Professional Documents
Culture Documents
I understand that Woods & Water Medical Center, in which or for whom I work, volunteer, receive
student training, or provide services, or with whom the entity (e.g. physician practice) for which I work
has a relationship (contractual or otherwise) involving the exchange of health information (Woods &
Water Medical Center), has a legal and ethical responsibility to safeguard the privacy of all patients and
to protect the confidentiality of their patients’ health information. Additionally, Woods & Water Medical
Center must assure the confidentiality of its human resources, payroll, fiscal, research, internal
reporting, strategic planning, communications, computer systems, and management information
(collectively, with patient identifiable health information, “confidential information”).
1. I will not disclose or discuss any confidential information with others, including friends or family,
who do not have a need to know it.
2. I will not discuss confidential information where others can overhear the conversation. It is not
acceptable to discuss confidential information even if the patient’s name is not used.
3. I understand that I must safeguard and maintain the confidentiality, integrity, and availability of all
confidential information I use, disclose, and/or access at all times, whether or not I am at work and
regardless of how it was accessed.
4. I will only access, use, and/or disclose the minimum necessary confidential information needed to
perform my assigned duties and disclose it to other individuals/organizations who need it to
perform their assigned duties or as allowed by law.
5. I will not access my own or my family’s medical records in any information system without prior
authorization from the HIM manager (unless required to perform your job duties).
7. I will not, in any way, divulge, copy, release, sell, loan, alter, or destroy any confidential information
except as properly authorized.
8. I agree that my obligations under this agreement will continue after termination of my
employment, expiration of my contract, or my relationship ceases with Woods & Water Medical
Center.
9. Upon termination, I will immediately return any documents or media containing confidential
information to Woods & Water Medical Center.
10. I understand that I have no right to any ownership interest in any information accessed or created
by me during my relationship with Woods & Water Medical Center.
11. I will act in the best interest of Woods & Water Medical Center and in accordance with its Code of
Ethics at all times during my relationship with Woods & Water Medical Center.
12. I understand that violation of the agreement may result in disciplinary action, up to and including
termination of employment, suspension and loss of privileges, and/or termination of authorization
to work within Woods & Water Medical Center, in accordance with Woods & Water Medical
Center’s policies.
13. I will only access or use systems or devices that I am officially authorized to access and will not
demonstrate the operation or function of systems or devices to unauthorized individuals.
14. I will practice good workstation security measures, such as locking the computer when not in use,
using screen savers with activated passwords appropriately, and positioning screens away from
public view.
15. I will practice secure electronic communications by transmitting confidential information only to
authorized entities in accordance with approved security standards.
18. I will notify my manager or IT if my password has been seen, disclosed, or otherwise compromised
and will report activity that violates this agreement, privacy and security policies, or any other
incident that could have any adverse impact on confidential information.
19. I have received training on how to protect health information/confidentiality as necessary and
appropriate to perform my job responsibilities.
20. I understand that I will be held accountable for all inquiries, entries, and changes made to any of
Woods & Water Medical Center’s information systems using my user name(s) and password(s).
Refer any questions related to this agreement to the security officer or privacy officer.
By signing this agreement, I agree to comply with its terms and conditions. Failure to read this
agreement is not an excuse for violating it. The IT department may deny access to Woods & Water
Medical Center’s information systems if this agreement is not returned signed and dated.