hipaa-compliance-automator

DevOps & Security

HIPAA security and privacy compliance automation for ePHI protection, safeguards assessment, and audit preparation

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Source SKILL.md: https://github.com/a5c-ai/babysitter/blob/HEAD/library/specializations/security-compliance/skills/hipaa-compliance-automator/SKILL.md

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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']
    }
  }
}