9) If I become aware that another person has access to or is using my password, verification or electronic signature code, or if I
become aware that another person is using passwords, electronic signature or verification codes improperly, I will immediately
notify my manager or the CHI Saint Joseph Health facility HIPAA Security Officer, HIPAA Privacy Officer, local Privacy
Coordinator or Corporate Responsibility Officer.
10) I will follow CHI Saint Joseph Health and Catholic Health Initiatives Information Technology Services policies and procedures
regarding the access and the use of computers, information systems, intranet, or the internet, including policies and
procedures regarding the administrative, physical, and technological safeguards to portable devices that may contain
protected health information or confidential information in order to carry out my job responsibilities.
11) I will not copy or download software that is not approved by CHI Saint Joseph Health and Catholic Health Initiatives
Information Technology Services.
12) I understand and agree to abide by the obligations of this Confidentiality Agreement and CHI Saint Joseph Health and
Catholic Health Initiatives policies and procedures related to Privacy, Information Security, Information Technology and
Confidentiality. If I do not follow these requirements, I understand that I may be subject to disciplinary action, up to and
including, loss of privileges, being dismissed from my position, and/or termination of contract or affiliation with CHI Saint Joseph
Health.
13) I understand that the obligations of this Confidentiality Agreement will survive the termination or expiration of my
employment or affiliation with CHI Saint Joseph Health. In the event of any breach of this Confidentiality Agreement, CHI Saint
Joseph Health shall be entitled to recover monetary damages or injunction or any and all other remedies available.
By my signature below I am indicating that I have read, understand and agree to adhere to the conditions of this
Confidentiality Agreement for continued employment or affiliation with CHI Saint Joseph Health.
Full Name (Print):
Last Four Digits of Social Security Number: