HIPAA Sample Documents
(Not Reviewed by NCHICA Board)
These documents may be useful but have not been reviewed or approved by the NCHICA Board for public distribution.
PRIVACY |
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- Notice of Privacy Practices (Spanish Language Version - November 2002, Word)
This version (donated courtesy of Healthcare Training Strategies) is based on a version of the NCHICA Notice of Privacy Practices as of that date. Subsequent versions of the NCHICA document have modified the text and added an appendix of NC statutes and regulations that may be relevant to your organization and may need to be included in the Notice of Privacy Practices you provide to your patients/clients.
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- Business Associate Agreement (March 31, 2003, Word)
Based on NCHICA's Business Associate Agreement of October 3, 2002 and modified by the North Carolina County Attorneys' Business Associates Work Group. Provided courtesy of the UNC School of Government. To view other documents available, click here.
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SECURITY |
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- Assessment Tool with Matrix for HIPAA Security ISO17799 and NIST 800 Series papers. Developed by the NC Division of Mental Health
Intro (Word)
Assessment (Excel)
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JOB DESCRIPTIONS |
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Academic
Medical Center and Associated Hospital
Contract
Research Organization
124-Bed
Hospital
242-Bed
Hospital
731-Bed
Hospital
State
Government
American
Health Information Management Association (AHIMA)
Other
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