ࡱ> g  <bjbjJJ r"(ub(ub 2228jD$2\A(000@@@@@@@$PCFv@9"@A>">">"@>"@>">"n/>?Т#n7? @,A0\AW?D|F|F@?|F?0Z@>"4000@@ ,000\A|F000000000 B :  Date:____________________ Last Name:________________________________ First Name: ______________________MI:________ Position_____MLS Student____________________E-mail_____________________________________ Educational Facility:___UW-Milwaukee____________ Student Phone _____________________________ Access Time Frame: % 1 year X% Other_6 months__ Start Date__November 1, 2021______ Supervising Educator:_Bradley De Pons__ Phone:_414-251-5861_ E-mail__bkdepons@uwm.edu______ Purpose of Access:____Student instruction_______________________________________________ Confidentiality In the performance of your student affiliation, Fort HealthCare has granted you access to information that is confidential in nature. This information includes protected health information on our patients accessible through our electronic medical record. Your use and/or access to this type of information may be required by the nature of your student affiliation. To the extent that you use or access this information as a result of your student affiliation, you are required to protect this information and maintain the highest degree of confidentiality regarding its use at all times. Your use and or access to confidential material as a result of your student affiliation is limited to only the information required by your student affiliation and will be held to the minimum level of information necessary to carry out your student duties or assignments. If you use your student affiliation to access information not required for your education, it will constitute a misuse. Deliberate efforts to use the privileges accompanying your student affiliation to gain access to data you are not authorized for, by breaching installed security provisions or getting around them, will constitute an abuse of your student affiliation. This will include accessing information under someone elses log on and password or requesting that another student or Fort HealthCare employee access information that you do not have a need or right to access. This will include any information regarding yourself, family members, friends, coworkers, etc. Even though your personal medical records or those of your family members may be maintained by Fort HealthCare facilities, you must follow the same rules as any patient would when accessing these records for personal reasons. Accessing your own medical records or those of your family members without your/their signed authorization is not allowed unless necessary to perform your student activities. To access these records, contact the Medical Record Department at Fort HealthCare. Any unauthorized electronic access will be identified by an audit report. Any abuse, misuse or dissemination of any confidential information (whether listed above or not) will result in minimally termination of access privileges and further action depending upon the nature of the violation. By signing this agreement you are stating that you will follow all policies regarding access of protected health information set forth by Fort HealthCare in concurrence with State and Federal confidentiality and privacy laws. Security of Information It is imperative that all confidential information be maintained in a secure environment. Systems utilized by Fort HealthCare are equipped with security measures such as unique logins, passwords, etc that prevent unauthorized access. Your access is determined by your student role within the organization. All student users are expected to abide by the following guidelines: Login IDs are assigned to authorized student users to identify them within the systems they access. The user is responsible for all entries, activities and accesses to accounts made with their login ID. Passwords are not to be shared with others. Student users may not manipulate software or hardware configurations, or load executable software on Fort HealthCares workstations. Student users are to perform all student educational activities on Fort Healthcare approved devices. Access to protected health information via personal devices is not permitted. Fort HealthCare will monitor appropriateness of access of organizational protected health information. Student users should be aware that monitoring of usage, access, and activity can and will occur, without notification or request for authorization. Fort HealthCare will monitor access to the electronic medical record per organizational policy. All violations of student users will be reported to the students supervising educator by the Fort HealthCare Privacy Officer. The supervising educator will investigate the violation, complete an investigation form and return to the Privacy Officer. All confirmed violations will result in immediate termination of access rights for the student. Further action will be determined by nature of violation. It is expected that all students review and comply with the Fort HealthCare Information Management Security policy. All violations or suspected violations should be reported to management or administration. Failure to abide by Fort HealthCare security guidelines and polices will result in minimally termination of access rights and further action depending upon the nature of the violation. It is the supervising educators responsibility to notify the Fort HealthCare Education department within 24 hours of a students termination so that all access rights can be terminated. Access to Fort HealthCare systems will be granted for one (1) year or for the duration of the students educational activities at Fort HealthCare. At the end of one (1) year, or the end of the students education activities, the supervising educator must contact the Fort HealthCare Education department to notify them of the students who will continue to need access to our system and this form must again be signed and returned to the Fort HealthCare Privacy Officer, or designate. For the Fort HealthCare Privacy and Security Officer contact (920) 568-6558 Your signature indicates that you have reviewed this statement of confidentiality & security and that you understand your responsibilities and consequences of misuse of access. Print Student Name___________________________________________ Date________________ Student Signature:___________________________________________ Date:_______________ Print Supervising Educator Name________________________________ Date______________ Supervising Educator Signature:_________________________________ Date:______________     FORT HEALTHCARE STATEMENT OF CONFIDENTIALITY & SECURITY STUDENT USERS Page  PAGE 1 of  NUMPAGES 2 Approved by FHC Privacy Officer: 2/18/19ABK]uxz|     ) 6 > a b     , < @ D ^ t 캬ĢĊ΢~t~jhjCJOJQJh;CJOJQJhfaCJOJQJ^JhR)CJOJQJh;hQ>*CJOJQJhfaCJOJQJh;h;>*CJOJQJhCJOJQJhCJOJQJh CJOJQJh CJOJQJh;HCJOJQJh\0oCJOJQJhQCJOJQJ(B b ^      ghNO  $%gddhgd)dhgdfadht v    0 P \     & / 4 H ] XeŻ㣱ŏ㏱㣱zrŅűehhCJOJQJhQOJQJhQ5>*OJQJhCJOJQJh CJOJQJh;CJOJQJh;hQ>*CJOJQJhQCJOJQJh OCJOJQJh CJOJQJhfaCJOJQJh;HCJOJQJh;h;>*CJOJQJh;h;H>*CJOJQJ'v)?Xs+XY z #$b/08U\i칱ا음!hhQB*CJOJQJphhCJOJQJhE5CJOJQJhQOJQJhQ5>*OJQJh+CJOJQJhj(CJOJQJh OCJOJQJh CJOJQJhQCJOJQJhCJOJQJ0 RS A!B!!!gdj$a$gd Ogd & Fgd & F gdgdcr8=J`aݿsodYNY@h Oh O5CJOJQJh5CJOJQJh O5CJOJQJhQ5CJOJQJhQ'hh5>*B*CJOJQJphh OB*CJOJQJphhQB*CJOJQJphhB*CJOJQJphhB*CJOJQJphhhQCJOJQJ!hh OB*CJOJQJph!hhQB*CJOJQJph!hhB*CJOJQJphaKQqt .m >59PRSs߳rdrZPhQCJOJQJh OCJOJQJhjh O5CJOJQJhjhQ5CJOJQJ$hjhQ5B*CJOJQJphhj5B*CJOJQJphh O5B*CJOJQJphhQ5B*CJOJQJphh OB*CJOJQJphh+B*CJOJQJphhQB*CJOJQJph$h OhQ5B*CJOJQJphR 4 ? 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