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Establishing Testing and Revision Practices for HIPAA Contingency Plan

 

Purpose

The purpose of this document is to assist with the creation and implementation of plan testing and maintenance activities.  Testing determines if documented recovery strategies and associated recovery procedures are viable to recover critical business processes within their stated recovery time objectives (RTO).  Testing validates planning assumptions and it identifies the strengths and weaknesses in the plan.  Some other objectives of testing:

  • Enables plan deficiencies to be identified and addressed
  • Helps evaluate the ability of the recovery staff to implement the plan quickly and effectively
  • Identifies incorrect, outdated or no longer valid contact names, vendor names, procedures, alternate locations, etc.

Most plans that are written are not maintained.  Within a year or less the plan becomes useless because staff has changed, vendors are different, and the resources required to get continue business operations have evolved.  By maintaining the plan on a regular basis, the business will avoid the time required to create a plan from scratch and it will be prepared whenever a disaster strikes.  Some objectives of maintenance:

  • Constant “living” plan, meaning the data is accurate and up-to-date
  • Create awareness to staff by having them update their personal information
  • Avoid having to go through the entire Planning Process (BIA, RA, etc) because plans are so old and out of date that the information can’t be updated

So much time and effort goes into developing recovery plans that if proper testing and maintenance isn’t completed, the plan is little of value or in some cases worse than no plan at all.  This document will introduce a variety of methods of testing and maintaining your plans, procedures and strategies. 

Table of Content for Establishing Testing and Revision Practices Template

INTRODUCTION  

Purpose           
Compliance     

TESTING PROCESS

Establish Testing Process         
Determine Testing Requirements          
Types of Tests 
Test Objectives & Scope         
Test Measurement Criteria       
Develop Realistic Scenarios     
Create a Testing Schedule        
Prepare Test Plan        
Post-Test Reporting & Feedback        

TEST PARTICIPANT ROLES & RESPONSIBILITIES

Test Controllers           
Test Project Manager  
Test Facilitator 
Test Observer (Evaluator)        
Test Recorder (Scribe)
Test Participants          

MAINTENANCE OF PLANS  

Define Plan Owner and Maintenance Schedule 
Formulate Change Control Process      
Audit Objectives          
Responsibility  
Objectives of Auditing 
Audit Criteria   
Audit Evaluation          
Audit Schedule

APPENDIX ITEMS 

Appendix A – Business Unit Test Plan 
Appendix B – Technology Test Plan
Appendix C – Example of Test Schedule         
Appendix D – Audit Checklist 
Appendix E – Audit Notification Memo           
Appendix F – Final Audit Report         
Appendix G - Test Notification Memo 
Appendix H – Types Of Tests 

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