Framework

PHI Access Risk Assessment Template

Identify, assess, and reduce PHI access risks for audit-ready compliance.

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PHI Access Risk Assessment Template

Is This Guide For Me?

This template is designed for:
  • CISOs, Healthcare IT & Security Teams: Strengthen PHI access governance and reduce identity-related exposure across healthcare systems.

  • Identity & Access Management Teams: Enforce least privilege, manage role-based access, and improve access certification processes.

  • Governance, Risk, Compliance & Audit Professionals: Prepare for HIPAA audits with structured, evidence-based access controls.

What's Inside?

  • PHI Access Inventory Tracker: Create a complete inventory of users, roles, applications, and systems with access to protected health information.

  • Role-Based Access Mapping: Align permissions with job responsibilities while enforcing the HIPAA Minimum Necessary Standard.

  • Access Risk Scoring Model: Measure PHI access risk and identify excessive, unnecessary, or high-risk permissions.

  • Over-Permission Detection Framework: Detect inactive, orphaned, and over-privileged accounts that increase compliance and security risk.

  • Access Review & Certification Tracker: Manage periodic access reviews with ownership tracking and audit-ready documentation.

  • Audit Log & Validation Sheet: Maintain traceable records of access decisions to support HIPAA compliance and regulatory audits.

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