OBJECTIVE
Due to HIPAA Security Rule regulations, your organization must implement Contingency Planning Practices to ensure the protection of ePHI (electronic Protected Health Information). In order to accomplish this undertaking, there are several steps that your organization will be completing to identify critical business functions, processes and applications that process ePHI and to understand the potential impact to the business if a disruptive event occurred.
One of the first steps of implementing the Contingency Program for your organization is to conduct a Risk Assessment (RA). This questionnaire will help you to identify the current risks and threats to the business and implement measures to eliminate or reduce those potential risks. Once the survey is completed, the RA Project team will analyze the data and create prioritized risk reduction (mitigation) strategies to present to senior management.
Table of Contents of Risk Assessment Template
OBJECTIVE
GENERAL INFORMATION
Respondent Information
Company Information
PREVIOUS DISRUPTIONS
Facility Related
Technology Related
Weather Related
NATURAL & MAN-MADE RISKS & THREATS
Natural Risks / Threats
Man-Made Risks / Threats
ENVIRONMENT & FACILITY RISKS
Environment Risks / Threats
Facility Risks / Threat
PREVENTATIVE MEASURES
Hazardous Materials
Fire Containment
Emergency Notification, Evacuations, Alarms & Exits
Facility Features, Security, & Access
HVAC
Utilities
Data Center (Technologies)
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