GUAM MEMORIAL HOSPITAL AUTHORITY
 
POLICY REPOSITORY DATABASE
        Effective Reviewed/ Endorsed Rescinded Policy(s) Next Review/Update 
Department/Unit Responsibility Policy No. Policy Title Date Revised Date Date (Dept./Policy #) Due Date
Information Technology Department Information Technology Department HIPAA Security Officer 6420-1 Confidential Information 4/15/2010 3/1/2010 4/15/2010   04/15/2013
Information Technology Department Information Technology Department HIPAA Security Officer 6420-2 Confidentiality Disclaimer Notice Policy 3/1/2002 12/1/2010 12/1/2010   04/15/2013
Information Technology Department Information Technology Department HIPAA Security Officer 6420-3 Password Management Policy 12/28/2004 8/1/2009 2/1/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-4 Computer Software Policy 12/28/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-5 Information Security Management Process Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-6 Risk Analysis Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-7 Risk Management Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-8 Sanction Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-9 Information System Activity Review Policy 12/2004 08/2009 08/2009    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-10 Assigned Security Responsibility Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-11 Workforce Authorization/Supervision Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-12 Authorization And/Or Supervision Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-13 Workforce Clearance and Access Authorization Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-14 Workforce Termination Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-15 Information Access Management Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-16 Access Authorization Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-17 Access Establishment and Modification Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-18 Security Awareness and Training Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-19 Security Reminders Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-20 Log-In Monitoring Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-21 Information Security Incident Procedure- Response and Reporting Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-22 Business Associate Contract Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-23 Contingency Plan Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-24 Data Backup Plan Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-25 Disaster Recovery Plan Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-26 Emergency Operations Plan Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-27 Testing and Revision Procedures Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-28 Applications and Data Critically Analysis Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-29 Evaluation Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-31 Facility Access Controls Policy 12/2004 12/1/2010 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-32 Contingency Operations Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-33 Facility Security Plan Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-34 Access Control and Validation Procedures Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-35 Maintenance Records Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-36 Work Station Use Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-37 Workstation Security Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-38 Device and Media Controls Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-39 Disposal Policy 12/2004 12/1/2010 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-40 Media-Re-Use Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-41 Hardware and Electronic Media Accountibility Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-42 Data Backup and Storage Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-43 Access Control Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-44 Unique User Identification Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-45 Emergency Access Procedures Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-46 Automatic Logoff Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-47 Encryption and Decryption Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-48 Audit Control Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-50 Mechanism To Authenticate Electronic Protect Health Information Policy 12/2004 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-51 Person or Entity Authentication Policy 12/2004 01/2011 01/2011    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-52 Transmission Security Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-53 Integrity Controls Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-54 Encryption Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-55 Documentation Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-56 Information Classification Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-57 Network Security Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-58 Email Security Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-59 Wireless Security Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-60 Virtual Private Network (VPN) Security Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-61 Remote Access policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-62 Dial In Access Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-63 Internet and Email Access Policy 12/2004 10/2010 10/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-64 Use of Non-GMHA Computer Equipment and Media at GMHA Information Policy 12/2004 10/2010 10/2010    
  Information Technology Department HIPAA Security Officer 6420-65 Data Center Protection/Emergency/Recovery Plan Policy 02/2010 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-66 Maintenance of Computer Software Programs Policy 02/2010 02/2010 02/2010    
Information Technology Department Information Technology Department HIPAA Security Officer 6420-67 General Security; Electronic Protected Health Information (ePHI) Policy 12/2004 02/2010 02/2010