Instructions

Answer each question honestly. Score 1 point for each "Yes." You don't need to answer every question — check only what accurately describes your current state. Identifying gaps is valuable. The assessment scores you across all seven elements and places you in one of five readiness tiers.

    Discuss your results

    This assessment is based on the Seven Elements of an Effective Compliance and Ethics Program from the Federal Sentencing Guidelines for Organizations (§8B2.1). These elements are recognized as the foundation of effective compliance programs across industries, including healthcare.

    This assessment is not:

    • A guarantee of HIPAA compliance
    • A substitute for legal counsel
    • A formal audit or certification

    For educational purposes only. Does not constitute legal advice.

    Element 1: Written Standards and Procedures

    Do you have documented policies that guide compliant behavior?

    Checked: 0 / 4
    Element 2: Oversight by High-Level Personnel

    Is there clear accountability for your compliance program?

    Checked: 0 / 4
    Element 3: Due Care in Delegation

    Do you screen and authorize people who have access to sensitive data?

    Checked: 0 / 4
    Element 4: Effective Communication and Training

    Do your people know what's expected of them?

    Checked: 0 / 5
    Element 5: Monitoring, Auditing, and Risk Assessment

    Do you actively look for compliance problems?

    Checked: 0 / 6
    Element 6: Enforcement and Discipline

    Do you hold people accountable for compliance violations?

    Checked: 0 / 3
    Element 7: Response and Prevention

    Can you respond effectively when things go wrong?

    Checked: 0 / 5