Distribution and Updating of Policies and Procedures. 1. SRMC shall distribute such Policies and Procedures to all workforce members at all of its facilities and subsidiaries who use and disclose PHI within sixty (60) calendar days of HHS’s approval of such Policies and Procedures. SRMC shall distribute the Policies and Procedures to any new workforce members who use and disclose PHI within thirty (30) days of their beginning of service. 2. SRMC shall require, at the time of distribution of such Policies and Procedures, a signed written or electronic initial compliance certification from all workforce members who use and disclose PHI stating that the workforce members have read, understands, and shall abide by such Policies and Procedures. 3. SRMC shall assess, update, and revise, as necessary, the Policies and Procedures, at least annually (and more frequently if appropriate). If changes, revisions or updates are required during the term of the Agreement, SRMC shall provide such revised Policies and Procedures to HHS for review and approval. Within 30 days of the effective date of any approved substantive revisions, SRMC shall distribute such revised Policies and Procedures to all workforce members and shall require new compliance certifications. 4. SRMC shall not involve any workforce member who uses and discloses PHI if that workforce member has not signed or provided the written or electronic certification as required by paragraphs 2 & 3 of this section.
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Sources: Resolution Agreement, Resolution Agreement