Think Your HIPAA Compliance is Covered? Think Again.

Most healthcare organizations and the vendors that support them assume their IT environments are already "HIPAA compliant." But IT coverage and HIPAA compliance are not the same thing.

HIPAA places specific administrative, technical, and organizational responsibilities on both covered entities and business associates — regardless of whether IT is handled internally, outsourced, or through a managed service provider.

This 1‑page HIPAA Leadership Checklist clarifies:

What IT typically covers vs. what HIPAA actually requires: You'll uncover the most common gaps that lead to audit findings, compliance failures, and security risk — and learn how leadership teams can close them before they become costly problems.

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The Gap Between Standard IT Support and HIPAA Security Rule Requirements

Responsibility

What IT Typically Covers

What HIPAA Actually Requires (Security Rule)

Risk Management

Patch management, antivirus, firewall

Formal Security Risk Analysis, risk mitigation plan

Access Control

User accounts, MFA setup

Documented access policies, unique user IDs, periodic audits

Workforce Training

Occasional phishing tests

Ongoing security awareness, HIPAA-specific training documentation

Data Protection

Backups, endpoint security

Encryption policies, device management logs, ePHI transmission rules

Breach Response

Alerting and basic incident triage

Breach notification timeline, response plan, OCR documentation

Documentation & Audit Readiness

Ticket history, system notes

Policy repository, technical safeguards evidence, audit logs


Your IT team may support security —
but the Office of Civil Rights (OCR) holds your organization accountable for HIPAA compliance..

Without documented safeguards, policies, and breach response plans, covered entities and business associates remain at risk — even with strong IT support in place.



Ready to see where the gaps really are?

Download the HIPAA Leadership Checklist or schedule a 30‑minute HIPAA risk scoping call to understand what's covered — and what still puts your organization at risk.