⚠️ January 2025 HIPAA Security Rule Updates Now in Effect
Scoring Methodology

How Your Risk Score Is Calculated

Understanding the assessment methodology, what your score means, and how to improve your HIPAA compliance posture.

Risk Level Categories

Your overall compliance score determines your organization's risk level

Low Risk

80-100% Score

Your organization demonstrates strong HIPAA compliance with comprehensive safeguards in place. Minor gaps may exist but overall risk is minimal.

What This Means:

  • • Most required safeguards implemented
  • • Regular security reviews and updates
  • • Low probability of OCR enforcement action
  • • Focus on maintaining current posture

Medium Risk

60-79% Score

Your organization has basic compliance measures but significant gaps exist. Moderate risk of breach or enforcement action. Improvement needed.

What This Means:

  • • Some critical safeguards missing
  • • Vulnerability to common attack vectors
  • • Risk of penalties if breach occurs
  • • Prioritize gap remediation immediately

High Risk

40-59% Score

Your organization has major compliance gaps across multiple categories. High probability of breach and significant penalties. Immediate action required.

What This Means:

  • • Many required safeguards not implemented
  • • Serious vulnerability to breaches
  • • High risk of enforcement action
  • • Comprehensive remediation plan needed

Critical Risk

0-39% Score

Your organization has severe compliance deficiencies. Extremely high risk of data breach and substantial penalties. Emergency remediation required.

What This Means:

  • • Minimal compliance safeguards in place
  • • Imminent risk of breach and penalties
  • • Potential business liability exposure
  • • Expert consultation strongly recommended

How the Assessment Scoring Works

Our scoring methodology is based on HIPAA Security Rule requirements and industry best practices

Point Allocation System

Question Weights

Each question is assigned a weight (1-3) based on its importance to HIPAA compliance:

Weight 1

Addressable requirements or best practices

Weight 2

Important safeguards with moderate compliance impact

Weight 3

Required specifications and critical security controls

Answer Values

Yes - Fully Implemented100% of points
Partial - In Progress50% of points
Not Sure - Unknown Status25% of points
No - Not Implemented0% of points

Score Calculation Example

Question: "Do you encrypt ePHI when stored?" (Weight: 3)

Maximum Points:Weight (3) × 3 = 9 points
Your Answer: "Partial"9 × 50% = 4.5 points earned
Category Scoring

Your overall score is the weighted average across three HIPAA Security Rule categories:

Administrative Safeguards

Policies, procedures, training, and organizational structure for managing security. Typically comprises 40-50% of total score due to number of requirements.

Physical Safeguards

Physical access controls, workstation security, and device management. Typically 15-25% of total score.

Technical Safeguards

Technology-based controls including access control, encryption, and audit mechanisms. Typically 25-35% of total score.

Improving Your Score

Strategic approaches to enhance your compliance posture based on your risk level

1

Address Weight 3 Questions First

Focus on questions with the highest weight (3) - these represent required specifications and critical controls with the most impact on your score.

Priority examples: Encryption (at rest and in transit), MFA, Risk Analysis, BAAs, Security Incident Response

2

Convert "No" to "Partial"

Even partial implementation (50% credit) is significantly better than no implementation (0% credit). Start initiatives for all "No" answers.

Impact: Moving from "No" to "Partial" on a Weight 3 question gains 4.5 points toward your score

3

Eliminate "Not Sure" Answers

"Not Sure" indicates a knowledge gap - investigate these areas immediately. You may already be compliant but unaware.

Quick win: Conduct internal audit to verify status of all "Not Sure" items - many may already be "Yes"

4

Balance Across Categories

If one category is significantly lower than others, prioritize bringing it up to par. OCR looks at compliance across all three safeguard types.

Goal: Achieve at least 70% in each individual category (Administrative, Physical, Technical)

5

Complete "Partial" Implementations

Once critical gaps are addressed, finish partially implemented safeguards to maximize points and strengthen overall security.

Target: Move all "Partial" answers to "Yes" for Weight 2 and 3 questions

Important Limitations

Self-Assessment Tool: This assessment relies on your honest self-evaluation. It cannot verify actual implementation.

Not a Guarantee: A high score doesn't guarantee OCR compliance or immunity from enforcement actions.

Snapshot in Time: Compliance is ongoing. Regular reassessment is necessary as your environment changes.

Simplified Scoring: Actual HIPAA compliance involves nuanced requirements that may not be fully captured in a questionnaire.

Professional Review Recommended: Consider engaging HIPAA compliance experts for validation and gap remediation planning.

Ready to Improve Your Score?

Take our comprehensive HIPAA compliance assessment to get your baseline score and personalized recommendations for improvement.