HIPAA Compliance Assessment

HIPAA Compliance Assessment — Dental Practice • No pressure. No obligation. Just clarity.

Practice Information

Practice Name

Your Email

Administrative Safeguards

Do you have a designated Security Officer?

Yes No Unsure

Have you conducted a formal risk analysis in the last 12 months?

Yes No Unsure

Do you have written security policies?

Yes No Unsure

Is workforce training conducted at hire and annually?

Yes No Unsure

Do you have an incident response plan?

Yes No Unsure

If part of a DSO, are compliance policies standardized across all locations?

Yes No Unsure

Physical Safeguards

Are facilities with PHI access restricted?

Yes No Unsure

Are workstations secured against unauthorized viewing?

Yes No Unsure

Do you have secure device disposal procedures?

Yes No Unsure

Are computer screens in treatment rooms positioned to prevent patient viewing?

Yes No Unsure

Technical Safeguards

Does each user have a unique login ID?

Yes No Unsure

Is Multi-Factor Authentication (MFA) enabled?

Yes No Unsure

Is data encrypted at rest?

Yes No Unsure

Is data encrypted in transit?

Yes No Unsure

Are audit logs enabled and reviewed?

Yes No Unsure

Is your Practice Management System (Dentrix, Eaglesoft, Open Dental, etc.) properly secured?

Yes No Unsure

Are digital imaging systems (DEXIS, Schick, etc.) properly secured?

Yes No Unsure

Baas Safeguards

Signed BAAs with ALL vendors handling PHI?

Yes No Unsure

BAAs include breach notification requirements?

Yes No Unsure

Do you have a signed BAA with your PMS vendor?

Yes No Unsure

Do you have a signed BAA with your imaging software vendor?

Yes No Unsure

Do you have a signed BAA with your claims clearinghouse?

Yes No Unsure

Breach Safeguards

Can you notify affected individuals within 60 days?

Yes No Unsure

Can you report to HHS within 60 days?

Yes No Unsure

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