Template
Healthcare Vendor ePHI Security Questionnaire
A 9-domain, 36-question assessment for ePHI vendors, covering data flows, BAAs, subcontractors, breach support, and outages impacting patient care.
An editable 17-page field guide for assessing a vendor that touches patient data and connects to clinical systems. Every item explains why it matters, the result a good answer should produce, the evidence to request, and the next analyst move.
What’s inside
- A readiness page confirming the vendor entity, product, environment, region and service in scope, business criticality and data sensitivity, the internal owners who can validate each claim, and how restricted evidence will be handled
- Thirty-six numbered items, EPH-01 to EPH-36, grouped into nine control domains
- Scope and ePHI Lifecycle, Governance, Risk and BAA, and Identity and Workforce Access
- Encryption and Data Protection, Platform and Secure Operations, and Audit, Monitoring and Assurance
- Incident and Breach Response, Availability, Backup and Patient Safety, and Subcontractors, Privacy and Exit
- Response, evidence reference, action owner and due date against every item, so the completed form is the assessment record rather than a questionnaire you transcribe later
The assessment rule is written into the form: evidence should be current, complete for the service in scope, usable by your organization, tested where capability matters, and linked to a decision. A certificate, policy, screenshot or vendor statement is not enough on its own when it does not prove the specific requirement.