 | Business Associate Contract
Sample contract to be signed by business associates who may perform a function or activity on behalf of the practice involving the use and/or disclosure of protected health information, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.
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 | Contingency Plan Steps
Outlines the step-by-step contingency plan for practices to analyze the criticality of their data, backup plan for their data, and the disaster recovery plan, as well as the steps to activate the contingency plan through the response phase, resumption phase, recovery phase, and restorations phase.
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 | Curriculum Vitae Builder
Simply enter the information into the fields and, once completed, a curriculum vitae will be provided.
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 | Facility Maintenance Log
This sample facility maintenance log records the date, maintenance issue, who performed the repair, and date of repair.
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 | First Amendment to Business Associate Agreement
This template is for the practice and contractor to complete, but it does not reflect requirements of state laws and suggests a practice consult with advisors familiar with their state's privacy laws regarding third-party beneficiaries.
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 | Internal Privacy Checklist
Sample checklist to help determine whether your practice's current procedures comply with the HIPAA Privacy Rule, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.
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 | Job Descriptions for Front and Back Office Staff
Each pediatric practice needs competent staff to ensure that the office runs smoothly and efficiently. As a pediatrician, it is important to know when it is appropriate to delegate work so that the work and the practice are successful. This document provides an overview of what should be included in a job description. Sample job descriptions are included.
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 | Privacy Officer Job Responsibilities
Sample list of Privacy Officer job responsibilities, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.
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 | Sample Contingency Policy and Procedure
This sample policy and procedure establishes contingency plans to protect the confidentiality, integrity, and accessibility of a practice's EPHI from vulnerability in the event of an emergency.
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 | Sample Policy and Procedures on Workstation Use
Sample policy on workstation use to comply with HIPAA, including sections on operating environment, passwords, content, log-off, backup procedures, device and media controls, destruction procedures, sanctions, portable computers, e-mail, internet access, PDA, and remote access.
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 | Sample Sanction Policy
Sample policy for efficient and professional performance of employees' duties to protect integrity and confidentiality of medical and other sensitive information.
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 | Sample Security Incident Log
This sample log records information for reporting a security incident: description of the incident, time/date reported, time/date of occurrence, reported by, handled by, practice individuals notified, and details of the response to the incident.
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 | Sample Workforce Termination Procedures
Sample checklist of procedures to follow immediately upon an individual's termination from the practice to revoke the individual's access to the physical office and computer system.
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 | Staff Evaluations: Template
This sample staff evaluation form can be used to assess various staff positions. The document has tabbed sections for evaluating registered nurses, licensed practical nurses, medical assistants, front and back office personnel, office coordinator, administrative assistant, collections personnel, laboratory personnel, and referral coordinators.
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 | Training Documentation Form
Sample form to be signed by staff and physicians after the completion of training on the practice's privacy policies and procedures, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.
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 | Workforce Confidentiality Agreement
Sample confidentiality agreement to be signed by staff and physicians requiring them to keep protected health information confidential, one of a collection of documents designed to assist your practice in setting up appropriate policies and procedures to comply with the HIPAA Privacy Rule.
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 | Workforce Termination Checklist
Checklist of tasks to be completed by a practice to ensure appropriate procedure is followed upon termination of an individual from the practice.
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