§164.308(a)(2): Identify the security official who is responsible for the development and implementation of the policies and procedures required by this subpart for the covered entity or business associate.

Audit Inquiry

Does the entity have policies and procedures in place regarding the establishment of a security official?

Has the entity identified the security official responsible for the development and implementation of the policies and procedures required by this subpart?

Obtain and review documentation of the assigned Security Official(s) responsibilities (e.g., job description) and that a natural person has been named to act as the Security Official and/or other individuals have been assigned with other security duties. Evaluate and determine whether the organization has assigned responsibility for compliance with the Security Rule to a Security Official who oversees the development and implementation (to include monitoring and communication) of security policies and procedures and/or assigned other individuals with other security duties; and the responsibilities of the Security Official(s) have been clearly defined.

Required/Addressable

Required