Comparision of confidentiality procedures
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University of Cincinnati, Clermont College *
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Course
2012
Subject
Philosophy
Date
Jun 3, 2024
Type
docx
Pages
3
Uploaded by MasterFog13529
Comparison of confidentiality procedures
Chrissy Alden
University of Cincinnati- Clermont
HCMT 2012- Health Information Ethics
Dr. Hyde and Professor Peters
4 June 2024
Alden 1
Procedure
Content
Physician Office
Acute Care
Hospital
Home Health
/Hospice
Definition of PHI
Minimum Necessary
Patient right to request restrictions on use and disclosure of PHI
Not fully
Organizations have the right to
accept or deny a patient’s request for restrictions or use of PHI
Disclosures for TPO
Situations when patient authorization is NOT required to release PHI
Situations hen patient authorization is required to release PHI
Patient right to access their PHI
Not fully
Right to receive accounting of disclosures
Patient’s right to
request to amend records
Alden 2
Home health/ hospice confidentiality procedure was the only covered entity to comply fully with HIPAA rules, fulfilling every box. The physician’s office marked two boxes while the acute care hospital marked 4 boxes. If the graph could represent halves, the physician’s office technically only had
1.5 boxes marked. They had a TPO disclosure, and they had a partial disclosure on a
patient’s right to request restrictions on use and disclosure of PHI. The language that was used was “Members will be given the opportunity to approve or refuse the release of identifiable personal information, except when such a release is required by law”. That statement does not inform a patient that they have a right to restrict the record on use.
Acute care hospital checked off boxes in Definition of PHI, Minimum Necessary, and Disclosures for TPO. Again, if a box could be half marked, Patient right to access their PHI would be half marked for the acute care hospital. On page 5, item Q states”
Patient Access to Medical Records. For information regarding when and how patients may access Protected Health Information of which they are the subjects, please refer to the Administrative Policy on “Patient Access to Protected Health Information.” I think that it should spell out this policy on the PHI Policies and
Procedures even for the sake of being redundant. All of the regulations should be present on the same document for clarity and convenience.
Alden 3
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