
Athelas HIPAA Audit Checklist
Use this checklist to assess your practice’s HIPAA readiness.
Select your compliance level for each item to automatically calculate your score.
Administrative Safeguards
| Risk Analysis completed within 12 months | × | |
|---|---|---|
| Documented Risk Management Plan exists | × | |
| HIPAA Security Officer designated | × | |
| Annual staff HIPAA training conducted | × | |
| Incident response plan documented | × | |
| Sanction policy in place | × | |
| BAAs on file for all vendors | × |
Physical Safeguards
| Restricted facility access to PHI areas | × | |
|---|---|---|
| Workstations secured and auto-lock enabled | × | |
| Secure device/media disposal process | × |
Technical Safeguards
| Unique IDs and password protocols | × | |
|---|---|---|
| Encryption of PHI at rest and in transit | × | |
| Quarterly audit log reviews | × | |
| Integrity controls prevent PHI alteration | × | |
| No unencrypted PHI transmission | × |
Organizational Requirements
| Current HIPAA policies reviewed annually | × | |
|---|---|---|
| Documented workforce sanctions process | × | |
| Patient complaint process in place | × | |
| Documentation retained for 6 years | × |
Breach Notification
| Breach assessment procedure defined | × | |
|---|---|---|
| Patients notified within 60 days | × | |
| Major breaches reported to HHS/media | × | |
| Breach logs maintained for 6 years | × |
Overall Compliance Score
High Risk—Immediate Action Recommended
Score Interpretation
90–100%
Strong Compliance Foundation
70–89%
Moderate Risk—Review Identified Gaps
<70%
High Risk—Immediate Action Recommended
