Security Risk Assessments for Federally Qualified Health Centers (FQHCs)

FQHC IT provides comprehensive Security Risk Assessments (SRAs) designed exclusively for Federally Qualified Health Centers, Look-Alikes, and Community Health Centers across the United States. Our HIPAA Security Risk Assessment goes beyond a compliance checklist to evaluate operational risk, cybersecurity posture, disaster recovery readiness, business continuity, vendor and third-party exposure, key-person risk, knowledge documentation, governance and access controls, data integrity, and reporting trust. We align HIPAA, HRSA, FTCA, 340B, OCR, and UDS requirements in a single unified assessment because, in the FQHC world, these are not separate problems.

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Security Risk Assessment for FQHCs

Not a checkbox. Not a shelf report. A turning point.

A real, end-to-end diagnosis of how your Health Center is actually running — operationally, financially, technically, and compliance-wise.

2:00 AM

There's a question every FQHC Executive asks at 2am —

and another one they're afraid to ask out loud.

The question they ask

"If disaster hit tomorrow — what would it really look like?"

The question they're afraid to ask

"And is my team actually ready... or am I just trusting they are?"

You already know the honest answer. That's why you're here.

Disaster doesn't always look like a cyber attack on the morning news.

Sometimes it's quieter — and far more dangerous.

Scenario 01

Sometimes it's your IT Director gone — and nobody else having full access to critical systems, accounts, and passwords.

Scenario 02

Sometimes it's a cyber insurance claim you've been paying sky-high premiums on — denied, because you weren't doing what the policy required.

Scenario 03

Sometimes it's a single phishing email one tired staff member clicked at 4:47pm on a Friday.

Whatever your version of disaster looks like — the only question that matters is whether your Health Center is actually ready for it. Not on paper. In reality.

You deserve more than a PDF that nobody reads. You deserve to know — with certainty — that you and your team are ready.

What a real SRA does

What an SRA should actually do for your Health Center.

Every SRA you've seen runs the same surface-level checklist: passwords, firewall, EHR encryption, policies on a shelf. Box checked. Report filed. Nothing changes. We go where no other assessment goes — past the symptoms, to the actual diagnosis of how your Health Center is really running.

Key-Person & Knowledge Risk

Critical operations living in one person's head — held together by a staff member, a spreadsheet, or an undocumented process — with no successor and no plan.

Compliance Landmines

HRSA, UDS, FTCA, 340B, OCR. Workflows that look compliant on paper but aren't.

Workflow & Efficiency Drains

Manual processes and duplicate data entry costing tens of thousands a year in staff time.

Disaster & Continuity Blind Spots

Backups never tested. Recovery plans never rehearsed.

Vendor & Third-Party Exposure

Your EHR, MSP, billing platform, pharmacy partners. Where their weaknesses become your liability.

Governance, Oversight & Access

Who has the keys to what, who approved it, and who should be watching.

Data Integrity & Reporting Trust

Whether the numbers driving your decisions are actually trustworthy.

Cybersecurity Posture, In Plain English

Real threats, real exposure, translated out of geek-speak into language your board can act on.

This is what a real Security Risk Assessment looks like for an FQHC. Not a generic IT audit. Not compliance theater. An honest, end-to-end diagnosis — operationally, financially, compliance-wise, and technically — with practical items your team can act on Monday morning. That's what we do.

The hard numbers nobody talks about.

What's actually happening across Federally Qualified Health Centers — quietly, behind the scenes.

95%
Of Health Centers have never fully tested their disaster recovery and business continuity plans.
95%
Don't have critical IT knowledge documented anywhere outside one or two people's heads.
98%
Of breaches could have been prevented — without huge budgets or enterprise tools.
22
Days — Average operational downtime after a cyber incident. Canceled appointments. Paper charting. Payroll panic. Patients going elsewhere.
A True Story

The five-minute fix that cost a Health Center six weeks of downtime.

An FQHC got hit with ransomware. Patient care stopped for nearly 6 weeks. Frantic calls. Press inquiries. A community that lost trust.

When the State Attorney General investigated, they found something that made every executive in the building sick:

"The vulnerability had been documented on the Health Center's previous SRA. It would have taken less than five minutes to fix. Nobody ever did."
That's not a cybersecurity failure. That's a follow-through failure — and it's exactly the failure we exist to prevent.
Case File
Incident Report
Ransomware Event — FQHC
Downtime~6 weeks
Patient CareHALTED
Documented in prior SRAYES
Time to remediate< 5 min
Action takenNONE
AG InvestigationOPENED
Community TrustDAMAGED
How we're different

Most consultants drop a report and disappear. We stay until things are actually fixed.

Our Promise We keep going where others stop. That is the real beginning.
Risk & Governance

Internal Oversight

Access, oversight, accountability, shadow IT — mapped honestly, end to end.

Operations

Workflow Reality

Where workflows break down between Medical, Dental, BH, Pharmacy, and Front Desk. Where no-shows are actually a systems problem, not a patient problem.

Resilience

Disaster Recovery (Actually Tested)

Not a binder. A real simulation. Servers down. EHR unreachable. Phones gone. We measure how long until patient care moves again — and what it would cost you if it didn't.

Continuity

Business Continuity, Every Department

If your IT director is unreachable, can someone still restore internet access, reach your firewall vendor, disable a compromised account, recover from a server outage, or get support for the EHR, phones, Wi-Fi, and backups?

Knowledge

The Three-Week Test

Take three weeks off. No phone. No email. No "quick questions." Most Health Centers can't survive it. We make sure yours can.

Cybersecurity

Real-World Controls Testing

Phishing simulations. Endpoint, identity, network, cloud — in language your board can act on.

Compliance

From Policies to Practice

We help your Health Center turn policies into real, working controls — with clear ownership, documentation, follow-through, staff accountability, and proof that the work is actually being done.

Data

Reporting Integrity

Are the numbers driving leadership decisions actually trustworthy?

Third-Party

Vendor Risk Exposure

Where your EHR, billing system, pharmacy platform, and MSP are exposing you — and how to close the gap.

FQHC clinical team relying on secure IT systems — the partnership behind a real Security Risk Assessment

You don't need another report on a shelf. You need a partner.

One who'll find what's wrong, fix what's wrong, and stay until it stays right.

Ready to see what's under the hood?

Let's have an honest conversation about where your Health Center really stands.

Book a 30-minute consultation. No pitch. No pressure. Just clarity on what's possible — and what's at stake if nothing changes.

Book My 30-Minute Consultation

We only work with FQHCs and Health Centers.

That's our specialty.That's our mission.