Category: HIPAA Security
Responsible Office: UBIT HIPAA Compliance
Responsible Executive: Vice President and Chief Information Officer (VPCIO)
Approved By (Name/Title): J. Brice Bible, VPCIO
CATEGORY: Administrative Safeguards
TYPE: Required Implementation Specification for Contingency Plan Standard
CITATION: 45 CFR 164.308(a)(7)(ii)(A)
The University at Buffalo Information Technology (UBIT) operates as a covered entity as defined by the U.S. Department of Health and Human Services Office of Civil Rights. HIPAA Regulation Text 45 CFR Part 164.308 (a)(7)(i) requires a covered entity to establish and implement as needed policies and procedures for responding to an emergency or other occurrence (for example: fire, vandalism, system failure, natural disaster, etc.) that damages systems containing ePHI.
UBIT establishes and implements procedures to create and maintain retrievable, exact copies of ePHI. UBIT implements sufficient backup systems which confirm that exact up-to-date copies of ePHI are recoverable in the event that ePHI systems are damaged by or during a disaster or other emergency. In order to confirm ePHI can be restored, the UBIT performs periodic tests of the backup systems.
This policy applies to all UBIT workforce members.
Workforce members: Adhere to all policies and procedures as written.
HIPAA Security and Privacy Officer: Establishes and implements procedures to create and maintain retrievable exact copies of ePHI.
Compliance Officer: Participates in ensuring security of ePHI is effective and enforced, in conjunction with the HIPAA Security and Privacy Officer.
Date Approved: 12/4/2017