Step 2 of 3 This is the second step of the application process. Confidentiality Agreement Paragraph I understand South Central Kansas Medical Center (SCKMC) has a legal and ethical responsibility to safeguard the privacy of all patients and to protect the confidentiality of their health information. All patient information of any nature is considered confidential. I further understand, SCKMC must assure the confidentiality of its human resources, payroll, fiscal, computer systems, and management information. I understand in the course of my employment/assignment at SCKMC, I may come into the possession of confidential information. As an employee, I must understand, sign and comply with the confidentiality agreement as a condition of employment and in order to obtain any of SCKMC ‘s confidential information. 1.I will not disclose or discuss any confidential information with others, including friends, coworkers, and family. The “need to know” individuals are healthcare professionals actively involved in the treatment of the patient or the business function. In addition, each employee must understand that their personal access code, user ID and password used to access computer systems is also an integral aspect of the confidential information. 2.I will not access or view any confidential information, or utilize equipment, other than what is required to do my job. 3.I will not discuss confidential information where others can overhear the conversation (for example, in hallways, on elevators, in the cafeteria, restaurants, or at social events). It is not acceptable to discuss confidential information in public areas even if a patient’s name is not used. Such a discussion may raise doubts among patients and visitors about our respect for their privacy. 4.I will not make inquiries about confidential information for other personnel who do not have proper authorization to access such confidential information. 5.I will not willingly inform another person of my computer password or knowingly use another person’s computer password instead of my own for any reason. 6.I will not make any unauthorized transmissions, inquiries, modifications, or purging of confidential information on SCKMC’s computer system to unauthorized locations for instance, home. 7.I will log off any computer or terminal prior to leaving it unattended. All computer access activity is subject to audit. 8.I will comply with any security or privacy policy promulgated by SCKMC to protect the security and privacy of confidential information. 9.I will immediately report to my supervisor any activity, by any person, including myself, that is a violation of this policy or of any SCKMC’s hospital information security or privacy policy. 10.Upon termination of employment, I will immediately return any documents or other media containing confidential information to SCKMC. 11.I agree it is my obligation to continue with this policy after the termination of my employment. 12.I agree my obligations under this agreement may result in disciplinary action, up to and including termination of employment and/or suspension and loss of privileges, in accordance with SCKMC’s Policies and Procedures, as well as legal liability. 13.I further understand that all computer access activity is subject to audit at any time with or without notice. 14.I understand due to the nature of the business being performed, I am prohibited from using a camera or camera cell phone in any part of the building other than the cafeteria. Name Name First First Last Last Phone * Signature * signature keyboard Clear Submit Start Over If you are human, leave this field blank.
