What a HIPAA Security Risk review is, what it must include, how often to do it, and how to record it for OCR readiness. This guide is written for rule-keeping leaders, founders, and operations teams that need practical execution, not theory.
Definition and Purpose
A HIPAA Security Risk review (SRA) is the required check of risks to the data privacy, accuracy, and access of ePHI. It identifies threats, weak points, likelihood, and impact so your team can prioritize fixes.
What OCR Expects to See
- Asset list and ePHI data flow mapping.
- Threat and weak spot analysis.
- Risk scoring method.
- Documented fixes plan and owners.
- Evidence of regular review.
How Often Should You Perform It?
At minimum annually and whenever major day-to-day or technology changes occur (new EHR, cloud migration, getting, or major incident).
Security Risk review Final Takeaway
The groups that perform best in audits are those with clear steps, assigned ownership, and clear evidence. Build rule-keeping as an daily habit, not a one-time event.
Related resources: What is HIPAA, HIPAA Compliance Guide 2026, HIPAA Risk review Process, and contact us for setup support.
Need setup help? One Guy Consulting provides practical HIPAA guidance for covered groups and business associates. Book a consultation. Complete your risk assessment online