HIPAA Security Rule Audit Checklist
Comprehensive HIPAA Security Rule compliance audit covering all required administrative, physical, and technical safeguards for electronic protected health information (ePHI).
- Industry: Healthcare
- Frequency: Annual
- Estimated Time: 4-6 hours
- Role: Security Officer/IT
- Total Items: 32
- Compliance: HIPAA Security Rule, 45 CFR 164.308-312, NIST Cybersecurity Framework
Administrative Safeguards
164.308 requirements
- Risk analysis conducted and documented?
- Risk management plan implemented?
- Workforce sanction policy in place?
- Information system activity review conducted?
- Security officer designated?
- Workforce security procedures implemented?
- Security awareness training provided?
- Contingency plan developed and tested?
Physical Safeguards
164.310 requirements
- Facility access controls implemented?
- Workstation use policies in place?
- Workstation security measures implemented?
- Device and media controls in place?
Technical Safeguards
164.312 requirements
- Unique user identification implemented?
- Emergency access procedure established?
- Automatic logoff implemented?
- Encryption mechanisms in place?
- Audit controls implemented?
- Integrity controls in place?
- Transmission security implemented?
Policies & Procedures
Documentation requirements
- All required policies documented?
- Policies reviewed and updated as needed?
- Documentation retained for 6 years?
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?
Related Healthcare Checklists
- Patient Rights Admission Review Checklist
- Interpreter Services Documentation Checklist
- Medical Staff Credentialing Verification Checklist
- Joint Commission Tracer Audit
- CMS Emergency Preparedness Compliance Checklist
- Surgical Time-Out Verification Checklist
- Central Line Insertion Bundle Checklist
- CAUTI Prevention Bundle Checklist
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Why Use This HIPAA Security Rule Audit Checklist?
This hipaa security rule audit checklist helps healthcare teams maintain compliance and operational excellence. Designed for security officer/it professionals, this checklist covers 32 critical inspection points across 6 sections. Recommended frequency: annual.
Ensures compliance with HIPAA Security Rule, 45 CFR 164.308-312, NIST Cybersecurity Framework. Regulatory-aligned for audit readiness and inspection documentation.
Frequently Asked Questions
What does the HIPAA Security Rule Audit Checklist cover?
This checklist covers 32 inspection items across 6 sections: Administrative Safeguards, Physical Safeguards, Technical Safeguards, Policies & Procedures, Pre-Assessment Information, Infection Prevention & Control. It is designed for healthcare operations and compliance.
How often should this checklist be completed?
This checklist should be completed annual. Each completion takes approximately 4-6 hours.
Who should use this HIPAA Security Rule Audit Checklist?
This checklist is designed for Security Officer/IT 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.