hipaa-compliance-automator

HIPAA Compliance Automator Skill

Purpose

Automate Health Insurance Portability and Accountability Act (HIPAA) compliance activities including ePHI inventory, safeguards assessment, risk analysis, Business Associate Agreement management, and breach notification procedures.

Capabilities

ePHI Inventory and Tracking

• Discover and catalog electronic Protected Health Information
• Map ePHI data flows between systems
• Identify ePHI storage locations
• Track ePHI access and usage
• Document minimum necessary standards

Administrative Safeguards Assessment

• Security management process evaluation
• Workforce security procedures review
• Information access management assessment
• Security awareness training tracking
• Security incident procedures review
• Contingency plan evaluation
• Business associate oversight

Technical Safeguards Validation

• Access control verification
• Audit controls assessment
• Integrity controls validation
• Transmission security review
• Encryption verification (at rest and in transit)
• Authentication mechanisms review

Physical Safeguards Assessment

• Facility access controls review
• Workstation use and security
• Device and media controls
• Physical security documentation

Business Associate Management

• BAA inventory and tracking
• BAA compliance monitoring
• Subcontractor BAA tracking
• BAA renewal management
• Risk assessment for BAs

Breach Notification Procedures

• Breach assessment and documentation
• Risk assessment for notification determination
• HHS notification tracking (60-day rule)
• Individual notification management
• Media notification for large breaches (500+)

Risk Analysis

• Comprehensive risk assessment
• Threat and vulnerability identification
• Risk level determination
• Safeguard recommendations
• Risk treatment tracking

HIPAA Rules Coverage

Privacy Rule

• Use and disclosure limitations
• Minimum necessary standard
• Patient rights
• Notice of Privacy Practices
• Authorization requirements

Security Rule

• Administrative safeguards (164.308)
• Physical safeguards (164.310)
• Technical safeguards (164.312)
• Policies and procedures (164.316)

Breach Notification Rule

• Discovery and notification timelines
• Risk assessment methodology
• Notification content requirements
• Documentation requirements

Integrations

• Compliancy Group: HIPAA compliance platform
• HIPAA One: Compliance management
• Accountable HQ: HIPAA compliance software
• Custom audit tools: Organization-specific solutions
• EHR Systems: Electronic health records integration

Target Processes

• HIPAA Security and Privacy Compliance
• Security Risk Analysis
• Business Associate Compliance
• Breach Response Process
• Compliance Audit Preparation

Input Schema

{
  "type": "object",
  "properties": {
    "assessmentType": {
      "type": "string",
      "enum": ["full", "security", "privacy", "risk", "breach", "baa"],
      "description": "Type of HIPAA assessment"
    },
    "entityType": {
      "type": "string",
      "enum": ["covered_entity", "business_associate", "hybrid"],
      "description": "HIPAA entity classification"
    },
    "scope": {
      "type": "object",
      "properties": {
        "systems": { "type": "array", "items": { "type": "string" } },
        "facilities": { "type": "array", "items": { "type": "string" } },
        "businessAssociates": { "type": "array", "items": { "type": "string" } }
      }
    },
    "breachDetails": {
      "type": "object",
      "properties": {
        "discoveryDate": { "type": "string", "format": "date" },
        "description": { "type": "string" },
        "affectedIndividuals": { "type": "integer" },
        "phiCategories": { "type": "array" }
      }
    },
    "existingDocumentation": {
      "type": "string",
      "description": "Path to existing HIPAA documentation"
    }
  },
  "required": ["assessmentType", "entityType"]
}

Output Schema

{
  "type": "object",
  "properties": {
    "assessmentId": {
      "type": "string"
    },
    "assessmentType": {
      "type": "string"
    },
    "entityType": {
      "type": "string"
    },
    "assessmentDate": {
      "type": "string",
      "format": "date-time"
    },
    "ephiInventory": {
      "type": "object",
      "properties": {
        "systems": { "type": "array" },
        "dataFlows": { "type": "array" },
        "storageLocations": { "type": "array" }
      }
    },
    "safeguardsAssessment": {
      "type": "object",
      "properties": {
        "administrative": {
          "type": "object",
          "properties": {
            "implemented": { "type": "integer" },
            "partiallyImplemented": { "type": "integer" },
            "notImplemented": { "type": "integer" }
          }
        },
        "technical": { "type": "object" },
        "physical": { "type": "object" }
      }
    },
    "riskAnalysis": {
      "type": "object",
      "properties": {
        "threats": { "type": "array" },
        "vulnerabilities": { "type": "array" },
        "riskLevel": { "type": "string" }
      }
    },
    "gapAnalysis": {
      "type": "array",
      "items": {
        "type": "object",
        "properties": {
          "standard": { "type": "string" },
          "requirement": { "type": "string" },
          "currentState": { "type": "string" },
          "gap": { "type": "string" },
          "remediation": { "type": "string" },
          "priority": { "type": "string" }
        }
      }
    },
    "breachAssessment": {
      "type": "object"
    },
    "complianceScore": {
      "type": "number"
    },
    "recommendations": {
      "type": "array",
      "items": { "type": "string" }
    }
  }
}

Usage Example

skill: {
  name: 'hipaa-compliance-automator',
  context: {
    assessmentType: 'full',
    entityType: 'covered_entity',
    scope: {
      systems: ['EHR', 'Patient Portal', 'Billing System'],
      facilities: ['Main Hospital', 'Outpatient Clinic']
    }
  }
}