Hipaa Employee Confidentiality Agreement Eforms

Hipaa employee confidentiality agreement eforms

File Name: HIPAA-Employee-Confidentiality-Non-Disclosure-Agreement-NDA.pdf

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THIS AGREEMENT entered into this ___________________________, 20____ by and between
___________________________, known as the “Healthcare Facility”, and
___________________________, known as the “Employee”, and known collectively as the
“Parties”, set forth the terms and conditions under which information created or received by or on
behalf of this Healthcare Facility (known collectively as protected health information or “PHI”)
may be used or disclosed under State law and the Health Insurance Portability and
Accountability Act of 1996 and updated through HIPAA Omnibus Rule of 2013 and will also
uphold regulations enacted there under
(hereafter “HIPAA”)

THEREFORE, in consideration of the premises and the covenants and agreements contained
herein, the Parties hereto, intending to be legally bound hereby, covenant and agree as follows:
1. Confidential Information. The Parties acknowledge that meaningful employment may or will
necessitate disclosure of Confidential Information by this Healthcare Facility to the Employee
and use of Confidential Information by the Employee. The term “Confidential Information”
includes, but is not limited to, PHI, any information about patients or other employees, any
computer log-on codes or passwords, any patient records or billing information, any patient lists,
any financial information about this Healthcare Facility or its patients that is not public, any
intellectual property rights of Practice, any proprietary information of Practice and any
information that concerns this Healthcare Facility’s contractual relationships, relates to this
Healthcare Facility’s competitive advantages, or is otherwise designated as confidential by this
Healthcare Facility

2. Disclosure. Disclosure and use of Confidential Information includes oral communications as
well as display or distribution of tangible physical documentation, in whole or in part, from any
source or in any format (e.g., paper, digital, electronic, internet, social networks, magnetic or
optical media, film, etc.). The Parties have entered into this Agreement to induce use and
disclosure of Confidential Information and are relying on the covenants contained herein in
making any such use or disclosure. This Healthcare Facility, not the Employee, is the records
owner under state law and the Employee has no right or ownership interest in any Confidential

3. Applicable Law. Confidential Information will not be used or disclosed by the Employee in
violation of applicable law, including but not limited to HIPAA Federal and State records owner
statute; this Agreement; the Practice’s Notice of Privacy Practices, as amended; or other
limitations as put in place by Practice from time to time. The intent of this Agreement is to
ensure that the Employee will use and access only the minimum amount of Confidential
Information necessary to perform the Employee’s duties and will not disclose Confidential
Information outside this Healthcare Facility unless expressly authorized in writing to do so by
this Healthcare Facility. All Confidential Information received (or which may be received in the
future) by Employee will be held and treated by him or her as confidential and will not be
disclosed in any manner whatsoever, in whole or in part, except as authorized by this
Healthcare Facility and will not be used other than in connection with the employment

4. Log-on Code and Password. The Employee understands that he or she will be assigned a
log-on code or password by Practice, which may be changed as this Healthcare Facility, in its
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sole discretion sees fit. The Employee will not change the log-on code or password without this
Healthcare Facility’s permission. Nor will the Employee leave Confidential Information
unattended (e.g., so that it remains visible on computer screens after the Employee’s use). The
Employee agrees that his or her log-on code or password is equivalent to a legally binding
signature and will not be disclosed to or used by anyone other than the Employee. Nor will the
Employee use or even attempt to learn another person’s log-on code or password. The
Employee immediately will notify this Healthcare Facility’s HIPAA Privacy Officer upon
suspecting that his or her log-on code or password no longer is confidential. The Employee
agrees that all computer systems are the exclusive property of Practice and will not be used by
the Employee for any purpose unrelated to his or her employment. The Employee
acknowledges that he or she has no right of privacy when using this Healthcare Facility’s
computer systems and that his or her computer use periodically will be monitored by this
Healthcare Facility to ensure compliance with this Agreement and applicable law

5. Returning Confidential Information. Immediately upon request by this Healthcare Facility,
the Employee will return all Confidential Information to this Healthcare Facility and will not retain
any copies of any Confidential Information, except as otherwise expressly permitted in writing
signed by this Healthcare Facility. All Confidential Information, including copies thereof, will
remain and be the exclusive property of this Healthcare Facility, unless otherwise required by
applicable law. The Employee specifically agrees that he or she will not and will not allow
anyone working on their behalf or affiliated with the Employee in any way, use any or all of the
Confidential Information for any purpose other than as expressly allowed by this Agreement

The Employee understands that violating the terms of this Agreement may, in this Healthcare
Facility’s sole discretion result in disciplinary action including termination of employment and/or
legal action to prevent or recover damages for breach. Breach reporting is imperative

6. Breach. The Parties agree that any breach of any of the covenants or agreements set forth
herein by the Employee will result in irreparable injury to this Healthcare Facility for which
money damages are inadequate; therefore, in the event of a breach or an anticipatory breach,
Practice will be entitled (in addition to any other rights and remedies which it may have at law or
in equity, including money damages) to have an injunction without bond issued enjoining and
restraining the Employee and/or any other person involved from breaching this Agreement

7. Binding Arrangement. This Agreement shall be binding upon and endure to the benefit of all
Parties hereto and to each of their successors, assigns, officers, agents, employees,
shareholders and directors. This Agreement commences on the date set forth above and the
terms of this Agreement shall survive any termination, cancellation, expiration or other
conclusion of this Agreement unless the Parties otherwise expressly agree in writing

8. Governing Law. The Parties agree that the interpretation, legal effect and enforcement of
this Agreement shall be governed by the laws in the State of _________________________
and by execution hereof, each party agrees to the jurisdiction of the courts of the State. The
Parties agree that any suit arising out of or relation to this Agreement shall be brought in the
county where this Healthcare Facility’s principal place of business is located

9. Severability. If any provision under this Agreement shall be held invalid or unenforceable for
any reason, the remaining provisions and statements shall continue to be valid and enforceable

IN WITNESS WHEREOF, and intending to be legally bound, the Parties hereto have executed
this Agreement on the date first above written, when signing below and after training on HIPAA
Law with full understanding this agreement shall stand

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The Health Insurance Portability Act of 1996 (HIPAA) requires our privacy officer to train
employees on our health information privacy policies and procedures to the HIPAA Omnibus
Standards of 2013 which also includes HI-TECH and Protected Health Information (PHI),
Electronic Protected Health Information (ePHI) and Electronic Health Records (EHR). All
employees with treatment, payment or healthcare operations responsibilities, which allow
access to protected health information, are trained with updates periodically as State and
Federal mandates require. HIPAA also requires that we keep this documentation (that the
training was completed) for six years after the training

I, the undersigned, do hereby certify that I have received, read, understood and agree to abide
by this Healthcare Facilities HIPAA Policies and Operating Procedures

Employee’s Signature: ___________________________ Date: ______________
Print Name:
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Page 2 of 3 sole discretion sees fit. The Employee will not change the log-on code or password without this Healthcare Facility’s permission.

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Frequently Asked Questions

What are the hippa laws regarding confidentiality?

HIPAA Basics: Confidentiality and HIPAA. Confidential: The property that data or information is . private. and is not made available or disclosed to persons who are not . authorized. to access such data or information. 45 C.F.R. § 164.304. HIPAA-speak: “Protected Health Information (PHI)”

What is confidentiality with hippa?

Confidentiality and HIPAA. Health care practitioners have a duty to take reasonable steps to keep personal medical information confidential consistent with the person's preferences. For example, doctor-patient medical discussions should generally occur in private and a patient might prefer that the doctor call their cell phone rather than home.

What information is protected under hipaa law?

What Information Is Protected

  • Information your doctors, nurses, and other health care providers put in your medical record
  • Conversations your doctor has about your care or treatment with nurses and others
  • Information about you in your health insurer’s computer system
  • Billing information about you at your clinic

More items...

What is hipaa privacy protection?

The CDC defines HIPAA as a federal law “that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge.”