Protection from Malicious Software Policy (UBIT HIPAA)

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

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CATEGORY: Administrative Safeguards
TYPE: Addressable Implementation Specification for Security Awareness and Training Standard
CITATION: 45 CFR 164.308(a)(5)(ii)(B)

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 (OCR). HIPAA Regulation Text 45 CFR Part 164.308 (a)(5)(i) requires a covered entity to implement security awareness and training programs for all members of its workforce, including management.


UBIT establishes and implements procedures for guarding against, detecting, and reporting malicious software. UBIT takes reasonable steps to efficiently detect and prevent malicious software, including but not limited to: viruses, worms, Trojan Horses, Remote Program Calls, and other malicious code.


This policy applies to all UBIT workforce members.


Workforce members: Adhere to policies and procedures as written.

HIPAA Security and Privacy Officer: Takes reasonable steps to guard against, detect, and report malicious software.

Compliance Officer: Participates in ensuring the security of ePHI is enforced and is effective. Performs this duty in conjunction with the HIPAA Security and Privacy Officer.

Contact Information

HIPAA Security and Privacy Officer

Vice President and Chief Information Officer
J. Brice Bible
517 Capen Hall
Buffalo, NY 14260
Phone: 716-645-7979

Date Approved: 12/4/2017