Information Access Agreement

IMPORTANT: Any authorized user with access to data or Roper St. Francis, and/or any of its subsidiaries or affiliates (“RSF”) will assure CONFIDENTIALITY by acknowledging and maintaining the right to privacy of ALL information and/or knowledge regarding a patient or employee’s medical status, personal affairs and business of RSF. Due to the sensitive nature of this information, the agreement to keep RSF information confidential continues to apply even after affiliation/employment is terminated.

As part of my affiliation with RSF, any access to information including, but not limited to, patient identifiable information, certain data records, trade secrets, intellectual property, privileged information and/or information systems through the public Internet or proprietary access is considered confidential. Unless agreed to in writing, all information accessed, disclosed or transmitted through RSF in preparation of or during the performance of my services or obligations to RSF, whether prior to or subsequent to the execution of this IAA, to include scientific, technical and commercial information relating to the business, products or research of RSF obtained, generated or derived by me as the result of the services performed for RSF shall belong exclusively to RSF as proprietary property held in confidence and will not be used or further disclosed except as required for performance of my job duties and obligation or as otherwise permitted by law.

I commit to protect and safeguard from any electronic, oral or written access or disclosure all Confidential Information regardless of its stored media type (i.e., paper, electronic) in all information systems with which I may come into contact, and I will use reasonable and appropriate safeguards to prevent unauthorized use or disclosure (i.e., encryption of email). I will not release to and/or permit any unauthorized person to examine or make copies of any Confidential Information prepared by me or coming into my possession. I will not use or further disclose any Confidential Information other than as permitted by this Agreement, other contract with RSF, or applicable state and federal law, including the Health Insurance Portability and Accountability Act, as modified by HITECH and their regulations (collectively “HIPAA”). I expressly agree to comply with HIPAA in all respects, including the implementation of all necessary safeguards to prevent such disclosure.

If granted access to any RSF information system, I understand and agree that a unique user name, password, or electronic signature will be assigned to me and are equivalent to a handwritten signature to authenticate my entries into information systems where appropriate, and that an electronic signature represents my full, legal name and includes my title. I am legally prohibited from releasing this information to anyone for any reason. No other person is allowed to act as my proxy in any manner, and I am responsible for any action occurring under my user name, password, or electronic signature. Access, attempted access, release or further disclosure to parties without the right and need to know for successful completion of job duties or related to treatment will be considered a breach of confidentiality. I agree that if I become aware of an impermissible use or disclosure of Confidential Information, I will report it immediately to the RSF Privacy Officer at (843) 789-1778.

I further understand that all RSF information systems, including but not limited to, e-mail, messaging systems and contents and/or communications held therein are property of RSF, and their use caries no real or implied privacy. I agree NOT to use RSF computers, networks or systems: 1) for personal unauthorized activities, 2) to transact business other than that permitted by RSF, 3) in violation of standards of practice, ethics, or locally or nationally accepted obscenity standards, 4) to send unwanted electronic mail messages, or 5) to misrepresent myself at any time.

I understand that any breach of confidentiality, misuse of information systems or information found in and/or obtained from records may result in the following: disciplinary action up to and including revocation of Medical Staff membership or clinical privileges as may be determined by the applicable Board of Directors of each RSF entity, termination of agreements/contracts, denial of future access to RSF data, termination of affiliation with RSF, reported to the appropriate state licensing board, and/or legal action.