Components of HIPAA Security Policies Procedures Templates (HITECH & Omnibus updated)

HIPAA Security Policies Template SuiteHave you checked your HIPAA Security policies and procedures lately? Are those updated for the Omnibus rule and implemented company-wide? Are employees trained on your policies and procedures? Our template suite has 87 policies and will save you at least 400 work hours and are everything you need for rapid development and implementation of HIPAA Security policies. Our templates are created by security experts and are based on HIPAA requirements, updates from the HITECH act of 2009, Omnibus rule of 2013, NIST standards, and security best practices. The key objectives in formulating the policies were to ensure that they are congruent with the HIPAA regulations, integrate industry-established best practices for security, and are tailored to the healthcare provider environment.

 

Our HIPAA security policies procedures templates are ideally suited for covered entities, business associates, and sub-vendors.

 

These 87 Information technology-related policies procedures in the template suite (updated in May 2013 for Omnibus rule) are organized into the following five major categories:

Category of HIPAA Security Policies & Procedures
Total Policies and Procedures
Governance, Administrative Safeguards, and Workforce Controls
31
Incident Response, Contingency Planning, and Resilience
8
Technical Safeguards, Access Control, and Cybersecurity Operations
33
Physical Safeguards, Facilities, Devices, and Media
11
Supporting Guides, Checklists, and Implementation Tools
4

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Detailed list of included policies and supporting documents

Below is the itemized content inventory based on the attached suite. This section is useful for product pages because it shows buyers exactly what they receive.

Governance, Administrative Safeguards, and Workforce Controls (31 items)

Included Document What it Covers
AI Systems Security and Governance Establishes guardrails for using AI with ePHI, including oversight, risk review, vendor governance, and monitoring.
Acceptable Use of Information Resources Defines how staff may use systems, devices, data, and network resources that touch ePHI.
Acceptable Use of Social Media Sets rules for social media activity to prevent improper disclosures and protect patient privacy.
Access Establishment and Modification Provides the workflow for approving, changing, reviewing, and revoking user access.
Application and Data Criticality Analysis Policy Prioritizes critical applications and data so recovery planning focuses on the systems that matter most.
Assigned Security Responsibility Documents who serves as the security lead and how security duties are assigned and overseen.
Authorization and Supervision Policy Explains how workforce members are authorized and supervised when working with ePHI.
De-Identification of PHI Policy Explains how PHI is de-identified for secondary use, analytics, or other approved purposes.
Documentation Maintenance Policy Defines how security documentation is created, approved, updated, retained, and version-controlled.
Ethics Standards and Policy Sets ethical expectations for handling information, making decisions, and safeguarding patient trust.
Evaluation Policy Requires periodic evaluations to confirm that safeguards remain effective as risks and operations change.
HIPAA Access Authorization Policy Defines the approval rules and authorization criteria for access to HIPAA-regulated information.
Identifying PHI and DRS Helps staff recognize protected health information and designated record set content for proper handling.
Information Access Management Policy Establishes role-based access principles and minimum necessary controls across the organization.
Information Handling Policy Defines how sensitive information is classified, stored, shared, transmitted, and disposed of securely.
Information Security Activity Review Requires periodic review of logs, reports, and security events to spot inappropriate activity.
Isolating Healthcare Clearinghouse Function Addresses separation controls when a clearinghouse function must be isolated from other operations.
Requirements for Group Health Plans Outlines security-related documentation and handling expectations for group health plan environments.
Risk Analysis Policy Defines the process for identifying threats, vulnerabilities, likelihood, impact, and risk levels.
Risk Management Policy Explains how identified risks are prioritized, treated, tracked, and reduced over time.
Safeguarding Protected Health Information Provides broad rules for protecting PHI in day-to-day operations and across common workflows.
Sanction Policy Sets disciplinary consequences for workforce members who violate HIPAA security requirements.
Security Awareness and Training Defines the organization’s security training program for workforce members and ongoing compliance education.
Security Management Process Brings together risk analysis, risk management, sanctions, and activity review into one management framework.
Security Reminders Policy Creates a recurring reminder and micro-training program to reinforce secure workforce behavior.
Security Rule Compliance Audit Provides an audit framework for checking alignment with HIPAA Security Rule requirements.
Technology Asset Inventory and Network Map Policy Requires a current inventory of technology assets and a map of systems and ePHI data flows.
Termination Policy and Procedure Explains the offboarding steps for ending access, recovering assets, and documenting separation actions.
ThirdParty Cybersecurity Risk Management Policy Defines how vendors and other third parties are assessed, monitored, and managed for security risk.
Workforce Clearance Policy and Procedure Sets screening and clearance expectations before workforce members receive access to sensitive systems.
Workforce Security Defines workforce security responsibilities from onboarding through role change and termination.

Incident Response, Contingency Planning, and Resilience (8 items)

Included Document What it Covers
Backup Immutability and Ransomware Resilience Standard Describes resilient backup practices that improve recovery and reduce ransomware impact.
Contingency Plan Policy and Setup Procedure Defines contingency planning requirements and setup steps for maintaining critical operations.
Data Backup and Recovery Policy Sets expectations for backup scope, frequency, protection, testing, and restoration.
Disaster Recovery Plan Provides the structured plan for restoring systems and data after major disruptions.
Emergency Mode of Operation Plan Explains how essential operations continue during emergencies while protecting ePHI.
Response and Reporting Defines how security events are escalated, documented, reported, and communicated.
Security Incident Procedure Provides the step-by-step process for identifying, containing, investigating, and closing incidents.
Testing and Revision Procedure Requires contingency and related plans to be tested, validated, and revised on a regular basis.

Technical Safeguards, Access Control, and Cybersecurity Operations (33 items)

Included document What it covers
Access Control Defines role-based, least-privilege, and auditable access controls for systems that contain ePHI.
Audit Controls Requires systems to record and preserve activity needed to detect, investigate, and prove compliance.
Automatic Logoff Procedure Sets session timeout and automatic logoff rules to reduce unauthorized viewing of ePHI.
Automatically Forwarded Email Policy Restricts automatic forwarding so sensitive information is not sent to unapproved destinations.
Centralized Logging, SIEM, and Security Monitoring Runbook Defines logging, alerting, monitoring, and investigation workflows for centralized security operations.
Cloud Security Sets baseline requirements for securing ePHI in cloud-hosted environments and services.
Configuration Management and Secure Baselines Defines approved configurations and baseline hardening standards for systems and devices.
Data Integrity Authentication of ePHI Explains how the organization protects ePHI from improper alteration or destruction.
Data Loss Prevention (DLP) and Exfiltration Controls Standard Establishes controls for detecting and blocking unauthorized transmission or removal of sensitive data.
Email Security Standard Defines technical email protections such as filtering, encryption, and anti-phishing controls.
Email Use Policy Sets user-facing rules for safe email handling, messaging behavior, and transmission of sensitive information.
Emergency Access Procedure Defines break-glass and emergency access methods for urgent situations involving patient care or operations.
Encryption Policy Requires encryption controls where appropriate to protect ePHI at rest and in transit.
Encryption and Decryption Policy Explains approved encryption methods, key use, and decryption practices for authorized access.
Extranet Security Policy Sets security requirements for partner, vendor, or external network connections.
Internet DMZ Policy Defines demilitarized zone controls for internet-facing systems and segmented services.
Key Management and Cryptographic Standards Provides requirements for cryptographic algorithms, key lifecycle management, and key protection.
Log-in Monitoring Policy Requires monitoring of authentication events to detect suspicious login activity and misuse.
Mobile Device Management and Security Policy Defines mobile device management controls for enrollment, configuration, protection, and remote actions.
Multi-Factor Authentication (MFA) Policy Requires multi-factor authentication for defined systems, users, and high-risk access scenarios.
Network Security Policy Sets core network defense requirements for segmentation, filtering, monitoring, and secure design.
Network Segmentation Policy Explains how systems and data zones are separated to limit exposure and contain incidents.
Password Management Policy Defines password creation, storage, reset, rotation, and protection requirements.
Patch Management Policy Requires timely testing, deployment, and tracking of security patches and updates.
Person or Entity Authentication Policy Defines how users, devices, services, and other entities are authenticated before access is granted.
Privileged Access Management (PAM) Standard Establishes tighter controls for administrative, elevated, and high-risk privileged accounts.
Protection from Malicious Software Policy Defines defenses against malware, ransomware, and related threats across covered systems.
Remote Access Policy Sets requirements for remote connections, secure methods, approvals, and monitoring.
Secure SDLC and Application Security Policy Defines secure development, testing, release, and application security review requirements.
Transmission Security Policy Explains how ePHI is protected when transmitted across internal or external networks.
Unique User Identification Requires each workforce member or user to have a unique identifier for accountability and traceability.
Vulnerability Management and Security Testing Defines scanning, validation, testing, and remediation expectations for security weaknesses.
Wireless Security Policy Sets security rules for wireless networks, access points, and wireless device use.

Physical Safeguards, Facilities, Devices, and Media (11 items)

Included Document What it Covers
Accountability Policy Tracks assignment, custody, movement, and lifecycle accountability for devices and media that touch ePHI.
Device and Media Controls Defines safeguards for receiving, moving, storing, reusing, and disposing of hardware and media.
Device and Media Disposal Policy Sets secure destruction and disposal requirements for devices and media containing sensitive data.
Facility Access Controls Defines how physical access to facilities and secured areas is authorized, logged, and managed.
Facility Security Plan Policy Provides a formal facility protection plan for buildings, rooms, and areas that house sensitive systems.
Facsimile Security and Use Explains secure faxing practices, destination verification, and handling of faxed information.
Maintenance Records Policy Requires records of maintenance and repairs for systems and equipment that affect ePHI security.
Media Re Use Policy Defines data removal and sanitization steps before media is reused.
Mobile Device Policy Sets practical use and protection rules for smartphones, tablets, and other portable devices.
Workstation Security Policy Defines physical and technical safeguards for workstations that access or display ePHI.
Workstation Use Policy Explains acceptable workstation use, placement, and handling in clinical and office settings.

Supporting Guides, Checklists, and Implementation Tools (4 items)

Included Document What it Covers
Cloud Security Baseline Audit Evidence Guide Lists the evidence organizations can gather to prove cloud security controls are in place.
Cloud Security Baseline Guide-Checklist Provides a practical cloud security checklist that can be used during implementation or review.
NPRM and Cloud Checklists Includes comparison tables and readiness checklists tied to proposed rule updates and cloud controls.
Policy Tables Provides reusable metrics, sanction ranges, and support tables referenced across the policy set.

Price: $495

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Components of HIPAA Security policies procedures

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