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Under the Code of Federal Regulations (CFR), the HIPAA Rule defines various requirements including “documentation” as the first step to compliance. The documentation requirement is complicated and includes many factors that depend on the type of work, the kind of organization, how Protected Health Information (PHI) is handled and by how many people, vendor engagements, etc.

The rigorousness with which you document your policies and procedures, audits, etc. will define your level of compliance. That’s why, HIPAA Institute developed HIPAA Document toolkit

This toolkit provides you ready-to-use customizable templates so that you don’t need to create any policy and procedure from scratch. Toolkit consist templates from three rules of HIPAA – Privacy Rule, Security Rule, and Breach Notification Rule. This toolkit is applicable to covered entities and business associates.

Document Toolkit consists 77 Policies & Procedures and Breach Notification Checklist.

48 Security Rule Templates

  • Access Authorization - Policy and Procedure_V1.0
  • Access Control and Validation Procedures - Policy and Procedure_V1.0
  • Access Establishment & Modification - Policy and Procedure_V1.0
  • Accountability - Tracking Equipment and Media Movement - Policy and Procedure_V1.0
  • Addressing Security Incidents: Procedure - Policy and Procedure_V1.0
  • Administrative Safeguards - Policy and Procedure_V1.0
  • Applications and Data Criticality Analysis - Policy and Procedure_V1.0
  • Audit Policy & Process - Policy and Procedure_V1.0
  • Automatic Logoff - Policy and Procedure_V1.0
  • Contingency Operations - Policy and Procedure_V1.0
  • Contingency Planning & Recover Strategy - Policy and Procedure_V1.0
  • Data Backup and Storage - Policy and Procedure_V1.0
  • Data Backup Plan - Policy and Procedure_V1.0
  • Disaster Recovery Plan - Policy and Procedure_V1.0
  • Disposal - Policy and Procedure_V1.0
  • Emergency Access Procedure - Policy and Procedure_V1.0
  • Emergency Mode Operation Plan - Policy and Procedure_V1.0
  • Encryption - Policy and Procedure_V1.0
  • Encryption and Decryption - Policy and Procedure_V1.0
  • Facility Access Controls Procedure - Policy and Procedure_V1.0
  • Facility Security Plan - Policy and Procedure_V1.0
  • HIPAA Security Officer Job Responsibilities - Policy and Procedure_V1.0
  • Incident Reporting & Response - Policy and Procedure_V1.0
  • Information Access Management - Policy and Procedure_V1.0
  • Information System Activity Review - Policy and Procedure_V1.0
  • Information System Activity Review Audit process - Policy and Procedure_V1.0
  • Integrity Controls - Policy and Procedure_V1.0
  • Log-in Monitoring - Policy and Procedure_V1.0
  • Maintenance Records - Policy and Procedure_V1.0
  • Mechanism to Authenticate Electronic Protected Health Information - Policy and Procedure_V1.0
  • Media Re-use - Policy and Procedure_V1.0
  • Password Management - Policy and Procedure_V1.0
  • Person or Entity Authentication - Policy and Procedure_V1.0
  • Physical Safeguards - Policy and Procedure_V1.0
  • Protection from Malicious Software - Policy and Procedure_V1.0
  • Risk Analysis & Risk Management - Policy and Procedure_V1.0
  • Sanction Policy - Policy and Procedure_V1.0
  • Security Awareness & Training Plan - Policy and Procedure_V1.0
  • Security Reminders - Policy and Procedure_V1.0
  • Technical Safeguards - Policy and Procedure_V1.0
  • Termination Procedures - Policy and Procedure_V1.0
  • Testing and Revision Procedure - Policy and Procedure_V1.0
  • Transmission Security - Policy and Procedure_V1.0
  • Unique User Identification - Policy and Procedure_V1.0
  • Workforce Authorization & Supervision - Policy and Procedure_V1.0
  • Workforce Clearance Procedure - Policy and Procedure_V1.0
  • Workstation Security - Policy and Procedure_V1.0
  • Workstation use - Policy and Procedure_V1.0

28 Privacy Rule Templates

  • Accounting of Disclosures of PHI Form_V1.0
  • Amendment of PHI - Policy and Procedure_V1.0
  • Authorization for Use or Disclosure Form_V1.0
  • Authorization for Use or Disclosure of PHI - Policy and Procedure_V1.0
  • Denial of Request for Amendment of PHI Form_V1.0
  • Denial of Request to Access Own PHI Form_V1.0
  • Grant of Amendment of PHI Request Form_V1.0
  • Grant of Request to Access Own PHI Form_V1.0
  • Individual Requested Restrictions of Use or Disclosure of PHI - Policy and Procedure_V1.0
  • Individual Requested Restrictions on Confidential Communications - Policy and Procedure_V1.0
  • Individual’s Rights to Access and Copy PHI - Policy and Procedure_V1.0
  • Minimum Necessary Standard - Policy and Procedure_V1.0
  • Notice to Others of Amendment of PHI Form_V1.0
  • Notification of Additional Time to Respond to Access to Own PHI Form_V1.0
  • Notification of Additional Time to Respond to Accounting Request Form_V1.0
  • Notification of Charges for Second Request in 12 Month Period Form_V1.0
  • Request an Accounting of Certain Disclosures of PHI for Non-TPO Purposes Form_V1.0
  • Request for Amendment of PHI Request Form_V1.0
  • Request for An Accounting of Disclosures Form_V1.0
  • Request for Confidential Communications Form_V1.0
  • Request to Access Own PHI Form_V1.0
  • Request to Restrict Certain Uses and Disclosures Form_V1.0
  • Requestor’s List of Person’s or Entities to Be Notified of Amendment of PHI Form_V1.0
  • Response to Request to Restrict Certain Uses and Disclosures Form_V1.0
  • Revocation of an Authorization - Policy and Procedure_V1.0
  • Revocation of Authorization for Use or Disclosure of Protected Health Information Form_V1.0
  • Uses or Disclosure of PHI - Policy and Procedure_V1.0
  • Verification Prior to Disclosure of PHI - Policy and Procedure_V1.0

2 Breach Notification Rule Templates (Revised with effect from 01 January, 2017)

  • Breach Notification Audit Checklist
  • Breach Notification Policy - Policy and Procedure_V1.0
Questions? Call one of our HIPAA experts today at 1-800-262-8146