U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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California Area Office

Are any data services offered by IHS such as off line backup or use auditing as required in the "Interconnection Security Agreement"?

Backup and auditing of the patient databases at the Sacramento location is conducted by IHS personnel. Backup and auditing at the sites is the responsibility of the site, but there are excellent Windows operating system tools and open source utilities available. 

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Indian Health Service (HQ) - The Reyes Building, 801 Thompson Avenue, Ste. 400 - Rockville, MD 20852