HIPAA Security Risk Assessment Tool: Excel + Guide

Conducting a security risk analysis isn't optional — it's a required implementation specification of the HIPAA Security Rule (45 CFR §164.308(a)(1)(ii)(A)), and OCR's Phase 3 audits (underway since 2025) focus squarely on risk analysis and risk management. A missing or generic analysis is one of the most common findings in OCR enforcement.

This is a working tool, not another PDF to read. You fill it in — it does the math.

What's inside:

• Fillable Excel workbook (9 tabs) built around the required HIPAA risk analysis
• ePHI asset inventory to capture every system that touches PHI
• 5×5 risk register: likelihood × impact, with automatic inherent + residual scoring and color-coded levels
• Full Security Rule safeguards checklist — every implementation spec with its exact CFR citation and current Required/Addressable status
• POA&M-style risk management plan that turns gaps into owned, dated actions
• Auto-calculating dashboard with charts — no manual tallying
• Methodology & user guide (Word): NIST 800-30 alignment, scoring, scoping, and how to defend your analysis in an audit

This is for you if:

• You run or support a medical practice, clinic, or other covered entity
• You're a business associate who needs to show a real risk analysis
• You want a defensible, reusable assessment — not a one-off consultant invoice

After using it, you'll:

• Have a documented, scored, repeatable risk analysis
• Know exactly which safeguards are in place and which are gaps
• Have a remediation plan you can hand to leadership or an auditor

Built around the current HIPAA Security Rule and forward-compatible with the proposed 2026 changes (clearly labeled as proposed). Fillable Excel + Word guide. A tool, not legal advice.

What you'll download:

• HIPAA Security Risk Assessment Workbook (Microsoft Excel, .xlsx) — 9 fillable tabs
• Methodology & User Guide (Microsoft Word, .docx)