164.308(a)(1)(ii)(B) Risk Management (Required)
Implement security measures sufficient to reduce risks and vulnerabilities to a reasonable and appropriate level. NIST recommends prioritized treatment plans, residual risk acceptance by leadership, and continuous monitoring tied to NIST SP 800-137.
Source: HIPAA Security Rule, 164.308(a)(1)(ii)(B). The statement above is our statement of the clause, read from the published text and cited so you can check it against the official text, not the instrument verbatim. Open HIPAA Security Rule in the compliance library.
Applies to covered entities and business associates. An addressable specification can be met by a documented, reasonable alternative.
These are the artefacts auditors commonly ask for on this requirement, our guidance rather than text from the standard. Your assessor decides what is sufficient in your context, and asks for samples across the period when a report covers one.
system holds itEvidence a system already holds
- Metrics dashboard · Cloud console / configuration management
periodic reviewEvidence produced at each review
none for this control
governing documentDocuments that govern the control
- Risk treatment plan with owners and deadlines · Policy repository / GRC workspace
- Residual risk acceptance memos · Policy repository / GRC workspace
- Continuous monitoring strategy · Policy repository / GRC workspace
First move
Common gaps auditors find
- Treatment plan lacks deadlines
- Residual risks accepted without executive sign-off
- No continuous monitoring program
Do this for your whole sheet
Paste the rows you run your controls from and get this mapping for every control at once, with the periodic-review ones flagged and a first move per row. No account for the first run.
Build my evidence sheet164.308(a)(1)(ii)(A) Risk Analysis (Required) · 164.308(a)(1)(ii)(C) Sanction Policy (Required)