Gap Assessment — HIPAA

Venvera guided gap assessment with maturity scoring — A guided gap assessment — shown with sample data.

The HIPAA Gap Assessment evaluates your organisation's compliance maturity across 10 chapters covering all major provisions of the HIPAA Privacy Rule, Security Rule, and Breach Notification Rule.

Chapters

#	Chapter	CFR References	Questions
1	Privacy Rule — Uses & Disclosures	164.502-164.514	8
2	Privacy Rule — Individual Rights	164.520-164.528	7
3	Privacy Rule — Administrative Requirements	164.530	6
4	Security Rule — Administrative Safeguards	164.308	9
5	Security Rule — Physical Safeguards	164.310	5
6	Security Rule — Technical Safeguards	164.312	6
7	Security Rule — Organisational Requirements	164.314	4
8	Security Rule — Policies, Procedures & Documentation	164.316	4
9	Breach Notification	164.400-164.414	6
10	HITECH Act & Enforcement	HITECH Sec. 13400-13411	5

Maturity Scoring

Each question uses a 0-4 maturity scale:

0 — Not Implemented: No measures in place
1 — Initial: Ad-hoc or informal measures
2 — Developing: Documented but inconsistently applied
3 — Defined: Formally documented and consistently applied
4 — Optimised: Continuously monitored and improved

Understanding Your Score

The gap assessment dashboard displays:

Overall compliance score — Weighted average across all chapters, displayed as a percentage with a compliance ring
Chapter-by-chapter breakdown — Individual scores per chapter, highlighting areas of strength and weakness
Priority gaps — Questions scored 0 or 1 that represent the highest compliance risk
Trend over time — If you run periodic assessments, track improvement over time

Cross-Framework Propagation

Certain HIPAA gap assessment questions are linked to equivalent controls in other frameworks (ISO 27001, NIST CSF, SOC 2, etc.). When you score a HIPAA question at 3 or above, equivalent controls in other enabled frameworks are automatically updated — and vice versa. This reduces duplicate assessment effort when managing multiple compliance frameworks.