EvidenceSheet

164.308(a)(5)(ii)(A) Security Reminders (Addressable)

Issue periodic security updates and reminders. NIST recommends multiple channels including email, posters, intranet, and team meetings, refreshed quarterly minimum.

Source: HIPAA Security Rule, 164.308(a)(5)(ii)(A). The statement above is our statement of the clause, read from the published text and cited so you can check it against the official text, not the instrument verbatim. Open HIPAA Security Rule in the compliance library.

Scope: Addressable, not optional: assess whether it is reasonable and appropriate; implement it, or document why not and adopt an equivalent alternative where reasonable (45 CFR 164.306(d)(3)).

Applies to covered entities and business associates. An addressable specification can be met by a documented, reasonable alternative.

5
artefacts
0
held by a system
1
at each review
hard
to go live
HR system / LMS
where the evidence lives
teal = a system already holds it · olive = produced at each review. To go live: easy when half or more of the artefacts are already held by a system, moderate from a quarter to a half, hard below a quarter.

These are the artefacts auditors commonly ask for on this requirement, our guidance rather than text from the standard. Your assessor decides what is sufficient in your context, and asks for samples across the period when a report covers one.

system holds itEvidence a system already holds

none for this control

periodic reviewEvidence produced at each review

  • Email blast records · HR system / LMS

governing documentDocuments that govern the control

  • Reminder calendar · HR system / LMS
  • Awareness poster designs · HR system / LMS
  • Intranet article archive · HR system / LMS
  • Documented addressable-specification decision: whether it is reasonable and appropriate in your environment, and if not, why, with the equivalent alternative adopted where one is · Policy repository / GRC workspace

First move

No system holds this evidence for you: it is people and documents. Reminders and routing to the owner still save time. Put the document under version control with an owner and review date, and log each review as a record with reviewer and date.

Common gaps auditors find

Do this for your whole sheet

Paste the rows you run your controls from and get this mapping for every control at once, with the periodic-review ones flagged and a first move per row. No account for the first run.

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164.308(a)(5)(i) Security Awareness and Training (Standard) · 164.308(a)(5)(ii)(B) Protection from Malicious Software (Addressable)