[Code of Federal Regulations]

[Title 45, Volume 1]

[Revised as of October 1, 2006]

From the U.S. Government Printing Office via GPO Access

[CITE: 45CFR164.310]



[Page 747]

 

                        TITLE 45--PUBLIC WELFARE

 

                    SUBTITLE A--DEPARTMENT OF HEALTH

                           AND HUMAN SERVICES

 

PART 164_SECURITY AND PRIVACY--Table of Contents

 

Subpart C_Security Standards for the Protection of Electronic Protected 

                           Health Information

 

Sec.  164.310  Physical safeguards.



    A covered entity must, in accordance with Sec.  164.306:

    (a)(1) Standard: Facility access controls. Implement policies and 

procedures to limit physical access to its electronic information 

systems and the facility or facilities in which they are housed, while 

ensuring that properly authorized access is allowed.

    (2) Implementation specifications:

    (i) Contingency operations (Addressable). Establish (and implement 

as needed) procedures that allow facility access in support of 

restoration of lost data under the disaster recovery plan and emergency 

mode operations plan in the event of an emergency.

    (ii) Facility security plan (Addressable). Implement policies and 

procedures to safeguard the facility and the equipment therein from 

unauthorized physical access, tampering, and theft.

    (iii) Access control and validation procedures (Addressable). 

Implement procedures to control and validate a person's access to 

facilities based on their role or function, including visitor control, 

and control of access to software programs for testing and revision.

    (iv) Maintenance records (Addressable). Implement policies and 

procedures to document repairs and modifications to the physical 

components of a facility which are related to security (for example, 

hardware, walls, doors, and locks).

    (b) Standard: Workstation use. Implement 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.

    (c) Standard: Workstation security. Implement physical safeguards 

for all workstations that access electronic protected health 

information, to restrict access to authorized users.

    (d)(1) Standard: Device and media controls. Implement policies and 

procedures that govern the receipt and removal of hardware and 

electronic media that contain electronic protected health information 

into and out of a facility, and the movement of these items within the 

facility.

    (2) Implementation specifications:

    (i) Disposal (Required). Implement policies and procedures to 

address the final disposition of electronic protected health 

information, and/or the hardware or electronic media on which it is 

stored.

    (ii) Media re-use (Required). Implement procedures for removal of 

electronic protected health information from electronic media before the 

media are made available for re-use.

    (iii) Accountability (Addressable). Maintain a record of the 

movements of hardware and electronic media and any person responsible 

therefore.

    (iv) Data backup and storage (Addressable). Create a retrievable, 

exact copy of electronic protected health information, when needed, 

before movement of equipment.