HIPAA Quick Check Assessment 2025! Is your practice ready?
"
*
" indicates required fields
Step
1
of
11
9%
1. HIPAA Privacy Rule Training
*
What describes your process for new hire employees' access to PHI (protected health information)?
A. Provide HIPAA Privacy Rule training during onboarding and only grant PHI (protected health information) access after successful completion.
B. Wait until new hires are comfortable in their roles, then cover HIPAA Privacy basics within the first month.
C. Offer a brief overview on Day One but grant PHI (protected health information)access immediately since they’ll learn on the job.
D. Hand out reading materials about HIPAA and new hires self-train at their own pace, granting PHI access anytime.
2. HIPAA Security Rule Training
*
Which answer best describes comprehensive HIPAA Security Rule training in your practice?
A. We focus almost exclusively on technical safeguards (phishing, ransomware, encryption, etc.). The staff already knows physical security procedures.
B. We have regular (multiple times per year) training sessions covering technical, administrative, and physical safeguards.
C. We conduct annual training sessions covering technical, administrative, and physical safeguards.
D. We do not have a formal training program; employees are expected to “learn by doing.”
3. HIPAA Technical Safeguards – Email
*
Which best describes your office’s approach to implementing secure email for ePHI (electronic protected health information)?
A. We rely on standard email with a password-protected attachment
B. We have an email encryption service, but only use it occasionally or for large files, not routine ePHI (electronic protected health information) communications.
C. We consistently employ a HIPAA-compliant, end-to-end email encryption solution for all ePHI (electronic protected health information) transmissions.
D. We do not use encryption, patient info is safe as long as we limit who we email.
4. Procedures for Amending PHI
*
How does your practice handle patient requests to amend their Protected Health Information (PHI) under the HIPAA Privacy Rule?
A. Have a clear policy for amendment requests, and instruct staff to involve the Privacy Officer when needed.
B. Patients cannot amend any health records once filed.
C. Staff sends all amendment requests directly to their direct supervisor, to deal with it.
D. Inform patients that amendments must be done verbally during their next visit, and no formal process is needed.
5. Periodic Evaluations of ePHI Systems
*
Which practice best reflects your HIPAA-compliant evaluations of electronic systems containing ePHI?
A. Perform scheduled risk analyses and update configurations (e.g., encryption settings, and patches) as recommended.
B. Use the default software settings; reevaluate only if a breach occurs.
C. Conduct monthly antivirus scans but don’t have comprehensive tech system reviews.
D. Hire a consultant once every few years to do a broad security assessment.
6. Contingency Planning for Emergencies
*
Which approach do you use for contingency planning that aligns with the HIPAA Security Rule?
A. Develop and document a plan for emergency operations and disaster recovery, including backups and testing.
B. Have an informal verbal plan.
C. Rely on the local data center to handle any disaster without internal procedures.
D. No need for a formal plan if you keep all records on-site in a locked room.
7. HIPAA Breach Notification – 2025 Standards
*
Which statement best describes your practice’s approach to breach notification under the updated 2025 HIPAA rules?
A. Provide HIPAA Privacy Rule training during onboarding and only grant PHI (protected health information) access after successful completion.
B. Wait until new hires are comfortable in their roles, then cover HIPAA Privacy basics within the first month.
C. Offer a brief overview on Day One but grant PHI (protected health information)access immediately since they’ll learn on the job.
D. Hand out reading materials about HIPAA and new hires self-train at their own pace, granting PHI access anytime.
8. Reviewing & Updating HIPAA Administrative Policies
*
What strategy do you use for maintaining HIPAA administrative policies (e.g., record retention, workforce sanctions) to best meet 2025 requirements?
A. Conduct scheduled policy reviews, update them as needed for new HHS guidance, and document all changes in writing and logged in the HIPAA manual.
B. Only revise policies if a major incident occurs, without documenting minor updates.
C. Keep internal notes of policy changes but do not publicize them to staff or until an audit is announced.
D. Update policies once a year but do not maintain any revision histories or rationale for changes.
9. Business Associate Agreements (BAAs) for 2025
*
What is your approach to Business Associate Agreements (BAAs) that is most compliant with upcoming 2025 HIPAA rules?
A. Proactively revised BAAs to reflect all the new 2025 rule changes and redistributed them to all relevant vendors.
B. Continue using existing BAAs and hope for the best.
C. Update BAAs only for newly onboarded vendors, relying on older BAAs for long-term partners.
D. Notify vendors via email of “unofficial updates” to HIPAA terms, rather than revising the formal agreement.
10. Breach Notification Compliance for 2025
*
Which best describes a compliant breach notification plan under the new 2025 HIPAA standards?
A. Maintain a documented breach response plan with an updated timeline for notifying individuals, HHS, and possibly the media.
B. Handle breaches on a case-by-case basis without a formal timeline or checklist.
C. Keep a general plan from 2018; assume the same timeframes apply in 2025.
D. Draft a new plan but do not distribute it until after a breach occurs.
Name
*
First
Last
Email
*
Website
*
Phone
Score
© FEARLESS PPOVIDER - 2025 All rights reserved