Health Information Management

Q: May a healthcare system consisting of multiple hospitals on separate campuses appoint a single HIPAA security officer to act for all of them, or should each site have its own security officer?

HIPAA Weekly Advisor, August 4, 2008

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A: HIPAA does not require a security officer for each facility in an organization’s system, regardless of the size or number of facilities. The entire healthcare delivery system, and not its individual component hospitals, is the covered entity.
 
Some multisite organizations appoint one overall chief security officer and site-specific security officers (e.g., security technicians who report to the chief security officer). Other large multistate systems appoint one chief security officer and an assistant security officer for each state because each state may have multiple hospitals and other care settings. Assigning an individual to oversee each site or multiple sites in proximity (e.g., same city or metropolitan area) to monitor security is advisable, but appointing a chief security officer for each facility is unnecessary.
 
Editor's note: Chris Apgar, president of Portland, OR-based Apgar & Associates, LLC, answered this question. This is not legal advice. Consult your attorney on legal matters.



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