DRAFT 
HIPAA Security Policies
Composition and Charge of HIPAA Security Committee

DRAFT adopted by HIPAA Security Committee on 11/17/03

Policy Summary

The Marshall University Joan C. Edwards School of Medicine and University Physicians & Surgeons (SOM/UP&S) establishes a HIPAA Security Committee to develop and review policies and procedures to ensure compliance with the security regulations of HIPAA.

Purpose

This policy reflects the commitment of SOM/UP&S to ensure that policies and procedures are developed to comply with the security regulations of HIPAA contained in 45 CFR 160, 162 and 164 by the compliance deadline of 20 April 2005.

Policy

  1. SOM/UP&S establishes a HIPAA Security Committee comprised of the following individuals:
    • The Assistant Dean for Information Technology & Medical Informatics (serving as Chair of this committee and as SOM/UP&S HIPAA Security Officer)
    • The SOM/UP&S HIPAA Privacy Officer
    • The CEO of UP&S
    • The school of medicine's Director of Clinical and Administrative Computing
    • The HIPAA Privacy Officer for Marshall University
    • The HIPAA Security Officer for Marshall University
       
  2. The HIPAA Security Committee will meet monthly or more often as necessary to ensure compliance with the HIPAA security regulations by the deadline of 20 April 2005.
     
  3. The HIPAA Security Committee will draft policies and disseminate them for comment to other committees inside and outside of SOM/UP&S, including:
    • SOM/UP&S Risk Management Committee
    • SOM/UP&S Clinical Practice Committee
    • UP&S Department Administrators
    • SOM/UP&S HIPAA Privacy Committee
    • SOM Curriculum Committee
    • Marshall University Information Technology Committee
       
  4. Following consideration of comments made by the committees listed in #3, above, or by other individuals, the HIPAA Security Committee will forward final policy drafts to the SOM/UP&S Board of Directors for adoption as formal policies.
     
  5. Once adoped, these policies will join other SOM/UP&S HIPAA policies at http://musom.marshall.edu/ups/hipaa/

Scope / Applicability

This policy applies to members of the HIPAA Security Committee established herein.

Regulatory Categories

Policies and procedures and documentation requirements.

Regulatory Type

REQUIRED policies and procedures and documentation.

Regulatory References

  1. §164.316(a) “Implement reasonable and appropriate policies and procedures to comply with the standards, implementation specifications, or other requirements of this subpart, taking into account those factors specified in §164.306(b)(2)(i), (ii), (iii) and (iv).”

Related Policies

Renewal / Review

This policy shall be reviewed annually to determine if it complies with current HIPAA Security regulations and is appropriate given current technology. In the event that significant related regulatory changes occur, the policy will be reviewed and updated as needed.

Adoption

Adopted by SOM/UP&S Board of Directors on [date].

 

Copyright © 2003 University Physicians & Surgeons - All Rights Reserved | Last Modified November 18, 2003