HIPAA Risk Assessment Survey

This short survey is designed as a guide to prepare for and/or bolster your understanding of HIPAA. It is not a comprehensive risk assessment or a substitute for one. This survey does not constitute as legal advice or guidance.

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* 1. We are bound by HIPAA Regulations as a:

Covered Entity

Business Associate

I'm not sure

None of the above

Other (please specify)

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* 2. We have had a HIPAA Risk Assessment within the past 12 months

Yes

Other (please specify)

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* 3. We have a HIPAA Compliance Officer, and I know who is assigned that responsibility.

Yes

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* 4. Our HIPAA Compliance Officer has the authority to sanction anyone in our organization for violations of HIPAA policies.

Yes

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* 5. We have policies and procedures outlining how to properly store, transmit, and dispose of PHI and ePHI.

Yes

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* 6. We have a Business Associate Agreement with each of our vendors or service providers that has access to our PHI or ePHI.

Yes

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* 7. Our PHI or ePHI is properly backed up and safe from theft or cyber-attack.

Yes

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* 8. Our workforce is trained regularly on how to minimize the likelihood of a PHI breach.

Yes

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* 9. We document all incidents that might have resulted in a breach and notify affected patients within the federally-mandated time frame.

Yes

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* 10. I wish to be contacted by A Better Choice Network Solutions about how to improve upon our HIPAA Risk Assessment.

Name

Company

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number