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What is HIPAA 4-Factor?

According to the HIPAA Breach Notification Rule, 45 CFR §§ 164.400-414, covered entities and their business associates are required to provide notification following a breach of unsecured protected health information (PHI).

However, not every breach will require notification – it all depends on the risk level.

HIPAA provides four risk factors (known as HIPAA 4-Factor) to determine if a breach of PHI has occurred. Organizations must demonstrate that there is a low probability that the PHI has been compromised based on a risk assessment.

This breach risk assessment requires an evaluation of four factors. The factors that need to be assessed include:

  1. Nature/Extent of Protected Health Information (PHI): The nature and extent of the PHI involved, including the types of identifiers and the likelihood of re-identification;
  2. The Unauthorized Person: The unauthorized party who used the PHI or to whom the disclosure was made;
  3. If the PHI Was Acquired/Viewed: Whether the PHI was actually acquired or viewed; and
  4. Mitigation Success: The extent to which the risk to the PHI has been mitigated
Now with RadarFirst, your team can easily and seamlessly map required risk assessment factors to the HIPAA 4-Factors within reports to the OCR.

The HHS’ Office for Civil Rights (OCR) requires organizations who are subject to HIPAA regulations to “show their work” when they report an incident or breach. The OCR wants covered entities to prove that the criteria of each of the HIPAA 4-Factors has been assessed and satisfied.

RadarFirst uses far greater than these four factors to assess and provide guidance on a possible breach

We’re continuously looking for new ways to streamline incident management based on customer feedback and that’s why we’ve developed this new feature to further simplify compliance for covered entities. 

Explore HIPAA 4-Factor Summary in RadarFirst.

Read the Datasheet

Now with RadarFirst, your team can easily and seamlessly map required risk assessment factors to the HIPAA 4-Factors within reports to the OCR – helping you prove your organization has appropriately satisfied HIPAA’s assessment and breach determination requirements.

Why It Matters to Your Organization

With this new feature, you’ll gain peace of mind for every incident assessed. Reporting to the OCR has never been easier. 

Having clear communication with the OCR is critical to building trust and ensuring your organization is meeting all compliance requirements under the HIPAA Breach Notification Rule.

Developing consistency in how you assess incidents and report breaches is just one of the ways your organization can accelerate privacy program maturity

RadarFirst Covers HIPAA 4-Factor Risk Assessment & So Much More

RadarFirst is the only intelligent solution that allows for consistency and automation when assessing PHI incidents against HIPAA regulations.

With RadarFirst, your privacy team is able to:

Simplify communication with the OCR related to HIPAA 4-Factor reporting

Easily retrieve details on a past incident, independent of an individual’s memories of incident details

Accelerate time to incident resolution by automatically mapping risk factors to the HIPAA 4-Factors

Discover the ROI of Automation in Privacy Incident Management