Cornerstone Memo

The purpose of this policy is to outline the acceptable use of computer equipment at XYZ Inc. These rules are in place to protect the employee and XYZ Inc. Inappropriate use exposes XYZ Inc. to risks including virus attacks, compromise of network systems and services, and legal issues.

The new user policy section has been modified to require manager approval and validation of the user’s access request based upon the user’s role. Previously the policy only required manager approval for user’s requiring administrator privileges. In accordance with Health Insurance Portability and Accountability Act (HIPAA) standards on access controls, users will have the minimum access required to perform the functions of their job in order to protect against unnecessary access to electronic protected health information (ePHI).

Maintaining complete compliance with HIPAA policies and sub policies is difficult, but with a training course for all employees, this is a very possible reality. If a HIPAA violation does occur, the consequences

4. Please be advised that failure to follow this policy can result in possible criminal, and civil sanctions against the company, and it management and employees, and possible disciplinary action against the responsible individuals, and including termination of

Most IT departments agree that less is more in the grand scheme of systems to maintain, manage and administer. This recommendation follows that

Employees must be trained to security policy and procedures with periodic assessments on the effectiveness of these policies and procedures. Physical and authorized access is required to be limited. Policies should include proper use of and access to workstations and electronic media as well as the transfer, removal, disposal,

New security measures would take place to reduce the risk of member private information from being a breach and appropriate sanctions against workforce members who fail to comply with security policies and procedures. Kaiser Permanente information system will be regulated and reviewed. then security responsibility would be assigned to an individual for overseeing development of new security policies and procedures. Supervision who has access to ePHI would be enforced. Training and awareness of HIPAA law will be a standard required that member of the workforce will have to take to ensure further employment with the organization. Continuous examination of technical and nontechnical in response to changes that may affect the security ePHI of Kaiser Permanente be evaluated every six

- 5 Car and truck expenses Supplies Meals and entertainment Workshops and training Computer and software Misc. $144 153 41 21,515 1,451 69

Providence Home Services violated this Security Rule in almost every way possible. The employee, while it may have been part of procedure, took ePHI from the facility and left it unattended in his car. There is no way possible that it is part of their security protocols to leave ePHI unattended. Administratively, the covered entity is responsible for ensuring that their employees are fully aware of their security protocols and that they follow them. While some physical safeguards were in place, in the form of password-protected information, not all information was password protected. This employee was in clear violation of the HIPAA Security Rule’s required components and paid the ultimate price, his job.

The Office of Civil Rights of the Department of Health and Human Services enforces HIPAA regulations. They conduct investigations of complaints and periodically conduct compliance audits.

HIPPA has a way of bringing any complaints to their attention by receiving a complaint through the Office of Civil Rights. There are a few ways in which you can file a complaint. You can provide the incident in writing, faxing a statement, sending an e-mail, or following the steps completely online through the Office of Civil Rights complaint portal. All complaints must include your information, complaint in detail and who the complaint is against. The Office of Civil Rights will then review the allegation by reviewing policies, procedures, and the practice of the healthcare provider associated with the claim. If the Office of Civil Rights discovers any wrong doing, consequences may follow. A commend consequence are civil and criminal penalties. Civil penalties can range from $100-$50,000 per violation depending on if it was due to reasonable cause or willful neglect. Criminal penalties can occur if it is a severe violation. These fines can range from $50,000 with one year in prison and up to $250,000 with up to ten year in prison (“HIPAA

The HR department should also implement an online self-serve program that allows managers to perform evaluations, and conduct training online. The HR Department should also allow employees to view their dependents and current insurance benefits through the HR Portal.

During new employee orientation, each employee in the HIM department receives a copy of the procedure(s) for the job(s) they will be performing. For reference, employees have access to specific network drives that stores this information for easy accessibility. The departments do not report their procedures to other departments or agencies.

The IT strategic plan is properly designed to assist FFC in meeting its business objectives. In reviewing FFC’s organizational chart, it appears that the company has a clear reporting structure. The department has four executives that are responsible for different areas of the department. The VPs of applications, operations, information security, and database administration all report directly to the CIO, who reports to the CFO. In our interview with the CEO, explained how the IT Steering Committee develops IT policies and evaluates the operation of the IT department. Key members of the committee include Senior VPs, the CIO, the CFO and the aforementioned VPs.

The purpose of this policy is to provide education and guidelines for company employees to adhere to when using company internet and email. Every employee should adhere to this training and policy guideline. Failure to follow company policy could result in disciplinary action or dismissal.