HIPAA Gap Analysis#

Assess your organization's HIPAA compliance posture across all five rule areas — 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.

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Usage#

json

{
  "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#

FieldTypeDescriptionorganization_namestringName of the organization being assessedorganization_typestringe.g., Covered Entity, Business Associate, Hybrid Entity``entity_sizestringSmall, Medium, Large``services_providedarray of stringsList of healthcare services offeredphi_volumestringVolume of PHI handled: Low, Medium, High``phi_typesarray of stringsTypes of PHI: e.g., Medical Records, Billing Information, Lab Results, Mental Health Records``workforce_sizeintegerTotal number of employees/contractorslocations_countintegerNumber of physical locationscloud_servicesbooleanWhether cloud services are used to store/process PHIthird_party_vendorsbooleanWhether third-party vendors have access to PHImobile_devicesbooleanWhether mobile devices are used to access PHI

Administrative Safeguards#

FieldTypeDescriptionsecurity_officer_assignedbooleanDesignated Security Officer in placeworkforce_trainingbooleanRegular HIPAA workforce training conductedaccess_managementbooleanFormal access management procedures existcontingency_planbooleanData backup and disaster recovery plan existsincident_responsebooleanSecurity incident response procedures in placerisk_assessment_conductedbooleanFormal risk assessment has been conductedbusiness_associate_agreementsbooleanBAAs executed with all relevant vendors

Physical Safeguards#

FieldTypeDescriptionfacility_access_controlsbooleanPhysical access controls for facilities with PHIworkstation_use_controlsbooleanWorkstation use and security policies in placedevice_media_controlsbooleanControls for hardware/media containing PHI

Technical Safeguards#

FieldTypeDescriptionaccess_control_systemsbooleanTechnical access controls (unique user IDs, auto-logoff, etc.)audit_controlsbooleanAudit logs for PHI access and activityintegrity_controlsbooleanControls to ensure PHI is not improperly altered or destroyedtransmission_securitybooleanEncryption/security for PHI in transit

Privacy Rule#

FieldTypeDescriptionprivacy_officer_assignedbooleanDesignated Privacy Officer in placenotice_of_privacy_practicesbooleanNPP distributed and acknowledgedpatient_rights_proceduresbooleanProcedures for patient access, amendment, and accountingminimum_necessary_proceduresbooleanMinimum necessary standard applied to PHI use/disclosurecomplaints_processbooleanProcess for receiving and handling privacy complaints

Breach Notification Rule#

FieldTypeDescriptionbreach_notification_proceduresbooleanBreach notification procedures documentedbreach_risk_assessmentbooleanProcess for conducting breach risk assessment in place

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What You Get#

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

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Example Output#

json

{
  "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 — OCR Tier 3/4 penalty exposure",
    "No breach risk assessment process — required for all incidents",
    "Workstation use controls absent — PHI exposure risk at endpoints",
    "No audit controls — 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 — Willful Neglect (up to $50,000 per violation)"
}

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API Reference#

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

EndpointMethodDescription/hipaa-analysisPOSTRun full HIPAA gap assessment

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

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Pricing#

PlanDaily LimitMonthly LimitPriceFree5 / day50 / month$0Developer20 / day500 / month$39Professional200 / day5,000 / month$99Enterprise100,000 / day1,000,000 / month$299

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About#

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

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