Hipaa Computer Security Training Acknowledgement printable pdf download

Hipaa Computer Security Training Acknowledgement

HIPAA COMPUTER SECURITY AWARENESS ACKNOWLEDGEMENT

Name: ______________________________

Division/Department: ____________________

Manager’s Name: _________________________

• I acknowledge that I have reviewed the on-line (or paper copy)

HIPAA SECURITY AWARENESS presentation.

• I understand that I am responsible for protecting electronic

protected health information (ePHI) as follows:

o Locking or logging off (or powering off) my assigned

workstation when I leave my work area.

o Not changing settings on my assigned workstation (desktop

or laptop) or any other workstation, which disable security

features.

o Keeping all passwords for access to computing resources

confidential.

o Not loading (or download) or creating any software on my

assigned workstation (desktop or laptop) or other

workstation that has not been authorized by the agency

(unless I am a designated IT developer).

o Immediately removing any unauthorized software from my

assigned workstation.

o Following all guidelines regarding transmission of PHI via

electronic mail.

o Reporting any security problems I encounter or observe to

my immediate supervisor.

__________________________________________ Date: ______________

(Signed)

Hipaa Computer Security Training Acknowledgement