![]() Typically, a special audit trail is created to monitor such access. The system administrator should document any actual emergency access for later audit & review. These systems must have a clearly stated and widely understood procedure for allowing access via alternate and/or manual methods. Systems containing primary source data (information) for treatment, must develop, document, implement and test break glass procedures that would be used in the event of an emergency requiring access to ePHI. Break glass (which draws its name from breaking the glass to pull a fire alarm) refers to a quick means for a person who does not have access privileges to certain information to gain access when necessary.
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