HIPAA compliance skills matrix template

Overview Copied

With our free HIPAA compliance matrix template, you will receive a clear overview of the skills that are present in your organization, as well as those that are missing. Using this information, you can develop and implement a plan to ensure that your employees’ skills are up to date, comprehensive, compliant, and ready for the future.

HIPAA Privacy Rule Compliance

• Understanding of HIPAA Privacy Rule and patient rights
• Knowledge of permitted disclosures and authorization requirements
• Knowledge of permitted disclosures and authorization requirements
• Handling patient requests for access to and amendment of their PHI
• Managing privacy complaints and breach notifications

HIPAA Security Rule Compliance

• Knowledge of HIPAA Security Rule requirements
• Implementing access controls and user authentication measures
• Conducting security risk assessments and vulnerability testing
• Implementing disaster recovery and data backup plans for ePHI
• Training staff on the security best practices for HIPAA compliance

HIPAA Compliance Training and Awareness

• Developing and delivering HIPAA compliance training programs
• Training staff on privacy, security, and breach notification rules
• Updating training materials to reflect changes in regulations
• Ensuring ongoing HIPAA compliance education for all employees
• Conducting role-specific HIPAA training for different departments (e.g., clinical staff, IT, billing)

Breach Management and Incident Response

• Understanding of HIPAA breach notification requirements
• Managing breach investigations and determining the scope of affected PHI
• Conducting post-breach evaluations and revising policies
• Collaborating with IT and legal teams to assess security gaps
• Communicating with affected individuals and regulatory bodies regarding breaches

Related skills Copied

Risk assessment and management. This skill involves identifying and mitigating security risks to protected health information (PHI). Professionals proficient in risk assessment and management often pursue the Certified Information Systems Security Professional (CISSP) certification by (ISC)², which validates their expertise in this critical aspect of HIPAA compliance.

Privacy policy development. Those skilled in privacy policy development create and implement policies and procedures to safeguard patient privacy and ensure compliance with HIPAA regulations. Many in this field seek the Certified Information Privacy Professional (CIPP) certification from the International Association of Privacy Professionals (IAPP) to demonstrate their knowledge in privacy policy development and compliance.

Security incident response. This skill involves effectively responding to security incidents such as PHI breaches or unauthorized access. Professionals proficient in security incident response often pursue the Certified Information Security Manager (CISM) certification by ISACA, which verifies their proficiency in information security management, including incident response.

Access control management. The skill of establishing and maintaining proper access controls to limit unauthorized access to patient records is vital. Many professionals in this area seek the Certified HIPAA Privacy Security Expert (CHPSE) certification from the Compliance Certification Board (CCB) to demonstrate their expertise in access control management within the context of HIPAA.

HIPAA training and education. This skill involves educating and training employees on HIPAA regulations and security awareness. Professionals proficient in HIPAA training and education often pursue the Certified HIPAA Professional (CHP) certification offered by the Healthcare Compliance Certification Board (HCCB) to demonstrate their proficiency in HIPAA training and education practices.

Benefits Copied

Skills management software is crucial for HIPAA compliance as it facilitates the tracking of staff certifications, ensures ongoing training, and verifies competency in handling sensitive patient data. It helps organizations maintain a robust compliance framework and safeguard patient privacy.

Download the free Excel HIPAA compliance skills matrix template Copied

We also have a free Excel template available that you can download if you are not ready to get started with AG5. To download it, please complete this form here.

Author Copied

Wais

With a decade of experience, Wais leads our Customer Success team, providing exceptional customer experiences at AG5. Find him cooking a feast or hosting his podcasts in his spare time.

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