HIPAA Compliance Audit

Complete quarterly or as required.

  • Industry: Healthcare
  • Frequency: Quarterly
  • Estimated Time: 30-45 minutes
  • Role: Privacy Officer / Compliance
  • Total Items: 30
  • Compliance: HIPAA Privacy Rule, HIPAA Security Rule, HITECH Act

Physical Safeguards

Physical security measures.

  • Computer screens positioned for privacy?
  • Paper records secured?
  • Restricted areas locked?
  • Fax machines in secure area?

Technical Safeguards

Electronic security measures.

  • Workstations password protected?
  • Auto-logoff enabled?
  • No shared login credentials?
  • PHI encrypted when transmitted?

Administrative Safeguards

Policy and procedure compliance.

  • HIPAA training completed by all staff?
  • Minimum necessary standard observed?
  • Authorization forms used properly?
  • Breach notification procedure known?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

Patient Safety & Identification

Verify patient safety protocols and identification procedures

  • Two patient identifiers used before procedures?
  • Fall risk assessment completed?
  • Call light within patient reach?
  • Bed in lowest position with brakes locked?

Medication Safety & Management

Verify medication handling and administration practices

  • Medications stored securely and at proper temperature?
  • Controlled substances properly secured and counted?
  • No expired medications in stock?
  • High-alert medications properly labeled?

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Why Use This HIPAA Compliance Audit?

This hipaa compliance audit helps healthcare teams maintain compliance and operational excellence. Designed for privacy officer / compliance professionals, this checklist covers 30 critical inspection points across 7 sections. Recommended frequency: quarterly.

Ensures compliance with HIPAA Privacy Rule, HIPAA Security Rule, HITECH Act. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the HIPAA Compliance Audit cover?

This checklist covers 30 inspection items across 7 sections: Physical Safeguards, Technical Safeguards, Administrative Safeguards, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification, Medication Safety & Management. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed quarterly. Each completion takes approximately 30-45 minutes.

Who should use this HIPAA Compliance Audit?

This checklist is designed for Privacy Officer / Compliance professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

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