№ files_lp_3_process_9_29737
Compliance review checklist outlining required elements for breach identification, investigation, notification, mitigation, documentation, and regulatory reporting under SHIPM 2.4.1 within state health entities.
Document Title: Statewide Health Information Policy Manual (SHIPM) 2.4.1 – Breach and Breach Notification Compliance Review Tool Question #25 Artifact Must Haves and Best Practices
Policy Reference: SHIPM 2.4.1
Subject: Breach and Breach Notification Compliance Review
Document Type: Compliance Review Checklist
Jurisdiction: Statewide
Regulatory Framework: HIPAA; HITECH Act
Related Agencies: HHS; DOJ; OIS; CHP; CDII; Office for Civil Rights (OCR); CMS
Intended Audience: Health Plans; Health Care Providers; Health Care Facilities; Compliance Officers; Risk Management; IT Leadership; Legal Counsel
Key Topics: Breach Reporting; Risk Assessment; Investigation Documentation; Internal and External Notifications; Mitigation Activities; Workforce Sanctions; Business Associate Responsibilities; Notification Content Requirements; Notification Timing and Methods
Retention Requirement: Six years for completed breach checklist and supporting investigation records
Review Elements: Effective Date; Revision Date; Authorizing Senior/Executive Management Signature; Reviewer Comments; Reviewer Name and Date
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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