LANG Surname Meaning and Family History

The last name Lang originated as a descriptive surname given to an unusually tall individual, from the Old English lang or long, meaning long or tall. LANGE is a common German variant, while LANG is more prevalent in Scotland and northern England. LONG is another common English variant. Lang may also have originated as a Hungarian surname, from  là ¡ng, meaning flame, perhaps a descriptive name for a passionate individual, or for someone who worked with fire, such as a blacksmith. The Lang surname is also found in China,  adopted by descendants of the founder of  Lang City in the state of Lu. Lange  is the 26th most common German surname, while  Lang is the 46th most common.  Long is the 86th most popular surname in the United States. Surname Origin: German, Scottish, English, Dutch, Swedish, Danish, Chinese Alternate Surname Spellings:  LANGE, LONG, LUNG, LAING, DE LANGE Famous People with the LANG  Surname Fritz Lang  - Austrian-born film directorDavid Lange -  former New Zealand prime ministerJessica Lange  - American actressJosephine Lang - German composerAlgot Lange - Swedish explorerJoseph Lange - Vienna actor and painter; Mozarts brother-in-law Where Is the LANG Surname Most Common? According to surname distribution from Forebears, the Lang surname is most common in Austria, where it ranks 24th in the nation, followed by Germany (35th), Switzerland (61st), Luxembourg (104th), Liechtenstein (132nd), China (193rd) and Vietnam (203rd). The Lange spelling of the surname, on the other hand, is most common in Germany (26th), followed by Greenland (47th) and Denmark (107th). Lang is more common in the United States than Lange. WorldNames PublicProfiler indicates a similar distribution, with the greatest percentage of individuals named Lang in Austria, followed by Germany, Hungary, Switzerland, and Luxembourg. Lange is most common in Germany, especially northern Germany, followed by Denmark. Genealogy Resources for the Surname LANG Meanings of Common German SurnamesUncover the meaning of your German last name with this free guide to the meanings and origins of common German surnames. Lang  Family Crest - Its Not What You ThinkContrary to what you may hear, there is no such thing as a Lang  family crest or coat of arms for the Lang surname.  Coats of arms are granted to individuals, not families, and may rightfully be used only by the uninterrupted male-line descendants of the person to whom the coat of arms was originally granted. LANG  Family Genealogy ForumThis free message board is focused on descendants of Lang  ancestors around the world. There is also a separate message board for discussion of the Lange surname. FamilySearch - LANG  GenealogyExplore over 5.8  million results from digitized  historical records and lineage-linked family trees related to the Lang surname and variations such as Lange on this free website hosted by the Church of Jesus Christ of Latter-day Saints. LANG  Surname Mailing ListA free mailing list for researchers of the Lang  surname and its variations includes subscription details and searchable archives of past messages. They also host  a mailing list for the Lange surname. DistantCousin.com - LANG  Genealogy Family HistoryExplore free databases and genealogy links for the last name Lang. GeneaNet - Lang  RecordsGeneaNet includes archival records, family trees, and other resources for individuals with the Lang  surname, with a concentration on records and families from France and other European countries. The Lang  Genealogy and Family Tree PageBrowse genealogy records and links to genealogical and historical records for individuals with the Lang  surname from the website of Genealogy Today. References: Surname Meanings Origins Cottle, Basil.  Penguin Dictionary of Surnames. Baltimore, MD: Penguin Books, 1967.Dorward, David.  Scottish Surnames. Collins Celtic (Pocket edition), 1998.Fucilla, Joseph.  Our Italian Surnames. Genealogical Publishing Company, 2003.Hanks, Patrick and Flavia Hodges.  A Dictionary of Surnames. Oxford University Press, 1989.Hanks, Patrick.  Dictionary of American Family Names. Oxford University Press, 2003.Reaney, P.H.  A Dictionary of English Surnames. Oxford University Press, 1997.Smith, Elsdon C.  American Surnames. Genealogical Publishing Company, 1997. https://www.thoughtco.com/surname-meanings-and-origins-s2-1422408

Symptoms And Treatment Of Sickle Cell Disease Essay

Introduction If you practice nursing on a pediatric unit, you are likely to encounter patients with sickle cell disease. It is important to understand the underlying causes and the complications of the disease. Acute chest syndrome is one of the leading causes of death associated with sickle cell disease. It is critical to understand how to care for these patients holistically. Pathophysiology Sickle cell disease is a genetic condition that causes a mutation in the hemoglobin molecule. Normal red blood cells are round and flexible. In a person with sickle cell anemia the blood cells are stiff and sticky. This causes the cells to be misshapen and can become stuck within blood vessels. The disease process also causes a lack of healthy red blood cells to carry adequate oxygen throughout the body (Porth, 2015). Acute chest syndrome is a type of pneumonia caused by these sickled cells blocking blood vessels in the lungs. The syndrome can cause chronic respiratory insufficiency and is a leading cause of death in sickle cell disease (Porth, 2015). Laboratory and Diagnostics Sickle cell anemia is diagnosed by performing a blood drawn to check for hemoglobin S, the defective form of hemoglobin. Blood cells can also be viewed using microscopy to view the sickled cells. Acute chest syndrome can be diagnosed by chest x-ray. The sickled cells that obstruct blood flow to the lungs manifests as infiltrates on the images. After diagnosis, hemoglobin and hematocrit levels areShow MoreRelatedSickle And The Sickle Cell Disease1369 Words   |  6 PagesThe sickle cell disease affects about 100,000 people in the America. The most common ethnic group the sickle cell anemia is seen in is African Americans and Hispanics. Approximately one in every ten African American and one in every one hundred Hispanic Americans have the sickle cell trait. Approximately two million people have the sickle cell trait in America. 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Normally a person has flexible and round blood cells. With Sickle Cell anemia, Hemoglobin molecules in red blood cells, that carry oxygen in the bodyRead MoreSickle Cell Anemia1187 Words   |  5 PagesCase:- Doctor informed complete studies of a 9-year old child with sickle cell anemia. Her main complaints were cough, vague pains in legs (joints), night sweats, abdominal pain, less hunger, and increasing weakness. In a series of knowing experiments that involved taking venous blood from the arm under different conditions, the doctor showed a connection between oxygen tension and sickling of the red blood cells in vivo. When the oxygen pressure fell below 40-45mm Hg, the sickling was marked increasedRead MoreJacquelyn Sayikanmi. Understanding Sickle Cell Disease.1191 Words   |  5 PagesJacquelyn Sayikanmi Understanding Sickle Cell Disease Introduction Sickle cell disease (SCD) occurs in 1 out of every 365 African American births compared to 1 out of 16,000 Hispanic-American births (1). SCD is a group of red blood cell disorders in which patients have a sickle or moon-shaped red blood cell due to an abnormal S hemoglobin. While sickle cell disease is relatively rare in American births, this is an alarming statistic among people of Sub-Saharan (west and central) African descentRead MoreA Brief Description of Sickle Cell Anemia1165 Words   |  5 PagesAdams 1 Dwayne Adams Instructor: Croshaw Medical Terminology 1 18, April 2013 Sickle Cell Anemia Sickle-cell Anemia is a genetic blood disorder caused by the presence of an abnormal form of hemoglobin molecules in which the red blood cells loose their disc-shape and become crescent shaped. The shape also known as â€Å"hemoglobin S†. unlike normal red cells which are usually smooth and malleable, tend to collect after releasing oxygen, and cannot squeeze through small blood vessels. TheRead MoreSickle Cell Disease : A Blood Disorder1264 Words   |  6 PagesIntroduction Sickle cell disease is a blood disorder in which red blood cells take on an abnormal shape. Sickle cell anemia is when the red blood cells hemolyze, or die. Sickle cell disease is inherited from generation to generation and is the most common in inherited blood disorders. An estimated 70,000-100,000 people in America are currently suffering from this disease, most of which are African Americans. One is diagnosed with sickle cell disease in early childhood generally around four months

General Security Policy Free Essays

string(53) " owner of information has the responsibility for: 1\." Sample Information Security Policy I. POLICY A. It is the policy of ORGANIZATION XYZ that information, as defined hereinafter, in all its forms–written, spoken, recorded electronically or printed–will be protected from accidental or intentional unauthorized modification, destruction or disclosure throughout its life cycle. We will write a custom essay sample on General Security Policy or any similar topic only for you Order Now This protection includes an appropriate level of security over the equipment and software used to process, store, and transmit that information. B. All policies and procedures must be documented and made available to individuals responsible for their implementation and compliance. All activities identified by the policies and procedures must also be documented. All the documentation, which may be in electronic form, must be retained for at least 6 (six) years after initial creation, or, pertaining to policies and procedures, after changes are made. All documentation must be periodically reviewed for appropriateness and currency, a period of time to be determined by each entity within ORGANIZATION XYZ. C. At each entity and/or department level, additional policies, standards and procedures will be developed detailing the implementation of this policy and set of standards, and addressing any additional information systems functionality in such entity and/or department. All departmental policies must be consistent with this policy. All systems implemented after the effective date of these policies are expected to comply with the provisions of this policy where possible. Existing systems are expected to be brought into compliance where possible and as soon as practical. II. SCOPE A. The scope of information security includes the protection of the confidentiality, integrity and availability of information. B. The framework for managing information security in this policy applies to all ORGANIZATION XYZ entities and workers, and other Involved Persons and all Involved Systems throughout ORGANIZATION XYZ as defined below in INFORMATION SECURITY DEFINITIONS. C. This policy and all standards apply to all protected health information and other classes of protected information in any form as defined below in INFORMATION CLASSIFICATION. III. RISK MANAGEMENT A. A thorough analysis of all ORGANIZATION XYZ information networks and systems will be conducted on a periodic basis to document the threats and vulnerabilities to stored and transmitted information. The analysis will examine the types of threats – internal or external, natural or manmade, electronic and non-electronic– that affect the ability to manage the information resource. The analysis will also document the existing vulnerabilities within each entity which potentially expose the information resource to the threats. Finally, the analysis will also include an evaluation of the information assets and the technology associated with its collection, storage, dissemination and protection. From the combination of threats, vulnerabilities, and asset values, an estimate of the risks to the confidentiality, integrity and availability of the information will be determined. The frequency of the risk analysis will be determined at the entity level. B. Based on the periodic assessment, measures will be implemented that reduce the impact of the threats by reducing the amount and scope of the vulnerabilities. IV. INFORMATION SECURITY DEFINITIONS Affiliated Covered Entities: Legally separate, but affiliated, covered entities which choose to designate themselves as a single covered entity for purposes of HIPAA. Availability: Data or information is accessible and usable upon demand by an authorized person. Confidentiality: Data or information is not made available or disclosed to unauthorized persons or processes. HIPAA: The Health Insurance Portability and Accountability Act, a federal law passed in 1996 that affects the healthcare and insurance industries. A key goal of the HIPAA regulations is to protect the privacy and confidentiality of protected health information by setting and enforcing standards. Integrity: Data or information has not been altered or destroyed in an unauthorized manner. Involved Persons: Every worker at ORGANIZATION XYZ — no matter what their status. This includes physicians, residents, students, employees, contractors, consultants, temporaries, volunteers, interns, etc. Involved Systems: All computer equipment and network systems that are operated within the ORGANIZATION XYZ environment. This includes all platforms (operating systems), all computer sizes (personal digital assistants, desktops, mainframes, etc. ), and all applications and data (whether developed in-house or licensed from third parties) contained on those systems. Protected Health Information (PHI): PHI is health information, including demographic information, created or received by the ORGANIZATION XYZ entities which relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual and that identifies or can be used to identify the individual. Risk: The probability of a loss of confidentiality, integrity, or availability of information resources. V. INFORMATION SECURITY RESPONSIBILITIES A. Information Security Officer: The Information Security Officer (ISO) for each entity is responsible for working with user management, owners, custodians, and users to develop and implement prudent security policies, procedures, and controls, subject to the approval of ORGANIZATION XYZ. Specific responsibilities include: 1. Ensuring security policies, procedures, and standards are in place and adhered to by entity. 2. Providing basic security support for all systems and users. 3. Advising owners in the identification and classification of computer resources. See Section VI Information Classification. 4. Advising systems development and application owners in the implementation of security controls for information on systems, from the point of system design, through testing and production implementation. 5. Educating custodian and user management with comprehensive information about security controls affecting system users and application systems. 6. Providing on-going employee security education. 7. Performing security audits. 8. Reporting regularly to the ORGANIZATION XYZ Oversight Committee on entity’s status with regard to information security. B. Information Owner: The owner of a collection of information is usually the manager responsible for the creation of that information or the primary user of that information. This role often corresponds with the management of an organizational unit. In this context, ownership does not signify proprietary interest, and ownership may be shared. The owner may delegate ownership responsibilities to another individual by completing the ORGANIZATION XYZ Information Owner Delegation Form. The owner of information has the responsibility for: 1. You read "General Security Policy" in category "Papers" Knowing the information for which she/he is responsible. 2. Determining a data retention period for the information, relying on advice from the Legal Department. 3. Ensuring appropriate procedures are in effect to protect the integrity, confidentiality, and availability of the information used or created within the unit. 4. Authorizing access and assigning custodianship. 5. Specifying controls and communicating the control requirements to the custodian and users of the information. 6. Reporting promptly to the ISO the loss or misuse of ORGANIZATION XYZ information. 7. Initiating corrective actions when problems are identified. 8. Promoting employee education and awareness by utilizing programs approved by the ISO, where appropriate. 9. Following existing approval processes within the respective organizational unit for the selection, budgeting, purchase, and implementation of any computer system/software to manage information. C. Custodian: The custodian of information is generally responsible for the processing and storage of the information. The custodian is responsible for the administration of controls as specified by the owner. Responsibilities may include: 1. Providing and/or recommending physical safeguards. 2. Providing and/or recommending procedural safeguards. 3. Administering access to information. 4. Releasing information as authorized by the Information Owner and/or the Information Privacy/ Security Officer for use and disclosure using procedures that protect the privacy of the information. 5. Evaluating the cost effectiveness of controls. 6. Maintaining information security policies, procedures and standards as appropriate and in consultation with the ISO. 7. Promoting employee education and awareness by utilizing programs approved by the ISO, where appropriate. 8. Reporting promptly to the ISO the loss or misuse of ORGANIZATION XYZ information. 9. Identifying and responding to security incidents and initiating appropriate actions when problems are identified. D. User Management: ORGANIZATION XYZ management who supervise users as defined below. User management is responsible for overseeing their employees’ use of information, including: 1. Reviewing and approving all requests for their employees access authorizations. . Initiating security change requests to keep employees’ security record current with their positions and job functions. 3. Promptly informing appropriate parties of employee terminations and transfers, in accordance with local entity termination procedures. 4. Revoking physical access to terminated employees, i. e. , confiscating keys, changing combination locks, etc. 5. Providing employees with the opportunit y for training needed to properly use the computer systems. 6. Reporting promptly to the ISO the loss or misuse of ORGANIZATION XYZ information. 7. Initiating corrective actions when problems are identified. 8. Following existing approval processes within their respective organization for the selection, budgeting, purchase, and implementation of any computer system/software to manage information. E. User: The user is any person who has been authorized to read, enter, or update information. A user of information is expected to: 1. Access information only in support of their authorized job responsibilities. 2. Comply with Information Security Policies and Standards and with all controls established by the owner and custodian. 3. Refer all disclosures of PHI (1) outside of ORGANIZATION XYZ and (2) within ORGANIZATION XYZ, other than for treatment, payment, or health care operations, to the applicable entity’s Medical/Health Information Management Department. In certain circumstances, the Medical/Health Information Management Department policies may specifically delegate the disclosure process to other departments. (For additional information, see ORGANIZATION XYZ Privacy/Confidentiality of Protected Health Information (PHI) Policy. ) 4. Keep personal authentication devices (e. g. passwords, SecureCards, PINs, etc. confidential. 5. Report promptly to the ISO the loss or misuse of ORGANIZATION XYZ information. 6. Initiate corrective actions when problems are identified. VI. INFORMATION CLASSIFICATION Classification is used to promote proper controls for safeguarding the confidentiality of information. Regardless of classification the integrity and accuracy of all classifications of information must be pr otected. The classification assigned and the related controls applied are dependent on the sensitivity of the information. Information must be classified according to the most sensitive detail it includes. Information recorded in several formats (e. g. , source document, electronic record, report) must have the same classification regardless of format. The following levels are to be used when classifying information: A. Protected Health Information (PHI) 1. PHI is information, whether oral or recorded in any form or medium, that: a. is created or received by a healthcare provider, health plan, public health authority, employer, life insurer, school or university or health clearinghouse; and b. relates to past, present or future physical or mental ealth or condition of an individual, the provision of health care to an individual, or the past present or future payment for the provision of health care to an individual; and c. includes demographic data, that permits identification of the individual or could reasonably be used to identify the individual. 2. Unauthorized or improper disclosure, modification, or destruction of this information could violate state and federal laws, result in c ivil and criminal penalties, and cause serious damage to ORGANIZATION XYZ and its patients or research interests. B. Confidential Information 1. Confidential Information is very important and highly sensitive material that is not classified as PHI. This information is private or otherwise sensitive in nature and must be restricted to those with a legitimate business need for access. Examples of Confidential Information may include: personnel information, key financial information, proprietary information of commercial research sponsors, system access passwords and information file encryption keys. 2. Unauthorized disclosure of this information to people without a business need for access may violate laws and regulations, or may cause significant problems for ORGANIZATION XYZ, its customers, or its business partners. Decisions about the provision of access to this information must always be cleared through the information owner. C. Internal Information 1. Internal Information is intended for unrestricted use within ORGANIZATION XYZ, and in some cases within affiliated organizations such as ORGANIZATION XYZ business partners. This type of information is already idely-distributed within ORGANIZATION XYZ, or it could be so distributed within the organization without advance permission from the information owner. Examples of Internal Information may include: personnel directories, internal policies and procedures, most internal electronic mail messages. 2. Any information not explicitly classified as PHI, Confidential or Public will, by default, be classified as Internal Information. 3. Unauthorized disclosure of this information to outsiders may not be appropriate due to legal or contractual provisions. D. Public Information 1. Public Information has been specifically approved for public release by a designated authority within each entity of ORGANIZATION XYZ. Examples of Public Information may include marketing brochures and material posted to ORGANIZATION XYZ entity internet web pages. 2. This information may be disclosed outside of ORGANIZATION XYZ. VII. COMPUTER AND INFORMATION CONTROL All involved systems and information are assets of ORGANIZATION XYZ and are expected to be protected from misuse, unauthorized manipulation, and destruction. These protection measures may be physical and/or software based. A. Ownership of Software: All computer software developed by ORGANIZATION XYZ employees or contract personnel on behalf of ORGANIZATION XYZ or licensed for ORGANIZATION XYZ use is the property of ORGANIZATION XYZ and must not be copied for use at home or any other location, unless otherwise specified by the license agreement. B. Installed Software: All software packages that reside on computers and networks within ORGANIZATION XYZ must comply with applicable licensing agreements and restrictions and must comply with ORGANIZATION XYZ acquisition of software policies. C. Virus Protection: Virus checking systems approved by the Information Security Officer and Information Services must be deployed using a multi-layered approach (desktops, servers, gateways, etc. ) that ensures all electronic files are appropriately scanned for viruses. Users are not authorized to turn off or disable virus checking systems. D. Access Controls: Physical and electronic access to PHI, Confidential and Internal information and computing resources is controlled. To ensure appropriate levels of access by internal workers, a variety of security measures will be instituted as recommended by the Information Security Officer and approved by ORGANIZATION XYZ. Mechanisms to control access to PHI, Confidential and Internal information include (but are not limited to) the following methods: 1. Authorization: Access will be granted on a â€Å"need to know† basis and must be authorized by the immediate supervisor and application owner with the assistance of the ISO. Any of the following methods are acceptable for providing access under this policy: . Context-based access: Access control based on the context of a transaction (as opposed to being based on attributes of the initiator or target). The â€Å"external† factors might include time of day, location of the user, strength of user authentication, etc. b. Role-based access: An alternative to traditional access control models (e. g. , discretionary or non-discretionary access control po licies) that permits the specification and enforcement of enterprise-specific security policies in a way that maps more naturally to an organization’s structure and business activities. Each user is assigned to one or more predefined roles, each of which has been assigned the various privileges needed to perform that role. c. User-based access: A security mechanism used to grant users of a system access based upon the identity of the user. 2. Identification/Authentication: Unique user identification (user id) and authentication is required for all systems that maintain or access PHI, Confidential and/or Internal Information. Users will be held accountable for all actions performed on the system with their user id. a. At least one of the following authentication methods must be implemented: 1. strictly controlled passwords (Attachment 1 – Password Control Standards), 2. biometric identification, and/or 3. tokens in conjunction with a PIN. b. The user must secure his/her authentication control (e. g. password, token) such that it is known only to that user and possibly a designated security manager. c. An automatic timeout re-authentication must be required after a certain period of no activity (maximum 15 minutes). d. The user must log off or secure the system when leaving it. 3. Data Integrity: ORGANIZATION XYZ must be able to provide corroboration that PHI, Confidential, and Internal Information has not been altered or destroyed in an unauthorized manner. Listed below are some methods that support data integrity: a. transaction audit b. disk redundancy (RAID) c. ECC (Error Correcting Memory) d. checksums (file integrity) e. encryption of data in storage f. digital signatures 4. Transmission Security: Technical security mechanisms must be put in place to guard against unauthorized access to data that is transmitted over a communications network, including wireless networks. The following features must be implemented: a. integrity controls and b. encryption, where deemed appropriate 5. Remote Access: Access into ORGANIZATION XYZ network from outside will be granted using ORGANIZATION XYZ approved devices and pathways on an individual user and application basis. All other network access options are strictly prohibited. Further, PHI, Confidential and/or Internal Information that is stored or accessed remotely must maintain the same level of protections as information stored and accessed within the ORGANIZATION XYZ network. 6. Physical Access: Access to areas in which information processing is carried out must be restricted to only appropriately authorized individuals. The following physical controls must be in place: a. Mainframe computer systems must be installed in an access-controlled area. The area in and around the computer facility must afford protection against fire, water damage, and other environmental hazards such as power outages and extreme temperature situations. b. File servers containing PHI, Confidential and/or Internal Information must be installed in a secure area to prevent theft, destruction, or access by unauthorized individuals. . Workstations or personal computers (PC) must be secured against use by unauthorized individuals. Local procedures and standards must be developed on secure and appropriate workstation use and physical safeguards which must include procedures that will: 1. Position workstations to minimize unauthorized viewing of protected health information. 2. Grant workst ation access only to those who need it in order to perform their job function. 3. Establish workstation location criteria to eliminate or minimize the possibility of unauthorized access to protected health information. 4. Employ physical safeguards as determined by risk analysis, such as locating workstations in controlled access areas or installing covers or enclosures to preclude passerby access to PHI. 5. Use automatic screen savers with passwords to protect unattended machines. d. Facility access controls must be implemented to limit physical access to electronic information systems and the facilities in which they are housed, while ensuring that properly authorized access is allowed. Local policies and procedures must be developed to address the following facility access control requirements: 1. Contingency Operations – Documented procedures that allow facility access in support of restoration of lost data under the disaster recovery plan and emergency mode operations plan in the event of an emergency. 2. Facility Security Plan – Documented policies and procedures to safeguard the facility and the equipment therein from unauthorized physical access, tampering, and theft. 3. Access Control and Validation – Documented procedures to control and validate a person’s access to facilities based on their role or function, including visitor control, and control of access to software programs for testing and revision. . Maintenance records – Documented policies and procedures to document repairs and modifications to the physical components of the facility which are related to security (for example, hardware, walls, doors, and locks). 7. Emergency Access: a. Each entity is required to establish a mechanism to provide emergency access to systems and ap plications in the event that the assigned custodian or owner is unavailable during an emergency. b. Procedures must be documented to address: 1. Authorization, 2. Implementation, and 3. Revocation E. Equipment and Media Controls: The disposal of information must ensure the continued protection of PHI, Confidential and Internal Information. Each entity must develop and implement policies and procedures that govern the receipt and removal of hardware and electronic media that contain PHI into and out of a facility, and the movement of these items within the facility. The following specification must be addressed: 1. Information Disposal / Media Re-Use of: a. Hard copy (paper and microfilm/fiche) b. Magnetic media (floppy disks, hard drives, zip disks, etc. ) and c. CD ROM Disks 2. Accountability: Each entity must maintain a record of the movements of hardware and electronic media and any person responsible therefore. 3. Data backup and Storage: When needed, create a retrievable, exact copy of electronic PHI before movement of equipment. F. Other Media Controls: 1. PHI and Confidential Information stored on external media (diskettes, cd-roms, portable storage, memory sticks, etc. ) must be protected from theft and unauthorized access. Such media must be appropriately labeled so as to identify it as PHI or Confidential Information. Further, external media containing PHI and Confidential Information must never be left unattended in unsecured areas. 2. PHI and Confidential Information must never be stored on mobile computing devices (laptops, personal digital assistants (PDA), smart phones, tablet PC’s, etc. ) unless the devices have the following minimum security requirements implemented: a. Power-on passwords b. Auto logoff or screen saver with password c. Encryption of stored data or other acceptable safeguards approved by Information Security Officer Further, mobile computing devices must never be left unattended in unsecured areas. . If PHI or Confidential Information is stored on external medium or mobile computing devices and there is a breach of confidentiality as a result, then the owner of the medium/device will be held personally accountable and is subject to the terms and conditions of ORGANIZATION XYZ Information Security Policies and Confidentiality Statement signed as a condition of employme nt or affiliation with ORGANIZATION XYZ. H. Data Transfer/Printing: 1. Electronic Mass Data Transfers: Downloading and uploading PHI, Confidential, and Internal Information between systems must be strictly controlled. Requests for mass downloads of, or individual requests for, information for research purposes that include PHI must be approved through the Internal Review Board (IRB). All other mass downloads of information must be approved by the Application Owner and include only the minimum amount of information necessary to fulfill the request. Applicable Business Associate Agreements must be in place when transferring PHI to external entities (see ORGANIZATION XYZ policy B-2 entitled â€Å"Business Associates†). 2. Other Electronic Data Transfers and Printing: PHI, Confidential and Internal Information must be stored in a manner inaccessible to unauthorized individuals. PHI and Confidential information must not be downloaded, copied or printed indiscriminately or left unattended and open to compromise. PHI that is downloaded for educational purposes where possible should be de-identified before use. I. Oral Communications: ORGANIZATION XYZ staff should be aware of their surroundings when discussing PHI and Confidential Information. This includes the use of cellular telephones in public areas. ORGANIZATION XYZ staff should not discuss PHI or Confidential Information in public areas if the information can be overheard. Caution should be used when conducting conversations in: semi-private rooms, waiting rooms, corridors, elevators, stairwells, cafeterias, restaurants, or on public transportation. J. Audit Controls: Hardware, software, and/or procedural mechanisms that record and examine activity in information systems that contain or use PHI must be implemented. Further, procedures must be implemented to regularly review records of information system activity, such as audit logs, access reports, and security incident tracking reports. These reviews must be documented and maintained for six (6) years. K. Evaluation: ORGANIZATION XYZ requires that periodic technical and non-technical evaluations be performed in response to environmental or operational changes affecting the security of electronic PHI to ensure its continued protection. L. Contingency Plan: Controls must ensure that ORGANIZATION XYZ can recover from any damage to computer equipment or files within a reasonable period of time. Each entity is required to develop and maintain a plan for responding to a system emergency or other occurrence (for example, fire, vandalism, system failure and natural disaster) that damages systems that contain PHI, Confidential, or Internal Information. This will include developing policies and procedures to address the following: 1. Data Backup Plan: a. A data backup plan must be documented and routinely updated to create and maintain, for a specific period of time, retrievable exact copies of information. b. Backup data must be stored in an off-site location and protected from physical damage. . Backup data must be afforded the same level of protection as the original data. 2. Disaster Recovery Plan: A disaster recovery plan must be developed and documented which contains a process enabling the entity to restore any loss of data in the event of fire, vandalism, natural disaster, or system failure. 3. Emergency Mode Operation Plan: A plan must be developed and documented which c ontains a process enabling the entity to continue to operate in the event of fire, vandalism, natural disaster, or system failure. 4. Testing and Revision Procedures: Procedures should be developed and documented requiring periodic testing of written contingency plans to discover weaknesses and the subsequent process of revising the documentation, if necessary. 5. Applications and Data Criticality Analysis: The criticality of specific applications and data in support of other contingency plan components must be assessed and documented. Compliance [ § 164. 308(a)(1)(ii)(C)] A. The Information Security Policy applies to all users of ORGANIZATION XYZ information including: employees, medical staff, students, volunteers, and outside affiliates. Failure to comply with Information Security Policies and Standards by employees, medical staff, volunteers, and outside affiliates may result in disciplinary action up to and including dismissal in accordance with applicable ORGANIZATION XYZ procedures, or, in the case of outside affiliates, termination of the affiliation. Failure to comply with Information Security Policies and Standards by students may constitute grounds for corrective action in accordance with ORGANIZATION XYZ procedures. Further, penalties associated with state and federal laws may apply. B. Possible disciplinary/corrective action may be instituted for, but is not limited to, the following: 1. Unauthorized disclosure of PHI or Confidential Information as specified in Confidentiality Statement. 2. Unauthorized disclosure of a sign-on code (user id) or password. 3. Attempting to obtain a sign-on code or password that belongs to another person. 4. Using or attempting to use another person’s sign-on code or password. 5. Unauthorized use of an authorized password to invade patient privacy by examining records or information for which there has been no request for review. . Installing or using unlicensed software on ORGANIZATION XYZ computers. 7. The intentional unauthorized destruction of ORGANIZATION XYZ information. 8. Attempting to get access to sign-on codes for purposes other than official business, including completing fraudulent documentation to gain access. — ATTACHMENT 1 — Password Control Standards The ORGANIZATION XYZ Information Security Polic y requires the use of strictly controlled passwords for accessing Protected Health Information (PHI), Confidential Information (CI) and Internal Information (II). See ORGANIZATION XYZ Information Security Policy for definition of these protected classes of information. ) Listed below are the minimum standards that must be implemented in order to ensure the effectiveness of password controls. Standards for accessing PHI, CI, II: Users are responsible for complying with the following password standards: 1. Passwords must never be shared with another person, unless the person is a designated security manager. 2. Every password must, where possible, be changed regularly – (between 45 and 90 days depending on the sensitivity of the information being accessed) 3. Passwords must, where possible, have a minimum length of six characters. 4. Passwords must never be saved when prompted by any application with the exception of central single sign-on (SSO) systems as approved by the ISO. This feature should be disabled in all applicable systems. 5. Passwords must not be programmed into a PC or recorded anywhere that someone may find and use them. 6. When creating a password, it is important not to use words that can be found in dictionaries or words that are easily guessed due to their association with the user (i. e. children’s names, pets’ names, birthdays, etc†¦). A combination of alpha and numeric characters are more difficult to guess. Where possible, system software must enforce the following password standards: 1. Passwords routed over a network must be encrypted. 2. Passwords must be entered in a non-display field. 3. System software must enforce the changing of passwords and the minimum length. 4. System software must disable the user identification code when more than three consecutive invalid passwords are given within a 15 minute timeframe. Lockout time must be set at a minimum of 30 minutes. 5. System software must maintain a history of previous passwords and prevent their reuse. How to cite General Security Policy, Papers