The Day Pitney HIPAA SelfAssessment Tool 2015 Day

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The Day Pitney HIPAA Self-Assessment Tool © 2015 Day Pitney LLP

The Day Pitney HIPAA Self-Assessment Tool © 2015 Day Pitney LLP

A Brief Overview of Day Pitney’s HIPAA Self-Assessment Tool Welcome to Day Pitney’s HIPAA

A Brief Overview of Day Pitney’s HIPAA Self-Assessment Tool Welcome to Day Pitney’s HIPAA Self-Assessment Tool! This Power. Point presentation provides a brief overview of a proprietary HIPAA self-assessment tool that is based on the Office for Civil Rights (“OCR”) HIPAA audit protocol.

Self-Assessment Tool Overview The Self-Assessment Tool is an easy-to-use excel-based survey instrument that contains

Self-Assessment Tool Overview The Self-Assessment Tool is an easy-to-use excel-based survey instrument that contains five columns: Ø Column A: Contains the topic description of the Protocol Activity contained in OCR’s HIPAA Audit.

Self-Assessment Tool Overview Ø Column B: Contains the Self-Assessment Question(s) derived from the Protocol

Self-Assessment Tool Overview Ø Column B: Contains the Self-Assessment Question(s) derived from the Protocol Activity. Ø By clicking a Protocol Activity in Column A, the user will be able to view the more detailed activity descriptions and protocol questions, including applicable regulatory citation(s).

Self-Assessment Tool Overview Ø Column C: After reading the Self-Assessment Question(s), the user selects

Self-Assessment Tool Overview Ø Column C: After reading the Self-Assessment Question(s), the user selects a response from the drop-down menu in Column C to the best of their knowledge. Ø Column D: Any questions, concerns or uncertainties can be noted in Column D.

Self-Assessment Tool Overview Ø Columns F & G: As each Self-Assessment Question is answered,

Self-Assessment Tool Overview Ø Columns F & G: As each Self-Assessment Question is answered, a summary of the responses will be automatically generated in Columns F-G. The Tool also generates charts which reflect the results of “yes, ” “no, ” or “don't know” answers for each protocol question. The results are displayed in several graphic formats for analysis.

Self-Assessment Tool Overview The Self-Assessment Tool contains sections on: Ø Privacy Rule Ø Security

Self-Assessment Tool Overview The Self-Assessment Tool contains sections on: Ø Privacy Rule Ø Security Rule Ø Breach Notification Rule

Thank You! If you have any questions, please contact: Doug Sibor Email: dsibor@daypitney. com

Thank You! If you have any questions, please contact: Doug Sibor Email: dsibor@daypitney. com Please note: This Self-Assessment Tool cannot determine if an organization is in compliance with all of the HIPAA requirements. Rather, this easy-to-use self-assessment device helps covered entities gauge their compliance with HIPAA's privacy, security, and breach notification requirements by compiling data for review to identify areas that may need additional attention. If an organization has concerns or questions about its HIPAA compliance after completing some or all of the Self-Assessment Tool, legal counsel should be consulted for further guidance.