workstation use (HIPAA)

Workstation use must be addressed as part of the physical safeguards of the covered entity. This standard (which has no subsidiary implementation specifications) requires:

... policies and procedures that specify the proper functions to be performed, the manner in which those functions are to be performed, and the physical attributes of the surroundings of a specific workstation or class of workstation that can access electronic protected health information [PHI]."

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 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 a conventional desktop computing device, these could include requirements to log-off before leaving a workstation unattended. For a portable device that can leave the covered entity's premises, they might include limits on what can be stored. 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.

See also:

 
 

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