Which is NOT a typical outcome of a Privacy Impact Assessment (PIA) for health IT projects?

• A. A detailed hardware procurement budget
• B. A privacy risk register and mitigation plan
• C. Recommendations to embed privacy by design
• D. A plan for ongoing privacy risk monitoring

Answer: (A)

The main idea here is what a Privacy Impact Assessment focuses on in health IT projects. A PIA analyzes how personal health information flows through a system, what privacy risks exist, and how those risks will be mitigated. It typically produces a privacy risk register with identified risks and planned mitigations, recommendations to embed privacy by design into the system, and a plan for ongoing privacy risk monitoring to catch new or evolving risks as the project and environment change. A detailed hardware procurement budget doesn’t belong to the privacy analysis; budgeting and procurement are project-management activities concerned with costs and sourcing, not the privacy implications and safeguards of processing PHI. The other deliverables directly support privacy protection and compliance: recording risks and mitigations, guiding design choices to protect privacy, and setting up ongoing monitoring to maintain privacy protections over time.