Medical Records - Office of Compliance Services - UCLA Health

Privacy and Information Security Monitoring and Auditing Policy HS 9462C. Physical inspections of computer equipment, systems, devices, servers,printers, workstations and other devicesD. Interactive monitoring and logging of traffic on MednetE. Publicly accessible serversXI.XII.XIII.EnforcementFailure to follow any provisions of this policy may result in disciplinary action, upto and including termination.Policy ExceptionsUnless an exception process is specified elsewhere in this policy, any exceptionsto this policy must be for a valid patient care or business reason and must beapproved by the Chief Compliance Officer or his/her designee. The ChiefCompliance Officer or designee will consult with the appropriate business,leadership and IT groups in evaluating any proposed exceptions. The exceptionrequest form can be found athttp://compliance.uclahealth.org/workfiles/PDF2/HIPAA%20Privacy/HIPAA%20Forms/General%20Exception%20Request%20form.pdfQuestionsWorkforce members should consult the Office of Compliance Services - Privacyand Information Security (PrivacyInfoSec@mednet.ucla.edu) if they have anyquestions on this policy.REFERENCESHealth Insurance Portability and Accountability Act, 45 CFR 160-164University of California Business and Finance Bulletin IS-3, Electronic InformationSecurityUniversity of California Electronic Communications Policy (ECP)CONTACTChief Privacy Officer, Office of Compliance ServicesChief Information Security Officer, Office of Compliance ServicesREVISION HISTORYApproved: February 22, 2006Effective Date: April 20, 2005; June 21, 2007,Review Date: July 25, 2012Revised Date: May 30, 2008, March 31, 2011, August 31, 20124 of 5 UCLA HealthCompliance Policies and ProceduresPrivacy and Information Security Policies

Privacy and Information Security Monitoring and Auditing Policy HS 9462APPROVALHealth Sciences Enterprise Compliance Oversight BoardApproved 12/11/2010, 06/27/2012David Feinberg, M.D.CEO and Associate Vice ChancellorUCLA Hospital SystemRandolph Steadman, M.D.Chief of StaffRonald Reagan UCLA Medical CenterDenise Sur, M.D.Chief of StaffSanta Monica-UCLA Medical Center and Orthopaedic HospitalIan A. Cook, M.D.Chief of StaffResnick Neuropsychiatric Hospital at UCLA5 of 5 UCLA HealthCompliance Policies and ProceduresPrivacy and Information Security Policies