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:*Transferring PHI in any form without both parties having a need to know.
*The ACE shall reasonably mitigate or reduce any harmful effects that may result from privacy breaches.
*All employees, medical staff, allied health practitioners and members of the workforce with access to PHI shall sign UNMC [https://www.unmc.edu/
hipaa/ policies/ 6045-exhibit-a-statement-of-understanding.pdf Statement of Understanding (Exhibit A)] upon initial employment/work/appointment/credentialing.
*Workforce members who suspect a privacy or information security violation must report it immediately to their respective manager and the Privacy and/or Information Security Office. A full investigation of the suspected violation shall be conducted. Staff who wish to remain anonymous may report the suspected violation to the Compliance Hotline at 844-348-9548. Sanctions shall be imposed for substantiated breaches or failure to report suspected violations. The Medical Staff and allied health practitioners shall report suspected violations to the System Chief Medical Officer.
*Sanctions for violations of privacy or information security may include revocation of medical staff privileges, allied health credentials, or employee corrective action up to and including termination of employment (see UNMC Policy No. 1098, [https://wiki.unmc.edu/index.php/Corrective/Disciplinary_Action Corrective and Disciplinary Action]). Civil and criminal fines and penalties can also be levied under HIPAA.
*Contact the [mailto:email@example.com Privacy] or [mailto:firstname.lastname@example.org Information Security] Officers
*Contact Human Resources – Records at 402-559-8962 or Human Resources - Employee Relations
Exhibit A - [https://www.unmc.edu/ hipaa/ policies/ 6045-exhibit-a-statement-of-understanding.pdf Statement of Understanding]
*Exhibit B - [https://www.unmc.edu/hipaa/_documents/6045-Exhibit-B-SSN-Student.docx Use of Student Social Security Number Exception]
*Exhibit C - [https://www.unmc.edu/hipaa/_documents/6045-Exhibit-C-SSN-Employee.docx Use of Employee Social Security Number Exception]
*[https://info.unmc.edu/its-security/policies/plan.html Information Security Plan]
*[http://www.unmc.edu/hipaa/_documents/telehealth-final.pdf Telehealth Procedures]
http://www.unmc.edu/ media/ compliance/ privacy_incident_response_and_breach_notification_procedures.pdf Privacy Incident Response and Breach Notification Procedures]*[https://nebraska.edu/ site- information.html?redirect=true Copyright and Disclaimer]
*[https://info.unmc.edu/its-security/policies/procedures/destruction-confinfo.html Destruction of Private and Confidential Information Procedures]
*[http://wiki.unmc.edu/index.php?title=Informed_Consent_for_UNMC_Media_Production_and_Distribution_Procedures Procedures for Obtaining Informed Consent for UNMC Audio-Visual Media Production and Distribution]
*Nebraska Free Flow of Information Act (§ 20-144, 20-145, 20-146, 20-1470)
*[http://nebraskalegislature.gov/laws/laws.php Nebraska Rev. Statutes] § 84-712, 84-712.01, 84-712.02, 84-712.03, 84-712.04, 84-712.05, 84-712.06, 84-712.07, 84-712.08, 84-712.09
http:// www.nebraska.edu/ bylaws-and-policies. html Board of Regents Bylaws and Policies]*[ http:// www.nebraska.edu/docs/ president/ 16%20Responsible%20Use%20of%20Computers%20and%20Info%20Systems.pdf Executive Memorandum No. 16, Responsible Use of Information Resources, Technology and Networks]*[https://nebraska.edu/docs/ president/ 22%20Public%20Record%20Requests.pdf Executive Memorandum No. 22, Public Record Requests]*[https://nebraska.edu/docs/ president/ 26%20Information%20Security%20Plan%20%28GLB%20Compliance%29.pdf Executive Memorandum No. 26, Information Security Plan]*[https://nebraska.edu/docs/ president/ 27%20HIPAA%20Compliance.pdf Executive Memorandum No. 27, HIPAA Compliance Policy]
*[https://www.unmc.edu/com/about/gme/housestaffmanual.pdf University of Nebraska Affiliated Hospital House Staff Manual 2018 – 2019]
*[https://www.unmc.edu/vcr/about/research-handbook-web.pdf Research Handbook]