I understand that my responsibilities may include the viewing or processing or transmitting of sensitive personal health care information. I understand the need to maintain strict confidentiality for all such health care information which I may encounter.
I understand and acknowledge that the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) sets forth strict guidelines as to the use and dissemination of Protected Health Information (PHI). Protected Health Information is defined as individually identifiable health information, whether oral or recorded in any form or medium, that
is created or received by a health care provider, health plan, public health authority, employer, life insurer, school or university, or health care clearinghouse, and
relates to the past, present, or future physical or mental health or condition of an individual, the provision of health care to an individual; or the past, present, or future payment for the provision of health to an individual.
I agree to access only that PHI which is necessary to perform my duties. I will not disclose, communicate or use PHI in any manner whatsoever other than in the fulfillment of my duties and even within the scope of these duties, I will limit dissemination to the owners/originators of the health information and to those staff whose duties require access to that information.
I understand that if I do not maintain confidentiality of PHI, or if I allow or participate in the inappropriate dissemination of or access to PHI, I may be subject to civil and/or criminal penalties as prescribed by HIPAA and any other pertinent federal or state regulations or statutes.
I understand that the need for confidentiality for PHI remains in effect after the termination of my duties.
To help assure the confidentiality of Protected Health Information, I agree to protect my network password from use and theft by others. I agree to keep my computer workstation locked whenever the computer is unattended and is not within my direct eye contact.
I understand that the terms of this Agreement are in addition to any project specific agreements that I may be required to sign as a condition of my assigned duties.
Additional Information Services Statements and Policies