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HealthcareFractional CISO

Healthcare System HIPAA Transformation

Transformed a regional healthcare network's security posture ahead of an OCR audit, achieving zero findings and establishing a sustainable compliance program.

Regional Healthcare Network
6 months
2025

The Challenge

The healthcare network faced an upcoming OCR audit with significant gaps in their HIPAA compliance program.

  • 1Outdated security policies and procedures from 2019
  • 2Incomplete risk assessment documentation
  • 3No centralized security oversight or dedicated CISO
  • 4Legacy systems with known vulnerabilities
  • 5Staff unaware of current HIPAA requirements

Our Approach

Implemented a comprehensive security transformation program aligned with HIPAA requirements and industry best practices.

1

Assessment & Gap Analysis

Conducted thorough HIPAA gap assessment across all covered entities, identifying 47 control deficiencies.

2

Risk Management

Performed comprehensive risk analysis per NIST guidelines, prioritizing remediation based on likelihood and impact.

3

Policy Modernization

Rewrote security policies to reflect current operations and regulatory requirements, with board approval.

4

Technical Remediation

Addressed critical technical gaps including encryption, access controls, and audit logging.

5

Training & Awareness

Implemented role-based HIPAA training program with 100% staff completion.

The Results

The organization passed their OCR audit with zero findings and established a sustainable security program.

0
Audit Findings
47
Gaps Remediated
40%
Cost Reduction vs. Full-time CISO
100%
Training Completion

Adil's approach transformed our security program from a liability to a competitive advantage. We went from dreading the audit to welcoming it as validation of our work.

Sarah ChenChief Operating Officer

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