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HIPAA Security

Explains how the Agency keeps electronic patient information safe: the risk analysis, who has access, passwords and locked devices, the phones and tablets nurses carry, backups and the emergency medical documentation system, business associate agreements, and what staff do when a device is lost or something looks wrong.

Preview: full text with a package
About this policy
Policy number
TX-HSP-PRV-02
Version
1.0
Main rule
45 CFR Part 164 Subpart C
Library
Texas hospice · 59 policies
Category
Privacy
Sections
19

In short

  • Lock your phone, tablet and laptop with a PIN or password, and keep them updated.
  • Use only Agency-approved apps for patient information. No personal texts, email or photos.
  • Never share your password or let anyone else use your log-in.
  • Never leave a device in sight in your car or unattended in a home or facility.
  • If a device is lost or stolen, call the office at once: (512) 555-0100, or after hours (512) 555-0199.

What's inside

19 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (45 CFR Part 164 Subpart C)
  • 5. Risk Analysis and Risk Management
  • 6. Security Measures
  • 7. Phones, Tablets, Computers and Passwords
  • 8. Security Incidents
  • 9. Contingency Plan, Backup and Emergency Documentation
  • 10. Business Associates
  • 11. Devices, Media and Disposal
  • 12. Staff Training
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. References
  • 16. Related Policies and Forms
  • 17. Approval
  • 18. Revision History

An inspector may ask

  • Show me your most recent security risk analysis and the plan that came out of it.
  • How do you remove a nurse’s access to the electronic record on the day she leaves?

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