Breach identification and reporting procedures.
A compliant HIPAA Breach Notification Policy for HIPAA must include the following4 sections. Each section addresses a specific control requirement that auditors will review.
Policy objectives.
What constitutes a breach.
Detection and investigation.
Individual, HHS, media.
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Administrative, physical, and technical safeguards.
PHI use and disclosure requirements.
Technical policies for controlling access to ePHI per §164.312(a).
Mechanisms for recording and examining access to ePHI per §164.312(b).
Policies to protect ePHI from improper alteration or destruction per §164.312(c).
Technical safeguards for protecting ePHI during electronic transmission per §164.312(e).
Establishes procedures for responding to emergencies affecting ePHI systems per §164.308(a)(7).
Security awareness and training program for all workforce members per §164.308(a)(5).