HIPAA Compliance Initiative Survey

1) Does your organization store, manage, or transmit Protected Health Information (PHI)?*
2) Has your organization received requests from customers to demonstrate HIPAA-compliance?*
3) Is your organization concerned about HIPAA compliance for (customer, own company, service provider)?*
4) What was the driving force for your organization to pursue or not to pursue HIPAA compliance?*
5) Are HIPAA compliance efforts done in-house, outsourced or a combined effort? If outsourced, which company do you work with?*
If outsourced, which company(s) do you work with?*
6) Are your organization's HIPAA compliance initiatives meeting your expectations/needs?
7) How would you rate your organization’s overall level of HIPAA compliance? (1 – least compliant, 5 – compliant) *
1
2
3
4
5
8) How likely do you believe your organization is to be audited for HIPAA compliance?*
1
2
3
4
5
9) Does your organization have any current or planned HIPAA compliance initiatives?*
10) Has your organization completed a Security Risk Assessment in the last year? If yes, when was the SRA completed?*
Date SRA was done:*
Name:*
Company/Organization: *
E-mail:*
Phone:*
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Maybe we contact you with further questions about your responses?*
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