HIPAA

Confidentiality Agreement and Security Policy

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Effective Date: 11/07/2023
Last Revision: 11/01/2013

Select employees of Fairleigh Dickinson University may be required to engage with confidential University data. The FDU Confidentiality Agreement and Security Policy defines your obligations under Federal and State guidelines to preserve the security and confidentiality of this information.

Confidentiality Agreement and Security Policy

Fairleigh Dickinson University regards the security and confidentiality of data and information to be of utmost importance. Each individual granted access to electronic and/or hard copy data holds a position of trust and must preserve the security and confidentiality of the information to which he/she is granted access to. Therefore, it is the intent of this policy to ensure that University data, in any format, is not divulged outside of Fairleigh Dickinson University without explicit approval to do so by an Associate Vice-President of the University or higher who has responsibility for the data in question. As such, the University requires all users of data to follow the procedures outlined below:

Policy on Confidential Information

Users of University data are required to abide by all applicable Federal and State guidelines and University policies regarding confidentiality of data, including the Family Education Rights and Privacy Act (“FERPA”) and, as applicable, The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). For more information, see: FDU’s General Confidentiality Policy, FERPA and HIPAA

Confidential Information shall be defined as:

  • regarding student, faculty or staff: any personally-identifiable records, financial records (including social security and credit card numbers), health records; contracts, research data; alumni and donor records; personnel records other than an individual’s own personnel record; 
  • regarding the University: University financial data; computer and system passwords, University issued PINS, University proprietary information/data; and 
  • any other information for which access, use, or disclosure is not authorized by: 1) federal, state, or local law; or 2) University policy.

The individual receiving the Confidential Information shall have no obligation under this Policy with respect to Confidential Information which:

  • is or becomes publicly available without breach of this Policy by the recipient;
  • is rightfully received by the recipient without obligations of confidentiality; or
  • is developed by the recipient without breach of this Policy; provided, however, such Confidential Information shall not be disclosed until thirty (30) days after written notice of intent to disclose is given to the University officer who has responsibility for the data in question, along with the asserted grounds for disclosure;
  • is disclosed in accordance with any “whistle blower” action as provided in the U.S. False Claims Act, the New Jersey Conscientious Employee Protection Act (“NJCEPA”), or similar legislation.  (Brief overview of the NJCEPA is available here.

Any individual with authorized access to the Confidential Information is given access solely for the business of the University and must not divulge the Confidential Information outside of the University except for University business requirements approved by the President of the University or the division head responsible for the data in question. Specifically, with respect to Confidential Information, individuals must:

  1. Access Confidential Information solely in order to perform his/her job responsibilities.
  2. Not seek personal benefit or permit others to benefit personally from any Confidential Information that has come to them throughout their work assignments.
  3. Not make or permit unauthorized use of any Confidential Information in the University’s information system or other records.
  4. Not enter, change, delete or add data to any information system or files outside of the scope of their job responsibilities.
  5. Not include or cause to be included in any record or report, a false, inaccurate or misleading entry known to the user as such.
  6. Not alter or delete or cause to be altered or deleted from any records, report or information system, a true and correct entry.
  7. Not release Confidential Information other than what is required in completion of job responsibilities which is consistent with this Policy.
  8. Not exhibit or divulge the contents of any record, file or information system to any person unless it is necessary for the completion of their job responsibilities.

It is the individual’s responsibility to immediately report, as outlined under “Information Security Breach and Violation Reporting” at the end of this Policy, if the individual has violated this Policy. Additionally, given the potential harm that the University may suffer with the release of any Confidential Information, all employees are strongly encouraged to report any suspected violation of this policy or any other action, which violates confidentiality of data, as outlined at the end of this policy.

Security Measures and Procedures

All users of University information systems, including Datatel, MS File shares and FDU Office 365 email accounts, are supplied with an individual user account to access the data or systems necessary for the completion of their job responsibilities. Users of the University information systems are required to follow the procedures outlined below:

  1. All transactions, processed by a user ID and password, or PIN, are the responsibility of the person to whom the user ID was assigned. The user’s ID, password, and PIN must remain confidential and must not be shared with anyone.
    • Using someone else’s user ID, password or PIN is a violation of policy, no matter how it was obtained.
    • Your user ID, password or PIN provides access to information that has been granted specifically to you.  To reduce the risk of shared passwords – remember not to post your password or PIN on or near your workstation or share your password or PIN with anyone.
    • It is your responsibility to change your password immediately if you believe someone else has obtained it.

NOTE: If you need your Password or PIN changed, please contact the Fairleigh Dickinson University Technical Assistance Center (UTAC) immediately.

  1. Access to any student or employee information (in any format) is to be determined based on specific job requirements. The appropriate Department Chair, School Director, Department Director/Manager, Dean, Provost, and/or Vice President is responsible for ensuring that access is granted only to authorized individuals, based on their job responsibilities. Written authorization must be received by the Computer Center prior to granting system access.
    • You are prohibited from viewing or accessing additional information (in any format) unless you have been authorized to do so.  Any access obtained without written authorization is considered unauthorized access.
    • In order to prevent unauthorized use, the user shall log off of all applications that provide access to confidential information, or lock their computer when leaving their workstation. This is especially important during breaks and lunch. Unless there is a specific business need, all workstations should be shut down at the end of the workday.

NOTE:  If you require assistance in establishing your workstation password, please access the screensaver documentation or contact the Fairleigh Dickinson University Technical Assistance Center (UTAC).

  1. If you have any reason to believe your password or PIN has been compromised or revealed inadvertently, you should change your password and immediately notify one of the individuals as outlined under “Information Security Breach and Violation Reporting” at the end of this policy.

NOTE: All University’s computer system will periodically prompt you to change your password.

  1. Upon termination or transfer of an employee, Human Resources will notify University Systems and Security, who in turn will notify the appropriate areas in the Computer Center.
  1. Generally, students, temporary employees and consultants should not have access to the University record system. Written approval by the Department Chair, School Director, Department Director/Manager, Dean, Provost, and/or Vice President in charge of the respective area is required if it is determined that access is required. The student, temporary employee or consultant is to be held to the same standards as all University employees, and must be made aware of their responsibilities to protect student and employee privacy rights and data integrity. Written authorization must be received by the Computer Center prior to granting system access.
  1. You agree to properly secure and dispose of any outputs or files you create in a manner that fully protects the Confidential Information.

Additionally, I understand that if granted access to process transactions via Datatel data entry screens, any information I enter or change will be effective immediately. Accordingly, I understand that I am responsible for any changes made using my ID.

I understand that my access to University data is for the sole purpose of carrying out my job responsibilities and Confidential Information is not to be divulged outside of The University, except as previously stated. Breach of confidentiality, including aiding, abetting, or acting in conspiracy with any other person to violate any part of this policy, may result in sanctions, civil or criminal prosecution and penalties, employment and/or University disciplinary action, and could lead to dismissal, suspension or revocation of all access privileges. I understand that misuse of University data and any violation of this policy or the FERPA, HIPAA or GLB policies are grounds for disciplinary action, up to and including dismissal. This Agreement shall not abridge nor supersede any rights afforded faculty members under the Faculty Handbook.

Information Security Breach and/or Policy Violation Reporting

If you suspect an Information Security Data Breach or a violation of this policy, report such an event to your department chair or staff supervisor and send an immediate email to violation@fdu.edu. If you do not have immediate access to email, contact the Fairleigh Dickinson University Technical Assistance Center (UTAC); do not provide details but request a ticket be opened with University Systems & Security due to an information security data breach or policy violation requesting an immediate callback. When practical, also send an email to violation@fdu.edu.


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Policy for Acceptable Use of Email

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As a member of our community, your FDU NetID is your passport to accessing many of Fairleigh Dickinson University’s IT services. Most important is your student, employee, or alumni FDU Email account. When using FDU Email, you are an ambassador for our institution and we expect that you will conduct yourself in an efficient, effective, ethical, and lawful manner. Please review our Policy for Acceptable Use of Email to ensure that you are adhering to all security and decorum requirements.

Effective Date: 08/01/2024
Last Revision Date: 08/01/2018

1.0 Introduction

The purpose of this policy is to ensure the proper use of e-mail by all those assigned a Fairleigh Dickinson University (FDU) e-mail account. This policy applies to any e-mail system that FDU has or may install in the future. It also applies to employee use of personal e-mail accounts via browsers, as directed below. All users of FDU e-mail systems have the responsibility to use their e-mail in an efficient, effective, ethical and lawful manner. E-mail users must follow the same code of conduct expected in any other form of written or face-to-face business communication. FDU may supplement or modify this policy for specific employees in certain roles. This policy complements similar FDU policies such as the Acceptable Use Policy and the Written Information Security Program (WISP). Please read and follow those policies as well.

The University subscribes to the 1940 Statement of Principles on Academic Freedom and Tenure and the 1940 and 1970 Interpretive Comments issued thereon, formulated jointly by the Association of American Colleges and the American Association of University Professors. Nothing in this policy is intended to supersede those statements and principles.

2.0 Ownership of Email Data

The University owns all University email accounts in the fdu.edu domain, or any subsequent domains it may create (University Email Accounts). Subject to underlying copyright and other intellectual property rights under applicable laws and University policies, the University also owns data transmitted or stored using the University Email Accounts.

3.0 Employee Responsibilities

FDU only supports the installation and usage of approved e-mail clients.

Usernames will be assigned as part of the University’s e-mail registration process and reflect internally mandated e-mail naming conventions.

Email is the primary means of official communication for Fairleigh Dickinson University. All employees, full-time and part-time, are responsible to check their @FDU.edu email accounts regularly for communication from students, faculty, staff, and administrators.

Further, all FDU employees, including faculty, full-time and part-time, are required to use their @FDU.edu email account for all University-related correspondence except in such situations when Office365.fdu.edu is unavailable.

3.1 Acceptable Uses

  • Communicating in a professional manner with other FDU associates about work-related matters.
  • Communicating in a professional manner with parties outside FDU for business purposes.
  • Personal communications that are brief and do not interfere with work responsibilities.
  • Users are allowed to access personal e-mail accounts on a limited basis, without disrupting business responsibilities. Access can be gained only by using a browser. Use of e-mail-specific protocols, such as POP3 and IMAP4, is prohibited, since they require specific firewall ports to be open.
  • Electronic messages are frequently inadequate in conveying mood and context. Users should carefully consider how the recipient might interpret a message before composing or sending the message.

3.2 Unacceptable Uses

  • Creating and exchanging messages that can be interpreted as harassing, obscene, racist, sexist, ageist, pornographic, or threatening, as defined by University policies.
  • Creating and exchanging information that is in violation of copyright or any other law. FDU is not responsible for an associate’s use of e-mail that breaks laws.
  • Personal communication that interferes with work responsibilities.
  • Opening file attachments from an unknown or untrustworthy source, or with a suspicious or unexpected subject line.
  • Sending unprotected healthcare data and personally identifiable consumer data or other confidential information to unauthorized people or in violation of FDU’s Acceptable Use Policy, or the Written Information Security Program (WISP). , Health Insurance Portability and Accountability Act and/or Gramm-Leach-Bliley Act regulations. Exceptions may be authorized by the University Chief Information Security Officer working with the employee’s supervisor. Communications that strain FDU’s network or other systems unduly, such as sending large files to large distribution lists.
  • Communications to distribution lists of only marginal interest to members, and replying to the entire distribution list when a personal reply is effective.
  • Communications with non-specific subject lines, inarticulate language, and without clear purpose.
  • Auto-forwarding e-mail messages from your University e-mail account.
  • Using any e-mail system, other than FDU’s e-mail system, for FDU-related communications.
  • Circulating chain letters and/or commercial offerings.
  • Circulating unprotected healthcare data and personally identifiable consumer data that would violate U.S. Federal HIPAA and GLB regulations. Exceptions may be authorized by the employee’s supervisor and in conjunction with the use of a University-approved e-mail encryption service.
  • Altering or forging the “From” line or any other attribution of origin contained in electronic mail or postings.
  • Using any of the University systems for sending what is commonly referred to as “SPAM” mail (unsolicited bulk email)

4.0 Student Responsibilities

Email is the primary means of official communication for Fairleigh Dickinson University. All students are responsible to check their FDU.edu email accounts regularly for communication from faculty, staff, and administrators.

FDU students are required to use their FDU.edu email account for all University-related correspondence except in such situations when Office365.fdu.edu is unavailable.

4.1 Acceptable Uses

  • Communicating in a professional manner.
  • Electronic messages are frequently inadequate in conveying mood and context. Users should carefully consider how the recipient might interpret a message before composing or sending the message.

4.1 Unacceptable Uses

  • Creating and exchanging messages that can be interpreted as harassing, obscene, racist, sexist, ageist, pornographic or threatening, as defined by University policies.
  • Creating and exchanging information that is in violation of copyright or any other law. FDU is not responsible for an individuals use of e-mail that breaks laws.
  • Opening file attachments from an unknown or untrustworthy source, or with a suspicious or unexpected subject line.
  • Auto-forwarding e-mail messages from your University e-mail account.
  • Using any e-mail system, other than FDU’s e-mail system, for FDU-related communications.
  • Circulating chain letters and/or commercial offerings.
  • Altering or forging the “From” line or any other attribution of origin contained in electronic mail or postings.
  • Using any of the University systems for sending what is commonly referred to as “SPAM” mail (unsolicited bulk email)
  • Use of e-mail-specific protocols such as POP3 and IMAP4 for access to non-FDU email accounts is prohibited since they require specific firewall ports to be open.

5.0 Privacy Guidelines

The University typically does not review the content of electronic messages or other data, files, or records generated, stored, or maintained on its electronic information resources; however, it retains the right to inspect, review, or retain the content of such messages, data, files, and records at any time without prior notification. Any such action will be taken for reasons the University, within its discretion, deems to be legitimate. These legitimate reasons may include, but are not limited to,

  • responding to lawful subpoenas or court orders;
  • investigating misconduct (including research misconduct);
  • determining compliance with University policies and the law; and
  • locating electronic messages, data, files, or other records related to these purposes.

FDU maintains the right to monitor and review e-mail activity to ensure compliance with this policy, as well as to fulfill FDU’s responsibilities under the laws and regulations of the jurisdictions in which it operates. Users should have no expectation of privacy.

  • Except as otherwise stipulated in this policy, on termination or separation from FDU, FDU will immediately deny access to e-mail, including the ability to download, forward, print or retrieve any message stored in the system, regardless of sender or recipient.
  • Except as otherwise stipulated in this policy, employees who leave FDU will have their mailbox deleted within six months of their termination date. The employee’s manager may request that access be given to another employee who may remove any needed information within the same six month time frame.
  • FDU reserves the right to intercept, monitor, review and/or disclose any and all messages composed, sent or received on the University e-mail system. Intercepting, monitoring and reviewing of messages may be performed with the assistance of content filtering software, or by designated FDU employees and/or designated external entities. Employees designated to review messages may include, but are not limited to, an employee’s supervisor or manager and/or representatives from the HR, legal or compliance departments.
  • FDU reserves the right to alter, modify, re-route or block the delivery of messages as appropriate. This includes but is not limited to:
    • Rejecting, quarantining or removing attachments and/or malicious code from messages that may pose a threat to FDU resources.
    • Rejecting or quarantining messages with suspicious content.
    • Rejecting or quarantining messages containing offensive language or topics.
    • Re-routing messages with suspicious content to designated FDU employees for manual review.
    • Appending legal disclaimers to messages.
  • Electronic messages are legally discoverable and permissible as evidence in a court of law.
  • Users of the University’s computing and electronic communications resources must understand that electronic messages, data, files, and other records generated, stored, or maintained on University electronic information resources may be electronically accessed, reconstructed, or retrieved by the University even after they have been deleted.

6.0 Security

As with any other type of software that runs over a network, e-mail users have the responsibility to follow sound security practices.

  • Users should not use the e-mail system to transfer sensitive data, except in accordance with FDU data protection policies. Refer to the Written Information Security Program (WISP). Sensitive data passed via e-mail over the Internet could be read by parties other than the intended recipients, particularly if it is clear text. Malicious third parties could potentially intercept and manipulate e-mail traffic.
  • In an effort to combat propagation of e-mail viruses, certain attachment types may be stripped at the University e-mail gateway. Recipients will be notified via e-mail when this occurs. Should this create a business hardship, users should contact the University Technical Assistance Center (UTAC).
  • Attachments can contain viruses and other malware. User should only open attachments from known and trusted correspondents. Suspicious attachments should be reported to the University Technical Assistance Center (UTAC).
  • Spam is automatically filtered at the University gateway in a highly efficient manner. Errors, whereby legitimate e-mail can be filtered as spam, while rare, can occur. If business-related mail messages are not delivered, users should check their local spam folder or the daily spam digest. If the message is not there, users should contact University Technical Assistance Center (UTAC).
  • Users will not be asked by OIRT or any other FDU group by e-mail for personal information such as usernames or passwords. Any such requests should not be responded to and should be referred to the University Technical Assistance Center (UTAC). Such approaches – known as phishing – are fraudulent approaches carried out for the purpose of unlawful exploitation.

7.0 Operational Guidelines

FDU employs certain practices and procedures in order to maintain the health and efficiency of electronic messaging resources, to achieve FDU objectives and/or to meet various regulations. These practices and procedures are subject to change, as appropriate or required under the circumstances.

  • For ongoing operations, audits, legal actions, or any other known purpose, FDU saves a copy of every e-mail message and attachment(s) to a secure location, where it can be protected and stored for three years. Recovery of messages from this store is prohibited for all but legal reasons.
  • To deliver mail in a timely and efficient manner, message size must be less than 25MB. Messages larger than 25MB will be automatically blocked and users will be notified of non-delivery. Should this create a business hardship, users should contact the University Technical Assistance Center (UTAC)
  • For all employees who handle sensitive information on a regular basis, to aid with ensuring that any accidental misdirection of emails are properly handled, the following disclaimer should be placed as part of and at the end of their signature block for all internal and external outbound emails.
    • This message and any attached documents contain information that may be confidential and privileged. If you have received this message in error, please immediately notify the sender and delete the message from your system without forwarding it to any other person.

Access to the content of electronic mail, data, files, or other records generated, stored, or maintained by any user may be requested from the University’s Associate Vice President of Technology Infrastructure for the reasons set forth below and shall be authorized as follows:

  1. by the Associate Vice President of Human Resources for all University employees;
  2. by either Dean of Students for students; or
  3. by the General Counsel for the purposes of complying with legal process and requirements or to preserve user electronic information for possible subsequent access in accordance with this policy.

In all cases, the Office of the General Counsel must be consulted prior to making a decision on whether to grant access. In the case of a time-critical matter, if the authorizing official is unavailable for a timely response, the General Counsel may authorize access.

All full-time faculty who retire from the University may keep their email address for life if they request to do so.

All full-time faculty who leave the University for reasons other than termination for cause, may request email forwarding for up to six months.

8.0 Governance and Enforcement

This policy was created with input from the University’s Data Security Incidence Response Team (DSIRT). At the request of the University’s Chief Information Security Officer (CISO), the DSIRT will review this policy annually to ensure that FDU is in compliance with internal or external requirements. FDU faces liability if users violate the terms of this policy. Therefore, willful or repeated violations of this Acceptable Use Policy for e-mail can result in informal or formal warnings, the loss of e-mail privileges, and other sanctions including termination. Any such discipline shall be in accordance with processes and procedures of Human Resources and subject to any protections afforded under the University’s agreement with “Office & Professional Employees International Union”, the “Faculty Handbook”, and similar documents. Third parties who violate this Policy may have their relationship with the University terminated and their access to campus restricted.

For assistance with this policy, please contact the University’s Chief Information Security Officer (CISO).

Exceptions to this policy may be authorized by the University Chief Information Security Officer working with the employee’s supervisor.

Policy violations should be reported immediately to the University’s Associate Vice President of Technology Infrastructure

The University reserves the right to suspend an e-mail account while investigating a complaint or troubleshooting a system or network problem.

This document will be reviewed semi-annually and is available both electronically and in printed form at each of the Campus Computing Centers.

It is the user’s responsibility to remain informed about the contents of this document.

Other Related and Applicable Policies


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