Activity Assigned To Due Date Completed  Notes
Must comply by April 21, 2005      
Designate a security officer or officers Line officers 2/29/2004 2/3/2004 line officers will serve as HIPAA officers
Perform Risk assessment to determine valuable information assets Line officers 2/29/2004 2/3/2004 file cabinets with locks, locked mailbox for PCR's -optained
Develop polices to mitigate risks including:
a. Contingency Plans 4/30/2005
b. Personnel Security Policies 4/30/2005
c. Physical Security Policies 4/30/2005
d. Audit Policies 4/30/2005
e. Media Control Policies 4/30/2005
f. Workstation Use/ Location Policies 4/30/2005
g. Authorization Control Policies 4/30/2005
h. Data Entity Authentication policies 4/30/2005
i. Security Incident Policies 4/30/2005
j. Record processing Polices 4/30/2005
k. Network Control Policies 4/30/2005
Determine chain of responsibility and contact points 5/31/2005
Determine Chains of Trust 5/31/2005
Create repercussions guideline for violations of implemented policies 6/30/2005
Develop guidelines and standards to implement required policies 7/31/2005
Purchase necessary equipment/software to meet policy requirements 9/30/2005
Develop procedures to implement the standards 9/30/2005
Obtain HIPAA Security certification from an outside authority 4/21/2005
Train Volunteers on procedures and guidelines Ongoing
Perform regular re-assessment of Security policies Ongoing

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