Policies, Templates, Assessments, and Training

Executive Policy: HIPAA Hybrid Entity

Executive Policy 40: HIPAA Hybrid Entity Designation Policy

This policy identifies Washington State University (WSU) as a hybrid entity and designates its covered health care components, which include business associate functions (collectively “Health Care Components” or “HCC”), in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended by the Health Information Technology for Economic and Clinical Health (HITECH) Act.

Protected Health Care Information (PHI) Incident Response Guide

If you are unsure if an incident has occurred please fill out our PHI Incident Response Form.

Building Security Reminders

Use the building security reminders checklist as needed to review building security.

Health Sciences Training

Required Trainings

HIPAA professionals are required to take these WSU trainings:

  • ITS – Health Sciences Learning Program
  • Discrimination, Sexual Harassment, and Sexual Misconduct Prevention (DSHP)
  • Ethics in Public Service
  • ITS Cyber Security Awareness Training

For new employees, additional trainings are required. Please see the HRS required trainings list. To access these trainings log on to Percipio with your WSU credentials.

Finding the Required Trainings

Follow these steps after logging into Percipio:

  1. Click on the circle labeled “My Profile” in the upper right corner of Percipio.
  2. Select the second menu item “Compliance”.
  3. Scroll down the page until you find the course you are looking for. For example, ITS – Health Sciences Learning Program.
  4. Click the card to begin the training and complete the required courses.

If you have questions about Percipio please visit the Percipio FAQ page.

Having issues accessing any of these trainings? Please contact us at smakamson@wsu.edu.

Policy Templates

These templates are for WSU Departmental use as the groundwork for departmental policies regarding HIPAA and Protected Health Information – Departments needing assistance or that have questions are encouraged to reach out.

Notice of Privacy Practice – Template

Risk Assessment

Multiple Risk Assessments are available for use ranging from isolated incidents to yearly departmental review.

The Security Risk Assessment Tool provided by the Office of the National Coordinator for Health Information Technology is available for WSU Health Care Components when completing their annual departmental risk assessment.
The SRA tool must be downloaded and installed to use; departments may need to work with their IT contacts for setup. 

Business Associate Agreements

WSU Departments who are considered covered entities must ensure that HIPAA Business Associate Agreements (BAA’s) are in place and up to date with partners regarding Protected Health Information (PHI) security as well as HIPAA compliance.

BAA’s need to go through the WSU Contracts process and procedure as outlined in BPPM 10.11

WSU Business Associate Decision Tree

WSU – Business Associate Agreement Decision Tree PDF