College of American Pathologists - HIPAA Resources Feedback Form

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CAP Home > CAP Reference Resources and Publications > HIPAA Performance Support Tools > HIPAA Resources Feedback Form

HIPAA Resources

Updated November 3, 2003

HIPAA Feedback Form

Please answer the following questions to help ensure we are able to meet your needs.

1.) Please indicate which of the following tools you used: (Select all that apply)

Administrative Requirements	Research Requests
Patients' Access to PHI	Tissue Sharing Requests
Notice of Privacy Practice	Access to Deceased Patients' PHI
Do you have Business Associates?	Minimum Necessary Requirements Checklist
Are you a Business Associate?	HIPAA and the CAP Laboratory Accreditation Program
Requests to Amend PHI	HIPAA-Related Definitions

2.) Overall, how valuable were these tools?

Highly Valuable

Valuable

Somewhat Valuable

Only Slightly Valuable

Not at all Valuable

3.) How did you or will you use these tools? (Select all that apply.)

As a quick online reference - will use tools today only

Will access this site in the future and use tools as needed

Printed/downloaded tool(s) and will use on an ongoing basis

Will not use tool(s)

Other (Please Explain)

4.) What additional tools or information would be helpful for you to have regarding HIPAA?

5.) Consider these resources along with other HIPAA-related resources available to you. To what extent do you need additional support in the form of a formal course on HIPAA in order to successfully implement HIPAA requirements?

Very Much So

For the Most Part

Somewhat

Only Slightly

Not at All

6.) Which of the following best describes your role?

Pathologist

Pathology Resident

Non-Pathologist