This policy is listed for reference only and should be reviewed with your lawyer before implementing them into daily practice. We are not lawyers and are not providing any legal advice. View our legal disclaimer.

HIPAA Security Timely Actions Policy

Reference: 45 CFR § 164.312(a)(1)
Last Updated: July 5, 2023


The purpose of this policy is to define a basic calendar of recurring and initial actions to ensure initial and ongoing compliance.


Topic Action Frequency Form
Initial Set-up Conduct Full Analysis Initial Actions Security Gap Analysis
Initial Set-up Familiarize with Policies and Forms Initial Actions N/A
Initial Set-up Train Staff (Policies, HIPAA) Initial Actions N/A
System Access Systems Patches Update Monthly Hardware and Systems Software Maintenance C
Data Backup Test Back-up Quarterly Data Back-up test
Information Systems Audit Review records of information system activity:

  • Logins and logouts, successful and unsuccessful.
  • Number of files and sessions opened per Individuals.
Quarterly N/A
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