This policy is listed for reference only and should be reviewed with your lawyer before implementing them into daily practice. We are not lawyers and are not providing any legal advice. View our legal disclaimer.

Security Management Process: Risk Management Update

Reference: 45 CFR 164.308(a)(1)(ii)(B)
Last Updated: July 5, 2023


The purpose of the Risk Management Update Policy Program is:

  • To establish our commitment to maintain a program that is updated based on current risks;
  • To establish guidelines that will prompt a revision and update of the risk management plan based on changing variables;
  • To ensure the security of the information and the systems managed by the organization.


Procedure: It is everyone’s responsibility to recognize the variables that shall require an update of the Risk Management Plan and to cooperate as needed to ensure the same is completed in a timely manner.

  • The risk management plan shall be updated annually as part of our HIPAA Security actions.
  • The risk management plan shall be updated whenever any of the following conditions occur:
    • Risk assessment is completed;
    • Significant change in the organization’s system or technology;
      • Introduction or change of electronic medical records, billing manager or similar system;
      • Introduction or change of system that requires patient information;
      • Introduction or change of storage components (server, cloud or virtual servers);
      • Replacement of computer systems or organization’s network;
      • Unauthorized release of patient information;
      • Audit identifying corrective actions.
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