Just Associates, Inc. can help you assess your risk potential through a Risk Analysis that addresses the eighteen standards and forty-two Implementation Specifications of the HIPAA Security Rule.  This includes the Administrative, Physical and Technical Safeguards as also required by the Privacy Rule.   

Answers

Yes

No

Don’t Know

HIPAA Privacy and Security Quick Quiz

Complete the following questions to determine your risk potential. (View Only)

1.   Do you have a written Security Management Plan that describes your overall Security Program in detail ?

2.   Have you had a technical & non-technical security evaluation in the past two years ?

3.   Do you have information access management procedures for:

 

 

 

 

Administrative Access to PHI ?

 

Physical Access to PHI ?

 

Technical Access to PHI?

4.   Do you do regular security training of staff?

 

Do you train staff on protection from malicious software ?

 

Log-in monitoring ?

 

Password management ? 

5.   Do you have formal privacy and security incident response procedure ? 

 

Are staff sufficiently trained in the procedure to immediately implement it should a security breach occur ?

6.   Do you have a detailed Contingency Program that includes:

 

 

 

 

Data Backup Plan ?

 

Disaster Recovery Plan ?

 

Emergency Mode Operation Plan ?

 

Testing and Revision Plan ?

 

Applications and Data Criticality Plan ?

7.   Does your Business Associate Agreement include adequate security protection language ?

8.   Do you have procedures for device and media re-use and

      disposal ?

9.   Do you have adequate data integrity controls on your systems ?

10. Do you actively monitor your system activity for intrusion ?

If you answered “No” or “Don’t Know” to any of the above questions, your organization may be at risk of:

          Failure to meet HIPAA security regulatory requirements.

          Potential impact on quality of care and patient safety from lack of security safeguards for the health information you use to treat your patients.

          Negative impact on your pocketbook if unlawful disclosure should occur in your organization. One healthcare system recently spent $500,000 just sending notices to their patients contained in a database that was breached.  They also provided one year of credit monitoring for the 1.5 million patients affected by the security breach.

          Harm to reputation and loss of patient trust in your organization’s ability to security their personal data.

For More Information:

For more information on how Just Associates’ HIPAA Privacy and Security Consulting Services can help, call 303.693.4727 or click here.