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HIPAA Gap Analysis

by @krishnakumarmahadevan-cmd

Assess HIPAA compliance across all five rule areas, identify 32 control gaps, and generate a prioritized remediation plan with compliance scoring and audit r...

Versionv1.0.0
Downloads928
TERMINAL
clawhub install toolweb-hipaa-gap-analysis

πŸ“– About This Skill

HIPAA Gap Analysis

Assess your organization's HIPAA compliance posture across all five rule areas β€” Administrative Safeguards, Physical Safeguards, Technical Safeguards, Privacy Rule, and Breach Notification Rule. Covers all 32 control areas required for covered entities and business associates. Produces a gap report with compliance score, identified deficiencies, and a prioritized remediation roadmap.


Usage

{
  "tool": "hipaa_gap_analysis",
  "input": {
    "organization_name": "Sunrise Health Clinic",
    "organization_type": "Covered Entity",
    "entity_size": "Small",
    "services_provided": ["Primary Care", "Telehealth", "Lab Services"],
    "phi_volume": "Medium",
    "phi_types": ["Medical Records", "Billing Information", "Lab Results"],
    "workforce_size": 45,
    "locations_count": 3,
    "cloud_services": true,
    "third_party_vendors": true,
    "mobile_devices": true,
    "security_officer_assigned": true,
    "workforce_training": false,
    "access_management": true,
    "contingency_plan": false,
    "incident_response": false,
    "risk_assessment_conducted": true,
    "business_associate_agreements": true,
    "facility_access_controls": true,
    "workstation_use_controls": false,
    "device_media_controls": false,
    "access_control_systems": true,
    "audit_controls": false,
    "integrity_controls": false,
    "transmission_security": true,
    "privacy_officer_assigned": true,
    "notice_of_privacy_practices": true,
    "patient_rights_procedures": true,
    "minimum_necessary_procedures": false,
    "complaints_process": true,
    "breach_notification_procedures": false,
    "breach_risk_assessment": false
  }
}


Parameters

All fields are required.

Organization Profile

| Field | Type | Description | |-------|------|-------------| | organization_name | string | Name of the organization being assessed | | organization_type | string | e.g., Covered Entity, Business Associate, Hybrid Entity | | entity_size | string | Small, Medium, Large | | services_provided | array of strings | List of healthcare services offered | | phi_volume | string | Volume of PHI handled: Low, Medium, High | | phi_types | array of strings | Types of PHI: e.g., Medical Records, Billing Information, Lab Results, Mental Health Records | | workforce_size | integer | Total number of employees/contractors | | locations_count | integer | Number of physical locations | | cloud_services | boolean | Whether cloud services are used to store/process PHI | | third_party_vendors | boolean | Whether third-party vendors have access to PHI | | mobile_devices | boolean | Whether mobile devices are used to access PHI |

Administrative Safeguards

| Field | Type | Description | |-------|------|-------------| | security_officer_assigned | boolean | Designated Security Officer in place | | workforce_training | boolean | Regular HIPAA workforce training conducted | | access_management | boolean | Formal access management procedures exist | | contingency_plan | boolean | Data backup and disaster recovery plan exists | | incident_response | boolean | Security incident response procedures in place | | risk_assessment_conducted | boolean | Formal risk assessment has been conducted | | business_associate_agreements | boolean | BAAs executed with all relevant vendors |

Physical Safeguards

| Field | Type | Description | |-------|------|-------------| | facility_access_controls | boolean | Physical access controls for facilities with PHI | | workstation_use_controls | boolean | Workstation use and security policies in place | | device_media_controls | boolean | Controls for hardware/media containing PHI |

Technical Safeguards

| Field | Type | Description | |-------|------|-------------| | access_control_systems | boolean | Technical access controls (unique user IDs, auto-logoff, etc.) | | audit_controls | boolean | Audit logs for PHI access and activity | | integrity_controls | boolean | Controls to ensure PHI is not improperly altered or destroyed | | transmission_security | boolean | Encryption/security for PHI in transit |

Privacy Rule

| Field | Type | Description | |-------|------|-------------| | privacy_officer_assigned | boolean | Designated Privacy Officer in place | | notice_of_privacy_practices | boolean | NPP distributed and acknowledged | | patient_rights_procedures | boolean | Procedures for patient access, amendment, and accounting | | minimum_necessary_procedures | boolean | Minimum necessary standard applied to PHI use/disclosure | | complaints_process | boolean | Process for receiving and handling privacy complaints |

Breach Notification Rule

| Field | Type | Description | |-------|------|-------------| | breach_notification_procedures | boolean | Breach notification procedures documented | | breach_risk_assessment | boolean | Process for conducting breach risk assessment in place |


What You Get

  • Overall HIPAA compliance score β€” percentage and maturity rating
  • Rule-by-rule gap breakdown β€” Administrative, Physical, Technical, Privacy, Breach Notification
  • Control deficiency list β€” exactly which of the 32 controls are gaps
  • Risk-prioritized remediation plan β€” Immediate (0–30 days), Short-term (30–90 days), Long-term (90+ days)
  • Regulatory exposure summary β€” potential penalty tiers based on identified gaps (Tier 1–4)
  • Audit readiness rating β€” how prepared the organization is for an OCR audit

  • Example Output

    {
      "organization": "Sunrise Health Clinic",
      "overall_score": 62,
      "compliance_rating": "Partial Compliance",
      "audit_readiness": "Moderate Risk",
      "rule_scores": {
        "administrative_safeguards": { "score": 71, "gaps": 2 },
        "physical_safeguards": { "score": 33, "gaps": 2 },
        "technical_safeguards": { "score": 50, "gaps": 2 },
        "privacy_rule": { "score": 80, "gaps": 1 },
        "breach_notification": { "score": 0, "gaps": 2 }
      },
      "critical_gaps": [
        "No breach notification procedures β€” OCR Tier 3/4 penalty exposure",
        "No breach risk assessment process β€” required for all incidents",
        "Workstation use controls absent β€” PHI exposure risk at endpoints",
        "No audit controls β€” inability to detect or prove unauthorized access"
      ],
      "immediate_actions": [
        "Document and implement breach notification procedures (7 days)",
        "Deploy workstation lock/encryption policy (14 days)",
        "Enable audit logging on all systems accessing PHI (7 days)"
      ],
      "penalty_exposure": "Tier 3 β€” Willful Neglect (up to $50,000 per violation)"
    }
    


    API Reference

    Base URL: https://portal.toolweb.in/apis/compliance/hipaa-gap-analysis

    | Endpoint | Method | Description | |----------|--------|-------------| | /hipaa-analysis | POST | Run full HIPAA gap assessment |

    Authentication: Pass your API key as X-API-Key header or mcp_api_key argument via MCP.


    Pricing

    | Plan | Daily Limit | Monthly Limit | Price | |------|-------------|---------------|-------| | Free | 5 / day | 50 / month | $0 | | Developer | 20 / day | 500 / month | $39 | | Professional | 200 / day | 5,000 / month | $99 | | Enterprise | 100,000 / day | 1,000,000 / month | $299 |


    About

    ToolWeb.in β€” 200+ security APIs, CISSP & CISM certified, built for enterprise compliance practitioners.

    Platforms: Pay-per-run Β· API Gateway Β· MCP Server Β· OpenClaw Β· RapidAPI Β· YouTube

  • 🌐 toolweb.in
  • πŸ”Œ portal.toolweb.in
  • πŸ€– hub.toolweb.in (MCP Server)
  • 🦞 toolweb.in/openclaw/
  • ⚑ rapidapi.com/user/mkrishna477
  • πŸ“Ί youtube.com/@toolweb-009
  • πŸ’‘ Examples

    {
      "tool": "hipaa_gap_analysis",
      "input": {
        "organization_name": "Sunrise Health Clinic",
        "organization_type": "Covered Entity",
        "entity_size": "Small",
        "services_provided": ["Primary Care", "Telehealth", "Lab Services"],
        "phi_volume": "Medium",
        "phi_types": ["Medical Records", "Billing Information", "Lab Results"],
        "workforce_size": 45,
        "locations_count": 3,
        "cloud_services": true,
        "third_party_vendors": true,
        "mobile_devices": true,
        "security_officer_assigned": true,
        "workforce_training": false,
        "access_management": true,
        "contingency_plan": false,
        "incident_response": false,
        "risk_assessment_conducted": true,
        "business_associate_agreements": true,
        "facility_access_controls": true,
        "workstation_use_controls": false,
        "device_media_controls": false,
        "access_control_systems": true,
        "audit_controls": false,
        "integrity_controls": false,
        "transmission_security": true,
        "privacy_officer_assigned": true,
        "notice_of_privacy_practices": true,
        "patient_rights_procedures": true,
        "minimum_necessary_procedures": false,
        "complaints_process": true,
        "breach_notification_procedures": false,
        "breach_risk_assessment": false
      }
    }