in DIABETES and ENDOCRINOLOGY
Please read the Vanderbilt Medical Center's Confidentiality Agreement below. After you read this, you will need to download, print and fill out the accompanying (PDF) form:
This form requires your signature, indicating that you have read and accepted the terms of the agreement.
As a condition of and in consideration of my use, access, and/or disclosure of confidential information, I understand and agree to the confidentiality requirements outlined in this Agreement. I understand that these confidentiality requirements and my responsibility to protect the security of information apply to when I’m working from home or off-campus as well as at VUMC facilities.
1. I will access, use, and disclose confidential information only as necessary to perform my job functions. This means, among other things, that:
- I will only access, use, and disclose confidential information as authorized and required to do my job;
- I will not in any way access, use, divulge, copy, release, sell, loan, review, alter, or destroy any confidential information except as properly and clearly authorized within the scope of my job and as in accordance with all applicable Vanderbilt policies and procedures and with all applicable laws;
- I will report to my supervisor or to the Privacy Office any individual’s or entity’s activities that I suspect may compromise confidential information as prescribed in OP 10-40.01 "Confidentiality of Protected Patient Information".
(Section 2 only applies if you have been granted electronic access to VU/VUMC systems, including email.)
2. Because all of my User IDs and Passwords are the equivalent of my signature and because I am the only person authorized to use them, I agree to the following:
- I will safeguard and not disclose them to anyone including my manager, supervisor, or LAN Manager.
- I will not request access to or use any other person’s passwords or access codes.
- I accept responsibility for all activities undertaken using my passwords, access code and other authorizations.
- It is my responsibility to log out of the system to which I’m logged on. I will not under any circumstances leave unattended a computer to which I have logged on without first either locking it or logging off the workstation.
- If I have reason to believe that the confidentiality of my password has been compromised, I will immediately change my password.
- I understand that my User ID will be deactivated upon notification to Information Management that I am no longer employed by or in a business contract with VUMC, have no medical staff privileges at a VUMC institution, am not enrolled as a student in a healthcare profession, or when my job duties no longer require access to the computerized systems.
- I understand that the Department of Information Management has the right to conduct and maintain an audit trail of all accesses to patient information, including the machine name, user, date, and data accessed and that VUMC may conduct a review to monitor appropriate use of my system activity at anytime and without notice.
- I understand and accept that I have no individual rights to or ownership interests in any confidential information referred to in this agreement and that therefore VU or VUMC may at any time revoke my passwords or access codes.
3. All individuals who take work home with them must follow Vanderbilt’s Security Guidelines for Remote Access.
4. I understand that it is my responsibility to be aware of VU Human Resource policies including HR-025 “Electronic Communications Policy”, VUMC Operation Policies, and other policies that specifically address the handling of confidential information and misconduct that warrants immediate discharge.
5. I understand that in addition to protecting confidentiality I am also required to be aware of the VU Computer Privileges and Responsibilities policy and to abide by all of its requirements regarding the appropriate use of VU and VUMC computer systems. I understand that inappropriate use of VU and VUMC computer systems may result in disciplinary action.
6. I understand that any fraudulent application, violation of confidentiality or any violation of the above provisions may result in disciplinary action, including loss of system and information access privileges, as well as other appropriate disciplinary measures up to and including termination of employment and/or affiliation with VU and VUMC.
References:
HR-025, "Electronic Communications"
hr.vanderbilt.edu
VU Computer Privileges and Responsibilities
www.vanderbilt.edu/aup.html
VUMC Operations Policies
vumcpolicies.mc.vanderbilt.edu/E-manual/Hpolicy.nsf
Security Guidelines for Remote Access
www.mc.vanderbilt.edu/security
Please return the completed form to:
Program Administrator
Student Research Training Program
Division of Diabetes, Endocrinology and Metabolism
Vanderbilt University Medical Center
Room 7465 Medical Research Building IV
2213 Garland Avenue
Nashville, TN 37232-0475
Research Training Program for Medical Students (NIH grant DK007383) and the Vanderbilt Diabetes
Research and Training Center (NIH grant DK20593).