Health Information Management Team Onboarding Packet

Confidentiality of Information StatementThis document must be signed by all employees of the Detroit Medical Center as a condition of employment, and byany other non-DMC employee prior to being assigned duties or a computer access code or password authorization. Noalterations to this statement are allowed.I am an employee, medical resident, physician, student/intern, or individual assigned to the DMC or an affiliatethereof, including, for example, a member of the medical staff at the DMC, or an individual associated with acontractor of the DMC. I understand that information is required for me to perform my duties for or on behalf of theDMC, or with respect to DMC patients. Some of this information may concern patients being treated at the DMC or itmay concern the operations of the DMC. I understand that patient medical and personal information belongs to thepatient and that I am only permitted to access or disclose patient medical and personal information to the extent that itis necessary to provide patient care or perform my duties in accordance with DMC policy. I also understand that allmedical and personal information regarding patients is confidential and, unless directly related to the care of patients,payment for patient services or health care operations, should not be revealed or discussed with other patients, friendsor relatives, or anyone else within or outside the DMC.I also understand that other information regarding the operations of the DMC is confidential. This includes anyinformation regarding employees, financial operations, quality assurance, utilization review, risk management,research procurement, contracting and credentialing of staff. I understand that I am only authorized to access thisinformation if it is required for me to perform my duties. This information should not be revealed or discussed withothers within or outside the DMC except in accordance with DMC policy and to the extent that this discussion isnecessary to perform my duties.I understand that I am required to protect any DMC patient or operations information from loss, misuse, unauthorizedaccess, or unauthorized modification, and to report any suspected breach of privacy and security policies to theVanguard Compliance Hotline (1-888-895-9945).I understand that I may be given access codes or passwords to DMC computer systems. I will safeguard the securitycodes and passwords given to me. I acknowledge that I am strictly prohibited from disclosing my security codes toanyone including my family, friends, fellow workers, supervisors, and subordinates for any reason.I understand that I may use my access security codes to perform my duties only. I agree that I will not use anyoneelse’s security codes to obtain access to any computer systems. I understand that I will be held accountable for allwork performed or changes made to the system or database under my security codes and that I am not to allow anyoneelse to access the computer using my security codes, or leave my computer unattended and permit anyone else toaccess the system through my computer password.I understand that failure to follow the confidentiality of information statement is cause for termination of employment,revocation of privileges, or revocation of access to the DMC and/or its information systems, and may be noted in mystudent or personal record, and may result in notice to my educational institution or my agency or employer, if such arelationship exists._______________________________________Signature___________________DateDMC ComplianceConfidentiality of Information StatementRevised 12/27/1121