HIPAA gap analysis with ISMS Copilot
Run a HIPAA Security Rule gap analysis and §164.308(a)(1) risk analysis — without putting PHI in chats.
HIPAA Security Rule gap analysis (no PHI in chats)
Read this first: ISMS Copilot does not sign a Business Associate Agreement (BAA). That means we cannot lawfully process Protected Health Information on your behalf under 45 CFR §164.502. Use ISMS Copilot to run the gap analysis, draft your HIPAA policies, and structure your Risk Analysis methodology — but never paste actual PHI or ePHI (names, dates, MRNs, diagnoses, provider-patient conversations) into chats. With that boundary set: the gap analysis walks the Administrative, Physical, and Technical Safeguards (45 CFR §164.308 to §164.312), separates the required from the addressable implementation specifications, and frames the §164.308(a)(1)(ii)(A) risk analysis and §164.308(a)(1)(ii)(B) risk management as the foundation auditors and OCR start from. It also distinguishes Security Rule gaps (ePHI safeguards) from Privacy Rule gaps (uses, disclosures, Notice of Privacy Practices) so you do not conflate the two.
Full HIPAA stance and limitations →What ISMS Copilot does for HIPAA gap analysis
- Walk the Administrative, Physical, and Technical Safeguards (45 CFR §164.308-§164.312)
- Separate required from addressable implementation specifications, with documented rationale for addressable ones
- Structure the §164.308(a)(1)(ii)(A) risk analysis and §164.308(a)(1)(ii)(B) risk management plan
- Distinguish Security Rule gaps from Privacy Rule gaps so they are remediated separately
Frequently Asked Questions
Will ISMS Copilot sign a BAA so I can use real PHI?
No. We do not sign Business Associate Agreements. ISMS Copilot is a documentation, gap-analysis, and policy-drafting tool. Never paste PHI or ePHI into chats. If your use case requires an AI assistant to process PHI, you need a BAA-signed vendor instead.
What is the difference between a Security Rule and Privacy Rule gap?
Security Rule gaps concern safeguards protecting electronic PHI (§164.308-§164.312). Privacy Rule gaps concern permitted uses and disclosures, minimum necessary, and the Notice of Privacy Practices. ISMS Copilot keeps the two assessments separate so each is remediated correctly.
How does the §164.308(a)(1) risk analysis fit in?
The §164.308(a)(1)(ii)(A) risk analysis is the cornerstone of the Security Rule and the first thing OCR requests. ISMS Copilot helps you build the methodology and risk-management plan — using descriptions of your environment, never actual PHI.
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