HIPAA Audit Readiness for a healthcare group

A growing healthcare group with three clinics struggled to prepare for a surprise HIPAA audit. Policies were outdated, access controls were inconsistent, and documentation was scattered. Emry Networks assessed gaps, tightened security controls, and structured compliance documentation within 90 days—bringing the organization to audit-ready status.

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Client Profile

• 3 outpatient clinics
• 75+ employees
• Centralized patient data system

Challenges Identified

• No formal risk assessment in the past 2 years
• Shared user credentials in clinical systems
• Missing documented incident response plan
• Incomplete vendor (BAA) documentation

Approach Taken

1. Risk Assessment & Gap Analysis
   • Conducted technical and administrative review
   • Mapped findings to HIPAA Security Rule requirements
   • Identified 18 compliance gaps
2. Security Controls Implementation
   • Enforced role-based access controls
   • Enabled multi-factor authentication
   • Hardened firewall configurations
   • Implemented endpoint monitoring
3. Documentation & Policy Development
   • Created incident response plan
   • Updated data retention and access policies
   • Structured compliance evidence repository
4. Staff Awareness Session
   • Conducted 2 compliance training workshops
   • Shared breach reporting workflow

Outcome

• Closed all identified compliance gaps
• Reduced unauthorized access risk
• Achieved full audit readiness within 90 days
• Improved internal documentation and reporting structure

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