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MP1 Solution - Annual Compliance Assessment - JM

Complete To Receive Your Assessment Score

1. Contact Information *This question is required.Please verify your contact information so that we can send you your risk assessment and follow up to answer any questions you may have.

Full Name

Email Address (where you would like these results sent) *This question is required. This question requires a valid email address.

Company/Facility Name

Phone Number *This question is required. This question requires a valid number format.

2. How many full-time employees do you have? *This question is required. This question requires a valid number format.

3. OSHA Compliance (29 CFR 1910.1030) *This question is required.The following questions relate to meeting the core requirements of OSHA to ensure a safe workplace environment.

Space Cell	Completed	Not Completed	I don't know
Have all employees completed Bloodborne Pathogen Training (29 CFR 1910.1030)?	Have all employees completed Bloodborne Pathogen Training (29 CFR 1910.1030)?: Completed	Have all employees completed Bloodborne Pathogen Training (29 CFR 1910.1030)?: Not Completed	Have all employees completed Bloodborne Pathogen Training (29 CFR 1910.1030)?: I don't know
Have all employees completed Hazard Communication (HazCom) Training (29 CFR 1910.1200)?	Have all employees completed Hazard Communication (HazCom) Training (29 CFR 1910.1200)?: Completed	Have all employees completed Hazard Communication (HazCom) Training (29 CFR 1910.1200)?: Not Completed	Have all employees completed Hazard Communication (HazCom) Training (29 CFR 1910.1200)?: I don't know
Have all employees completed Global Harmonized System (GHS) Training?	Have all employees completed Global Harmonized System (GHS) Training?: Completed	Have all employees completed Global Harmonized System (GHS) Training?: Not Completed	Have all employees completed Global Harmonized System (GHS) Training?: I don't know
Have all employees completed Lockout/Tagout Electrical Safety Training (29 CFR 1910.147)?	Have all employees completed Lockout/Tagout Electrical Safety Training (29 CFR 1910.147)?: Completed	Have all employees completed Lockout/Tagout Electrical Safety Training (29 CFR 1910.147)?: Not Completed	Have all employees completed Lockout/Tagout Electrical Safety Training (29 CFR 1910.147)?: I don't know
Do you have updated exposure control plan with 2024 updates?	Do you have updated exposure control plan with 2024 updates?: Completed	Do you have updated exposure control plan with 2024 updates?: Not Completed	Do you have updated exposure control plan with 2024 updates?: I don't know
Have you completed a job hazard assessment in 2024?	Have you completed a job hazard assessment in 2024?: Completed	Have you completed a job hazard assessment in 2024?: Not Completed	Have you completed a job hazard assessment in 2024?: I don't know
Do all new hires complete all required training within 90 days of their start date?	Do all new hires complete all required training within 90 days of their start date?: Completed	Do all new hires complete all required training within 90 days of their start date?: Not Completed	Do all new hires complete all required training within 90 days of their start date?: I don't know
Do you have an updated respiratory & tuberculosis exposure control plan? (29 CFR 1910.1030)	Do you have an updated respiratory & tuberculosis exposure control plan? (29 CFR 1910.1030): Completed	Do you have an updated respiratory & tuberculosis exposure control plan? (29 CFR 1910.1030): Not Completed	Do you have an updated respiratory & tuberculosis exposure control plan? (29 CFR 1910.1030): I don't know
Have you completed/updated your emergency action plan 2024 (29 CFR 1910.38)?	Have you completed/updated your emergency action plan 2024 (29 CFR 1910.38)?: Completed	Have you completed/updated your emergency action plan 2024 (29 CFR 1910.38)?: Not Completed	Have you completed/updated your emergency action plan 2024 (29 CFR 1910.38)?: I don't know
Has your staff completed a safety meeting within the last 90 days?	Has your staff completed a safety meeting within the last 90 days?: Completed	Has your staff completed a safety meeting within the last 90 days?: Not Completed	Has your staff completed a safety meeting within the last 90 days?: I don't know
Have you performed an on-site inspection in 2024?	Have you performed an on-site inspection in 2024?: Completed	Have you performed an on-site inspection in 2024?: Not Completed	Have you performed an on-site inspection in 2024?: I don't know

4. HIPAA Compliance (HIPAA Sec 164.308-310) *This question is required.The following questions pertain to your compliance with HIPAA rules and regulations covering protected health information (PHI).

Space Cell	Completed	Not Completed	I don't know
Have you completed a security risk analysis in 2024? [Ref: HIPAA Sec164.308(a)(1)(ii)(A)]	Have you completed a security risk analysis in 2024? [Ref: HIPAA Sec164.308(a)(1)(ii)(A)]: Completed	Have you completed a security risk analysis in 2024? [Ref: HIPAA Sec164.308(a)(1)(ii)(A)]: Not Completed	Have you completed a security risk analysis in 2024? [Ref: HIPAA Sec164.308(a)(1)(ii)(A)]: I don't know
Have you reviewed an updated your required documentation of policies and procedures for HIPAA security risk assessment, risk management and information security activities? [Ref: HIPAA: Sec164.316(a)]	Have you reviewed an updated your required documentation of policies and procedures for HIPAA security risk assessment, risk management and information security activities? [Ref: HIPAA: Sec164.316(a)]: Completed	Have you reviewed an updated your required documentation of policies and procedures for HIPAA security risk assessment, risk management and information security activities? [Ref: HIPAA: Sec164.316(a)]: Not Completed	Have you reviewed an updated your required documentation of policies and procedures for HIPAA security risk assessment, risk management and information security activities? [Ref: HIPAA: Sec164.316(a)]: I don't know
Has your staff completed an annual HIPAA training in 2024?	Has your staff completed an annual HIPAA training in 2024?: Completed	Has your staff completed an annual HIPAA training in 2024?: Not Completed	Has your staff completed an annual HIPAA training in 2024?: I don't know
Have you completed an inventory and location recorded of all electronic devices used in the facility? (HIPAA: Sec 164.310(b))	Have you completed an inventory and location recorded of all electronic devices used in the facility? (HIPAA: Sec 164.310(b)): Completed	Have you completed an inventory and location recorded of all electronic devices used in the facility? (HIPAA: Sec 164.310(b)): Not Completed	Have you completed an inventory and location recorded of all electronic devices used in the facility? (HIPAA: Sec 164.310(b)): I don't know
Do you have a documented process detailing how you keep physical documents secure?	Do you have a documented process detailing how you keep physical documents secure?: Completed	Do you have a documented process detailing how you keep physical documents secure?: Not Completed	Do you have a documented process detailing how you keep physical documents secure?: I don't know
Have you established a process for erasing/wiping sensitive data if a computer or other inventory assets are lost or stolen?	Have you established a process for erasing/wiping sensitive data if a computer or other inventory assets are lost or stolen?: Completed	Have you established a process for erasing/wiping sensitive data if a computer or other inventory assets are lost or stolen?: Not Completed	Have you established a process for erasing/wiping sensitive data if a computer or other inventory assets are lost or stolen?: I don't know
Have you setup a HIPAA-approved document destruction process for your physical documents including paper patient records?	Have you setup a HIPAA-approved document destruction process for your physical documents including paper patient records?: Completed	Have you setup a HIPAA-approved document destruction process for your physical documents including paper patient records?: Not Completed	Have you setup a HIPAA-approved document destruction process for your physical documents including paper patient records?: I don't know

5. Human Resource Compliance *This question is required.The following questions relate to some of the most basic HR requirements for you and your staff.

Space Cell	Completed	Not Completed	I Don't Know
Have you completed harassment and substance abuse training?	Have you completed harassment and substance abuse training?: Completed	Have you completed harassment and substance abuse training?: Not Completed	Have you completed harassment and substance abuse training?: I Don't Know
Have you completed unlawful discrimination and retaliation training?	Have you completed unlawful discrimination and retaliation training?: Completed	Have you completed unlawful discrimination and retaliation training?: Not Completed	Have you completed unlawful discrimination and retaliation training?: I Don't Know
Have you updated your dress code, pay periods, holidays, time off and leave of absence policies and procedures for your facility?	Have you updated your dress code, pay periods, holidays, time off and leave of absence policies and procedures for your facility?: Completed	Have you updated your dress code, pay periods, holidays, time off and leave of absence policies and procedures for your facility?: Not Completed	Have you updated your dress code, pay periods, holidays, time off and leave of absence policies and procedures for your facility?: I Don't Know
Have you created a process for tracking and managing professional credentials?	Have you created a process for tracking and managing professional credentials?: Completed	Have you created a process for tracking and managing professional credentials?: Not Completed	Have you created a process for tracking and managing professional credentials?: I Don't Know

6. Corporate Compliance *This question is required.The following questions pertain to overall corporate compliance.

Space Cell	Completed	Not Completed	I Don't Know
Have you documented discipline, monitoring and internal auditing processes?	Have you documented discipline, monitoring and internal auditing processes?: Completed	Have you documented discipline, monitoring and internal auditing processes?: Not Completed	Have you documented discipline, monitoring and internal auditing processes?: I Don't Know
Have you updated and implemented corrective actions process?	Have you updated and implemented corrective actions process?: Completed	Have you updated and implemented corrective actions process?: Not Completed	Have you updated and implemented corrective actions process?: I Don't Know
Have you completed training for Stark law and anti-kickback statutes?	Have you completed training for Stark law and anti-kickback statutes?: Completed	Have you completed training for Stark law and anti-kickback statutes?: Not Completed	Have you completed training for Stark law and anti-kickback statutes?: I Don't Know
Have you completed monthly exclusion list monitoring for your vendors to avoid losing the ability to bill Medicaid/Medicare?	Have you completed monthly exclusion list monitoring for your vendors to avoid losing the ability to bill Medicaid/Medicare?: Completed	Have you completed monthly exclusion list monitoring for your vendors to avoid losing the ability to bill Medicaid/Medicare?: Not Completed	Have you completed monthly exclusion list monitoring for your vendors to avoid losing the ability to bill Medicaid/Medicare?: I Don't Know
Have you implemented a required OIG work plan for 2024?	Have you implemented a required OIG work plan for 2024?: Completed	Have you implemented a required OIG work plan for 2024?: Not Completed	Have you implemented a required OIG work plan for 2024?: I Don't Know
Have you completed your OIG compliance assessment for 2024?	Have you completed your OIG compliance assessment for 2024?: Completed	Have you completed your OIG compliance assessment for 2024?: Not Completed	Have you completed your OIG compliance assessment for 2024?: I Don't Know

7. Waste Management Compliance *This question is required.It is important that you are regularly auditing your waste classification processes to ensure compliance with the handling and disposal of potentially infectious materials.

Space Cell	Completed	Not Completed	I Don't Know
Have you completed medical waste management training for 2024?	Have you completed medical waste management training for 2024?: Completed	Have you completed medical waste management training for 2024?: Not Completed	Have you completed medical waste management training for 2024?: I Don't Know
Have you performed a medical waste management review for 2024?	Have you performed a medical waste management review for 2024?: Completed	Have you performed a medical waste management review for 2024?: Not Completed	Have you performed a medical waste management review for 2024?: I Don't Know
Do you have access to waste destruction manifests for at least the previous 3 years?	Do you have access to waste destruction manifests for at least the previous 3 years?: Completed	Do you have access to waste destruction manifests for at least the previous 3 years?: Not Completed	Do you have access to waste destruction manifests for at least the previous 3 years?: I Don't Know

8. DEA & Environmental Compliance *This question is required. Do you have unused or expired pharmaceutical medication that you actively dispose of using a licensed reverse distributor or waste disposal service?