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HIPAA Security

Sets out how the Agency protects electronic patient information under the HIPAA Security Rule: the security official, risk analysis and risk management, workforce access, training, incident response, contingency planning, physical and device safeguards for staff who work in patients’ homes, technical controls, business associates and documentation.

Preview: full text with a package
About this policy
Policy number
DC-HSP-PRV-02
Version
1.0
Main rule
45 CFR Part 164, Subpart C
Library
Washington, DC hospice · 60 policies
Category
Privacy
Sections
21

In short

  • Use only your own login and keep your password secret.
  • Keep patient information in the electronic record app, not on the phone or a USB drive.
  • Keep devices with you or locked away. Never leave them in a car overnight.
  • Report a lost or stolen device to the security official the same day.
  • Do not click links or open attachments in e-mails you were not expecting.

What's inside

21 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. Workforce Access
  • 7. Devices Used in Patients’ Homes and on the Road
  • 8. Physical Safeguards
  • 9. Technical Safeguards
  • 10. Security Incidents
  • 11. Contingency Plan
  • 12. Business Associates and Vendors
  • 13. Evaluation and Documentation
  • 14. Responsibilities
  • 15. Records and Compliance Monitoring
  • 16. Staff Training
  • 17. References
  • 18. Related Policies and Forms
  • 19. Approval
  • 20. Revision History

An inspector may ask

  • Who is your security official? When did you last complete a security risk analysis?
  • How are laptops, tablets and phones that hold patient information protected if they are lost or stolen?

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