Four reports and a framework mapping
Word and PDF versions of every report. This page shows short extracts from a fictional company.
| Deliverable | What it contains | Who uses it |
|---|---|---|
| Executive readiness report | Overall readiness, the top risks and what to fund first | Owner, CEO, board |
| Control scorecard | All 17 controls with their rating and evidence | IT manager, compliance lead |
| Risk register | Business risks rated by likelihood and impact, tied to findings | Compliance, insurer, auditors |
| 90-day roadmap | Actions in order with owners | IT manager, vCISO |
| Framework mapping | Each control mapped to your frameworks | Auditors, assessors |
A fictional dental group with three offices
Every name and number on this page is made up and shows the format only. Your report uses the evidence from your own business.
- Company
- Brightmere Family Dental (fictional company), 3 offices, 46 employees
- Systems
- Microsoft 365, a cloud practice-management system, imaging servers in each office
- IT support
- An outside managed IT provider
- Frameworks
- HIPAA Security Rule; California breach notification law; cyber insurance renewal in 4 months

Readiness by area
Share of controls rated Documented or Tested, weighted by importance. Below 50 critical exposure, 50–70 needs improvement, 70–85 fair, 85+ good.
| Area | Score | Band | |
|---|---|---|---|
| Governance and decision authority | 38 | Critical exposure | |
| Detection, logging and evidence | 46 | Critical exposure | |
| Communication and notification | 29 | Critical exposure | |
| Recovery and continuity | 52 | Needs improvement | |
| Testing and improvement | 21 | Critical exposure |
Sample findings
| Area | Finding | Severity |
|---|---|---|
| Governance | No written incident response plan; roles exist only by habit | Critical |
| Communication | No notification decision tree for HIPAA and California deadlines | Critical |
| Governance | No one is named to decide on shutting systems down or calling the insurer | High |
| Communication | Insurer incident line and breach counsel are not on any contact list | High |
| Evidence | Microsoft 365 audit log retention never reviewed; no log-source inventory | High |
| Recovery | Restores have never been tested against recovery targets set by the practice | High |
| Testing | No tabletop exercise in the last 12 months | High |
| Recovery | Practice-management SaaS contract has no incident-notice clause | Medium |
| Communication | No way to reach staff if email and Teams are unavailable | Medium |
Findings rolled up into business risks
Score = likelihood × impact. Critical 20–25, High 12–19, Medium 6–11, Low 1–5.
| ID | Business risk | Rating | Score |
|---|---|---|---|
| R-01 | Missed notification deadlines after a breach of patient data | Critical | 4 × 5 = 20 |
| R-02 | Slow, disputed decisions in the first hours of a ransomware event | High | 4 × 4 = 16 |
| R-03 | Extended downtime because restores were never tested against agreed targets | High | 3 × 5 = 15 |
| R-04 | Investigation limited by missing or expired logs | Medium | 3 × 3 = 9 |
The 90-day roadmap
The most serious gaps close first. Owners and dates are agreed with the client.
Phase 0
Name the incident lead and alternates; put the insurer line and counsel on a contact sheet kept offline.
Phase 1
Write the plan and the notification decision tree with counsel; agree recovery targets with the practice owners.
Phase 2
Review log retention with the IT provider; test a restore against the agreed targets; add an out-of-band channel.
Phase 3
Run a ransomware tabletop; add incident-notice clauses at vendor renewal; update the plan from the lessons.
Extract from the mapping
| Finding | Framework reference |
|---|---|
| No written incident response plan | HIPAA 164.308(a)(6); NIST CSF 2.0 RS.MA |
| Restores not tested against agreed targets | HIPAA 164.308(a)(7) testing and revision; NIST CSF 2.0 RC.RP |
| No notification decision tree | California Civil Code 1798.82; HIPAA Breach Notification Rule |
| No tabletop in 12 months | NIST CSF 2.0 ID.IM; cyber insurance renewal questions |
All sample companies, systems and findings on this page are fictional and used for illustration only. Framework references are general information, not legal advice. The assessment is read-only and does not promise data retention, restore times or recovery outcomes.

See your own readiness score
Schedule a consultation. The incident response readiness assessment is $3,500 fixed.
Read-only, independent and vendor-neutral. On-site across Irvine, Orange County and Southern California; remote nationwide.


