IT Perfection · Healthcare IT Tools

Free Medical Practice IT Assessment

Medical Practice IT Assessment from IT Perfection helps business owners, IT managers, and technical teams review workstations, ehr access, backups, vendors and related operational risk.

Created by Ali Hassani, CISO - 25+ years of IT, cybersecurity, compliance, Microsoft infrastructure, network security, and IT operations experience.

Assessment overview

What this tool reviews

Medical Practice IT Assessment from IT Perfection helps business owners, IT managers, and technical teams review workstations, ehr access, backups, vendors and related operational risk.

The scorecard is built for business owners, IT managers, and administrators who need to confirm evidence quality, access boundaries, logging coverage, exception status, and remediation priority before a project, audit, renewal, or support review.

Important disclaimer

This tool is for initial guidance only and does not replace a professional cybersecurity audit, compliance assessment, penetration test, architecture review, or legal/compliance review.

Interactive scorecard

Medical Practice IT Assessment scorecard

Answer each item using available configuration records, access lists, logs, ticket history, screenshots, backup evidence, or vendor console data. Results are calculated locally in the browser and are not submitted to IT Perfection.

1. Workstations

Review workstations design, evidence location, control ownership, and recurring validation records. Evidence to review: collect current-state screenshots or exports for workstations, plus ownership, exception, and change records.

Do the records for workstations identify the control owner, approved baseline, evidence location, and most recent validation date?

Review guidance, technical context, and business impact
Why it matters

Workstations must be traceable to an approved configuration, named owner, and dated validation record. Without that evidence, teams cannot prove the control is configured as intended or determine whether exceptions are still justified. Review evidence for control objective, evidence trail, exception handling, review cadence, owner accountability, validation record.

Business impact

Weak workstations controls can leave stale access, unmonitored changes, unsupported assets, or untested recovery paths in production. The result is longer triage time, weaker audit evidence, and higher remediation cost. It can increase remediation cost and delay recovery.

What Workstations are

Workstations are the medical practice it assessment control area that defines expected configuration, ownership, supporting evidence, and review cadence. A reviewer should be able to confirm the current state from system exports, admin-console settings, monitoring records, tickets, and maintained documentation. For workstations, the relevant evidence usually includes collect current-state screenshots or exports for workstations, plus ownership, exception, and change records. Review the related control objective, evidence trail, exception handling, review cadence, owner accountability, validation record, then confirm which systems or users are affected, which logs prove the control is operating, and how exceptions are approved, tracked, and revisited. Common review sources include admin console, ticketing system, monitoring platform, configuration export, documentation repository.

2. EHR access

Review ehr access design, evidence location, control ownership, and recurring validation records. Evidence to review: identify systems that create, receive, maintain, or transmit ePHI; review audit logs, access lists, BAAs, encryption, and remediation tracking.

Can the team prove that ehr access matches the intended configuration and was reviewed after material changes?

Review guidance, technical context, and business impact
Why it matters

EHR access must be traceable to an approved configuration, named owner, and dated validation record. Without that evidence, teams cannot prove the control is configured as intended or determine whether exceptions are still justified. Review evidence for HIPAA Security Rule, ePHI, access controls, audit controls, integrity controls, transmission security, BAAs, risk analysis evidence.

Business impact

Weak ehr access controls can leave stale access, unmonitored changes, unsupported assets, or untested recovery paths in production. The result is longer triage time, weaker audit evidence, and higher remediation cost. Risk increases when ownership, evidence, or exceptions are not documented.

What EHR access are

EHR access are the operating area where policy, configuration, monitoring, and support records need to agree with the actual environment. A reviewer should be able to confirm the current state from system exports, admin-console settings, monitoring records, tickets, and maintained documentation. For ehr access, the relevant evidence usually includes identify systems that create, receive, maintain, or transmit ePHI; review audit logs, access lists, BAAs, encryption, and remediation tracking. Review the related HIPAA Security Rule, ePHI, access controls, audit controls, integrity controls, transmission security, BAAs, risk analysis evidence, then confirm which systems or users are affected, which logs prove the control is operating, and how exceptions are approved, tracked, and revisited. Common review sources include EHR admin console, firewall/VPN logs, M365 audit logs, backup reports, HIPAA risk register, vendor contract file.

3. Backups

Recovery-ready backup architecture, immutable copies, and restore tests. Evidence to review: review job success history, protected workload scope, immutable-copy status, last restore test, retention settings, and recovery dependency mapping.

Are exceptions, ownership, monitoring records, and response evidence for backups documented well enough for audit or incident response?

Review guidance, technical context, and business impact
Why it matters

Backup readiness is the minimum requirement for recoverability and business continuity when failures or ransomware strike. Review evidence for RTO, RPO, 3-2-1 backup, immutable storage, air gap, restore verification, retention policy, recovery runbook, ransomware isolation.

Business impact

Unverified backups can turn a recoverable incident into extended downtime and data loss. Exposure increases when exceptions lack owners, alerts are not reviewed, or recovery evidence is missing.

What Backups are

Backups are the technical and administrative control set used to prove this part of the environment is configured, maintained, and reviewed. A reviewer should be able to confirm the current state from system exports, admin-console settings, monitoring records, tickets, and maintained documentation. For backups, the relevant evidence usually includes review job success history, protected workload scope, immutable-copy status, last restore test, retention settings, and recovery dependency mapping. Review the related RTO, RPO, 3-2-1 backup, immutable storage, air gap, restore verification, retention policy, recovery runbook, ransomware isolation, then confirm which systems or users are affected, which logs prove the control is operating, and how exceptions are approved, tracked, and revisited. Common review sources include backup console, restore-test logs, storage reports, DR runbooks, cloud backup policy, ticketing evidence.

4. Vendors

Support chain readiness, renewal control, and risk-based dependency management. Evidence to review: collect current-state screenshots or exports for vendors, plus ownership, exception, and change records.

Do the records for vendors identify the control owner, approved baseline, evidence location, and most recent validation date?

Review guidance, technical context, and business impact
Why it matters

Vendors must be traceable to an approved configuration, named owner, and dated validation record. Without that evidence, teams cannot prove the control is configured as intended or determine whether exceptions are still justified. Review evidence for control objective, evidence trail, exception handling, review cadence, owner accountability, validation record.

Business impact

Weak vendors controls can leave stale access, unmonitored changes, unsupported assets, or untested recovery paths in production. The result is longer triage time, weaker audit evidence, and higher remediation cost. It often becomes visible during audits, renewals, or outside reviews.

What Vendors are

Vendors are the medical practice it assessment control area that defines expected configuration, ownership, supporting evidence, and review cadence. A reviewer should be able to confirm the current state from system exports, admin-console settings, monitoring records, tickets, and maintained documentation. For vendors, the relevant evidence usually includes collect current-state screenshots or exports for vendors, plus ownership, exception, and change records. Review the related control objective, evidence trail, exception handling, review cadence, owner accountability, validation record, then confirm which systems or users are affected, which logs prove the control is operating, and how exceptions are approved, tracked, and revisited. Common review sources include admin console, ticketing system, monitoring platform, configuration export, documentation repository.

5. Documentation

Operational runbooks, evidence repositories, and procedure accuracy. Evidence to review: sample recent tickets and changes, verify approval and rollback records, compare documentation against production, and confirm named owners.

Can the team prove that documentation matches the intended configuration and was reviewed after material changes?

Review guidance, technical context, and business impact
Why it matters

Documentation must be traceable to an approved configuration, named owner, and dated validation record. Without that evidence, teams cannot prove the control is configured as intended or determine whether exceptions are still justified. Review evidence for SLA, RACI, change advisory review, rollback plan, runbook accuracy, configuration management, evidence repository, operational KPIs.

Business impact

Weak documentation controls can leave stale access, unmonitored changes, unsupported assets, or untested recovery paths in production. The result is longer triage time, weaker audit evidence, and higher remediation cost. It can increase remediation cost and delay recovery.

What Documentation is

Documentation is the operating area where policy, configuration, monitoring, and support records need to agree with the actual environment. A reviewer should be able to confirm the current state from system exports, admin-console settings, monitoring records, tickets, and maintained documentation. For documentation, the relevant evidence usually includes sample recent tickets and changes, verify approval and rollback records, compare documentation against production, and confirm named owners. Review the related SLA, RACI, change advisory review, rollback plan, runbook accuracy, configuration management, evidence repository, operational KPIs, then confirm which systems or users are affected, which logs prove the control is operating, and how exceptions are approved, tracked, and revisited. Common review sources include ticketing system, documentation portal, change calendar, asset inventory, monitoring alerts, configuration exports.

6. Monitoring

Telemetry collection, alert thresholds, and escalation workflows. Evidence to review: inspect zone changes, resolver paths, DHCP scope utilization, alert thresholds, log retention, NTP synchronization, and monitoring coverage gaps.

Are exceptions, ownership, monitoring records, and response evidence for monitoring documented well enough for audit or incident response?

Review guidance, technical context, and business impact
Why it matters

Monitoring must be traceable to an approved configuration, named owner, and dated validation record. Without that evidence, teams cannot prove the control is configured as intended or determine whether exceptions are still justified. Review evidence for forwarders, secure dynamic updates, DHCP failover, reservations, lease scope utilization, syslog, SNMP, NetFlow, SIEM correlation.

Business impact

Weak monitoring controls can leave stale access, unmonitored changes, unsupported assets, or untested recovery paths in production. The result is longer triage time, weaker audit evidence, and higher remediation cost. Risk increases when ownership, evidence, or exceptions are not documented.

What Monitoring is

Monitoring is the technical and administrative control set used to prove this part of the environment is configured, maintained, and reviewed. A reviewer should be able to confirm the current state from system exports, admin-console settings, monitoring records, tickets, and maintained documentation. For monitoring, the relevant evidence usually includes inspect zone changes, resolver paths, DHCP scope utilization, alert thresholds, log retention, NTP synchronization, and monitoring coverage gaps. Review the related forwarders, secure dynamic updates, DHCP failover, reservations, lease scope utilization, syslog, SNMP, NetFlow, SIEM correlation, then confirm which systems or users are affected, which logs prove the control is operating, and how exceptions are approved, tracked, and revisited. Common review sources include DNS/DHCP consoles, SIEM, syslog server, network monitoring dashboards, packet captures, availability reports.

7. Ownership

RACI clarity for approvals, maintenance, and review obligations. Evidence to review: sample recent tickets and changes, verify approval and rollback records, compare documentation against production, and confirm named owners.

Do the records for ownership identify the control owner, approved baseline, evidence location, and most recent validation date?

Review guidance, technical context, and business impact
Why it matters

Ownership must be traceable to an approved configuration, named owner, and dated validation record. Without that evidence, teams cannot prove the control is configured as intended or determine whether exceptions are still justified. Review evidence for SLA, RACI, change advisory review, rollback plan, runbook accuracy, configuration management, evidence repository, operational KPIs.

Business impact

Weak ownership controls can leave stale access, unmonitored changes, unsupported assets, or untested recovery paths in production. The result is longer triage time, weaker audit evidence, and higher remediation cost. Risk increases when ownership, evidence, or exceptions are not documented.

What Ownership is

Ownership is the medical practice it assessment control area that defines expected configuration, ownership, supporting evidence, and review cadence. A reviewer should be able to confirm the current state from system exports, admin-console settings, monitoring records, tickets, and maintained documentation. For ownership, the relevant evidence usually includes sample recent tickets and changes, verify approval and rollback records, compare documentation against production, and confirm named owners. Review the related SLA, RACI, change advisory review, rollback plan, runbook accuracy, configuration management, evidence repository, operational KPIs, then confirm which systems or users are affected, which logs prove the control is operating, and how exceptions are approved, tracked, and revisited. Common review sources include ticketing system, documentation portal, change calendar, asset inventory, monitoring alerts, configuration exports.

8. Testing

Validation frequency, test evidence quality, and remediation verification. Evidence to review: sample recent tickets and changes, verify approval and rollback records, compare documentation against production, and confirm named owners.

Can the team prove that testing matches the intended configuration and was reviewed after material changes?

Review guidance, technical context, and business impact
Why it matters

Testing must be traceable to an approved configuration, named owner, and dated validation record. Without that evidence, teams cannot prove the control is configured as intended or determine whether exceptions are still justified. Review evidence for SLA, RACI, change advisory review, rollback plan, runbook accuracy, configuration management, evidence repository, operational KPIs.

Business impact

Weak testing controls can leave stale access, unmonitored changes, unsupported assets, or untested recovery paths in production. The result is longer triage time, weaker audit evidence, and higher remediation cost. It often becomes visible during audits, renewals, or outside reviews.

What Testing is

Testing is the operating area where policy, configuration, monitoring, and support records need to agree with the actual environment. A reviewer should be able to confirm the current state from system exports, admin-console settings, monitoring records, tickets, and maintained documentation. For testing, the relevant evidence usually includes sample recent tickets and changes, verify approval and rollback records, compare documentation against production, and confirm named owners. Review the related SLA, RACI, change advisory review, rollback plan, runbook accuracy, configuration management, evidence repository, operational KPIs, then confirm which systems or users are affected, which logs prove the control is operating, and how exceptions are approved, tracked, and revisited. Common review sources include ticketing system, documentation portal, change calendar, asset inventory, monitoring alerts, configuration exports.

Printable report

Downloadable and printable Medical Practice IT Assessment report

Free Medical Practice IT Assessment Report
Ali Hassani, CISO and IT infrastructure consultant

Ali Hassani, CISO

Created by Ali Hassani, CISO - 25+ years of IT, cybersecurity, compliance, and infrastructure experience.

Certifications: CISSP, CCISO, CCNP, CCNA, MCSE, MCSA Security, MCITP, MCP, and MCTS. View Ali's IT Perfection profile.

Complete the assessment and calculate results to populate this report with your score, findings, recommendations, and priority roadmap.

Client support resources

IT Perfection can review the evidence, validate findings, and help prioritize remediation for managed IT, Microsoft 365, Azure, endpoint security, backup, servers, network infrastructure, and co-managed IT.

Disclaimer: This free tool is a preliminary self-assessment and educational resource. It does not replace a professional cybersecurity audit, compliance assessment, penetration test, or legal/compliance review.

Ali Hassani, CISO and IT infrastructure specialist

Ali Hassani expertise

Medical Practice IT Assessment guidance backed by real infrastructure experience

Ali Hassani is a cybersecurity consultant, virtual CISO, network security engineer, and IT infrastructure specialist with more than 25 years of experience helping organizations design, secure, audit, and support business IT environments.