workstation security (HIPAA)

Workstation security must be addressed as part of the physical safeguards of the covered entity. This standard (which has no subsidiary implementation specifications) requires "implement[ation of] physical safeguards for all workstations that access electronic protected health information, to restrict access to authorized users."

Workstation is defined as "an electronic computing device, for example, a laptop or desktop computer, or any other device that performs similar functions, and electronic media stored in its immediate environment." (164.304) Thus PDAs, tablet computers, and other portable/wireless devices are included. (DHHS noted specifically in its Final Rule commentary that the workstation standards are not to be interpreted as limited to "fixed location devices." Final Rule, p.122)

The critical variable is not the particulars of the device itself, but whether it can access or store PHI. If it can, formal, documented policies and procedures must be in place, and the covered entity must take reasonable, appropriate steps to assure that the policies and procedures are followed.

For fixed location devices, these might include specifications for secure locations. For portable ones, they might include limitations on what devices can leave the facility. The particular rules would be determined by, among other things, results from the covered entity's risk analysis and risk management efforts, required as part of the security management process standard.

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