause while you investigate.

What you get:

  • A HIPAA security risk analysis that is current, documented, and specific to your environment
  • Access reviewed against role, so staff can reach what they need for care and nothing beyond it
  • Business associate agreements tracked and matched to the vendors actually touching patient data
  • An incident and breach assessment process that produces a decision inside the notification window
  • Downtime procedures for the systems clinical staff cannot work without

Assess is the risk analysis and the gap review. Transform is remediation, ordered by patient risk and audit exposure, and paced so it does not collide with a go-live. Optimize is keeping it alive: the periodic review, the access recertification, the update after each system change, because a risk analysis is a maintained document, not a project deliverable.

Health care has been a large share of our work for a long time, in hospitals, clinics and health systems. What that teaches you is when to stop. A control that adds thirty seconds to every medication order will be defeated by nurses within a week, and a consultant who does not know that will hand you a beautiful, useless policy.

Controls that fight clinical workflow lose to clinical workflow.

[PROOF: healthcare engagement — organization type, region, scope, result — supply]

The IT Risk & Readiness Assessment is the sensible starting point, particularly if your risk analysis is stale. It is measured against a recognized governance framework auditors work from, and it tells you where you stand before an investigator does.

  • Assess
  • Transform
  • Optimize

Oscar Chacon, CISA

Certified Information Systems Auditor since 1997

Not sure where you stand? Start with the assessment.

Request the Assessment

Healthcare IT compliance and continuity — a brief

A current HIPAA security risk analysis, role-based access designed around care, business associate oversight focused on real data volumes, and breach assessment you can run under the clock.

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Start with the IT Risk & Readiness Assessment

A defined engagement, measured against a recognized control framework, that shows you which controls exist, which are documented but not operating, and which are absent — before you commit a budget.