HIPAA

Download Free HIPAA Policy - IT Security Incident Response Template

Scope
This policy governs the University’s general response, documentation and reporting of incidents affecting computerized and electronic communication information resources, such as theft, intrusion, misuse of data, other activities contrary to the University’s Acceptable Use Policy, denial of service, corruption of software, computer- and electronic communication-based HIPAA violations, and incidents reported to Yale by other institutions and business entities. This policy does not include damage to personal computers owned by students, unless their computers contribute to the Incident defined by the parameters in Definitions, below.

Policy Statement
The Yale University IT Security Incident Response Policy and subordinate procedures define standard methods for identifying, tracking and responding to network and computer-based IT Security Incidents.

Download Free Infection Control Self Assessment Policy Templates

Environment
- Is the environment clean overall?
- Is there any dust in high or low places-check tops of cupboards and in corners?
- Is there a designated, locked cupboard for cleaning equipment?
- Is floor covering vinyl and washable in client areas?
- In clinical areas is flooring coved (curved) to the wall?
- Are all carpets clean and in good condition
- Is all furniture clean and in good repair?

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Critical Business Function Analysis & Prioritization
- Mapping critical business functions to applications
- Mapping applications to technologies (platforms, LANs/WANs, data storage, imaging, EDI, etc.)
- Impact of business cycle on prioritization (end of month, quarter-end, year-end, etc.)
- Strategy for regular update and review
- Clear statement of risk assumption
- Definition of minimum acceptable level of service and detailed actions to get to that level
- Management participation and signoff on prioritization recommendations

Download Free HIPAA Privacy Handbook Templates.

PRIVACY RULE
- Purpose of Privacy Rule
- Highlights of Privacy Rule
- Potential Consequences of Violating the Privacy Rule

WORKFORCE REQUIREMENTS
- What is considered confidential protected health information (PHI)?
- What is not consider PHI?
- What patient information must we protect?
- What PHI can be used for research, public health, or health care operations?
- Who is authorized to access confidential PHI?
- When can students/trainees access PHI?
- What is the "Minimum Necessary" Standard?
- When are patient written authorizations required?
- What is I see someone violate the privacy law?

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