SUMNER REGIONAL HEALTH SYSTEMS, INC. (SRHS)

End User Security Policy Notification

 

 

I, ________________________________, acknowledge I have been granted access to Sumner Regional Health Systems, Inc. (SRHS) information systems resources, including, but not limited to, licensed software, hardware, and data in any form (e.g., electronic hardcopy, fax, etc.).  Security policies apply to all SRHS-owned information that is recorded, transmitted, stored, and/or processed manually or electronically.

 

I further acknowledge that while performing daily tasks and responsibilities, any data accessed thru SRHS’ information systems and/or network shall remain confidential according to confidentiality laws and SRHS policies.  As a result, I shall not discuss, disclose, modify, provide, or otherwise make available, in whole or in part, such confidential information unless authorized for specific business purposes.

 

I agree NOT to share login IDs and/or passwords with other employees/users.  I also agree that if I must share my login ID/password for troubleshooting purposes or if I suspect that my ID/password has been learned by another individual, I must change my login ID/password immediately by contacting the appropriate system administrator.

 

I understand and agree that all computer resources are to be used for official business only and not for personal use.  I understand that SRHS reserves the right to monitor, access, and disclose any communications using its systems, and, therefore, I do not expect privacy.  I also understand it is my responsibility to protect data and systems from tangible/intangible destruction.

 

I shall take all precautions to ensure protection, confidentiality, and security of information and systems.  I will perform my duties with quality and integrity, in a professional manner, and in keeping with established standards, I will report all violations of security and/or confidentiality to my supervisor, the Security Official, or other designee.

 

I also agree my obligation is to maintain confidentiality and security of all information prior to, during, and after termination of any agreement, relationship, and/or employment with the employer noted below.  Additionally, I understand that my access to any/all information will be revoked upon termination or upon authorization by designated individuals.

 

By signing this agreement, I acknowledge the following:  (i) I have read and understand this agreement; (ii) I will comply with current Security Policies, (iii) I understand the consequences of violating said policies and agreements, up to and including termination; and (iv) I agree to be bound by applicable security/confidentiality requirements and contractual obligations.

 

 

 

 

 

Name (print)

 

Date

 

 

Please Check One of the Following:

¨      Employee

¨      Medical Staff and their Office Staff

¨      Volunteer

¨      Consultant

¨      Vendor

 

 

Employer:

 

 

 

 

 

Signature

 

Date