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Standards of Conduct

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General Compliance Guidelines

Confidential information. Confidential information about UTMB's students, employees, patients, strategies, and operations is a valuable asset. Although an employee may use confidential information to perform a job, it must not be shared with others, inside or outside of UTMB, unless the individuals have a legitimate need to know and the information is shared in compliance with applicable laws, policies, and procedures. Confidential information includes personnel data, student information, patient information, financial data, strategic plans, marketing strategies, employee lists and data, supplier and subcontractor information, and proprietary computer software. When UTMB collects information from individuals, such as students and patients, it is required to disclose to the individual their rights under the federal Privacy Act. However, we should all remember that unless specifically excluded by law, all documents we generate in the performance of our jobs may be made available to the public under the terms and conditions of the Texas Public Information Act. The UTMB IHOP policy 9.2.11, Confidentiality of Patient Information, may be accessed at the following web site: http://www.utmb.edu/policy/ihop/

The Health Information Portability and Accountability Act of 1996 (HIPAA). This law establishes national standards for the privacy and security of health information. In the United States, every health care provider and every employee of a health care provider must comply with these new standards. The privacy and security standards have an extreme effect on the way UTMB and its faculty, staff, and students use, disclose, and store health information. As an example, the national privacy and security standards require UTMB and its employees to keep health information private and secure by:

  • Using passwords on computers,
  • Following record retention schedules and destroying records as appropriate, and
  • Obtaining a special consent to allow UTMB and its employees to use and disclose health information.

These are just a few of many new HIPAA requirements. UTMB has a duty to investigate any violation of these standards. Improper uses, disclosures and storage of health information can lead to both monetary fines and in some cases criminal punishments for individuals and the institution.

If you would like more information regarding these HIPAA standards and how they may impact you, you may view the UTMB HIPAA web site at http://www2.utmb.edu/compliance/hipaa/ or call the Institutional Privacy Office at (409) 747-8705.


Computer information security. It is a violation of the Texas Penal Code to disclose computer passwords. Penalties range from a Class B misdemeanor to a felony depending on the related monetary damage. Therefore, computer passwords should be considered highly confidential. Never disclose your computer password to anyone. Furthermore, do not write or otherwise document your passwords in a place that is accessible by others. Information regarding computer access, passwords, and other confidential information may be obtained via the Internet at http://www.utsystem.edu/BPM/53.htm The UTMB IHOP policy 2.19.6, Information Resources Security, may be accessed at the following web site http://www.utmb.edu/policy/ihop/

 

Q

My neighbor asked me to use the computer system to look up some lab data about her daughter-in-law. May I give this data to my neighbor?

A

No. The daughter-in-law should receive this information from her physician. All medical information is strictly confidential. You should never provide any health information to anyone.

Q

While typing a note for my physician supervisor, I noticed that my neighbor is scheduled for simple surgery. I mentioned this to my husband, and he said something to my neighbor. Now my neighbor is angry with me. Have I done anything wrong?

A

Yes. You must not reveal any medical information about any individual to any other person.

Q

I am out of town and need confidential information from my office computer. I call the office and ask my secretary to get the information for me. To do so, I must tell her my computer security password. Have I violated the Standards of Conduct Guide?

A

Yes. It is both a violation of the Standards of Conduct Guide and the Texas Penal Code to disclose computer passwords. Computer passwords should be considered highly confidential and should never be disclosed to anyone. Data that is protected by passwords is now vulnerable to damage, theft, or disclosure. You may forward e-mails to your secretary or other designee to be read while you are away, but you should never disclose your password.

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