Patient/Consumer Complaints: Difference between revisions

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[[Identification Card]] | [[Secure Area Card Access]] | [[Privacy/Confidentiality]] | [[Computer Use/Electronic Information]] | [[Retention and Destruction/Disposal of Private and Confidential Information]] | [[Use and Disclosure of Protected Health Information]] | [[Notice of Privacy Practices]] | [[Access to Designated Record Set]] | [[Accounting of PHI Disclosures]] | [[Patient/Consumer Complaints]] | [[Vendors]] | [[Fax Transmissions]] | [[Psychotherapy Notes]] | [[Facility Security]] | [[Conditions of Treatment Form]] | [[Informed Consent for UNMC Media]] | [[Transporting Protected Health Information]] | [[Honest Broker]] | [[Social Security Number]] | [[Third Party Registry]] | [[Information Security Awareness and Training]]
[[Identification Card]] | [[Secure Area Card Access]] | [[Privacy/Confidentiality]] | [[Computer Use/Electronic Information]] | [[Retention and Destruction/Disposal of Private and Confidential Information]] | [[Use and Disclosure of Protected Health Information]] | [[Notice of Privacy Practices]] | [[Access to Designated Record Set]] | [[Accounting of PHI Disclosures]] | [[Patient/Consumer Complaints]] | [[Vendors]] | [[Fax Transmissions]] | [[Psychotherapy Notes]] | [[Facility Security]] | [[Conditions of Treatment Form]] | [[Informed Consent for UNMC Media]] | [[Transporting Protected Health Information]] | [[Honest Broker]] | [[Social Security Number]] | [[Third Party Registry]] | [[Information Security Awareness and Training]]
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POLICY NO: '''6062'''<br />
Policy No.: '''6062'''<br />
EFFECTIVE DATE: '''03/17/03'''<br />
Effective Date: '''03/17/03'''<br />
REVISED DATE:<br />
Revised Date:<br />
REVIEWED DATE:<br />
Reviewed Date:<br />
 
<big>'''Patient/Consumer Complaints Policy'''</big><br />
<big>'''Patient/Consumer Complaints Policy'''</big><br />
=== Basis for Policy ===  
=== Basis for Policy ===  
 
It is the policy of the University of Nebraska Medical Center (UNMC) to comply with all applicable federal, state, local regulations and University policies and procedures governing confidentiality, privacy and information security. These regulations and guidelines include, but may not be limited to:
It is the policy of the University of Nebraska Medical Center (UNMC) to comply with all applicable federal, state, local regulations and University policies and procedures governing confidentiality, privacy and information security. These regulations and guidelines include, but may not be limited to: <br />
*Health Insurance Portability and Accountability Act of 1996 (HIPAA)
   
*Executive Memorandum No. 27, HIPAA Compliance Policy
* Health Insurance Portability and Accountability Act of 1996 (HIPAA)
*UNMC Policy No. 6045, [[Privacy/Confidentiality|Privacy, Confidentiality and Security of Patient and Proprietary Information]]
*     Executive Memorandum No. 27, HIPAA Compliance Policy
*UNMC Policy No. 6056, [[Retention and Destruction/Disposal of Private and Confidential Information]]
*     UNMC Policy No. 6045, Privacy, Confidentiality and Information Security
Additionally, it is the goal of UNMC to maintain a high level of patient satisfaction. All UNMC workforce having contact with patients, families and visitors are encouraged to assist in gaining and maintaining their confidence. (For purposes of this policy, patient shall also include family members and visitors of the registered patient.)
*     UNMC Policy No. 6056, Retention and Destruction/Disposal of Private and Confidential Information<br />
 
Additionally, it is the goal of the University of Nebraska Medical Center (UNMC) to maintain a high level of patient satisfaction. All UNMC workforce having contact with patients, families and visitors are encouraged to assist in gaining and maintaining their confidence. (For purposes of this policy, patient shall also include family members and visitors of the registered patient.)
<br />
=== Policy ===  
=== Policy ===  
All routine patient complaints should be addressed to the extent possible at the clinic level. UNMC departments/clinics providing direct patient care are required to develop their own written procedures for handling patient/consumer complaints. More serious or unresolved patient complaints regarding UNMC, The Nebraska Medical Center, UMA, and UDA privacy practices should be referred to The Nebraska Medical Center Patient Relations Department, which shall receive and respond to complaints. To refer patients to The Nebraska Medical Center Patient Relations Department, departments should complete and forward the Patient Relations Case Sheet. <br/>


All routine patient complaints should be addressed to the extent possible at the clinic level. UNMC departments/clinics providing direct patient care are required to develop their own written procedures for handling patient/consumer complaints. More serious or unresolved patient complaints regarding UNMC, The Nebraska Medical Center, UMA, and UDA privacy practices should be referred to The Nebraska Medical Center Patient Relations Department, which shall receive and respond to complaints.  To refer patients to The Nebraska Medical Center Patient Relations Department, departments should complete and forward the Patient Relations Case Sheet.
The Notice of Privacy Practices (see UNMC Policy No. 6058, [[Notice of Privacy Practices]]) provided to patients shall direct patients to contact The Nebraska Medical Center Patient Relations Department or the Secretary of Health and Human Services if they believe their privacy rights have been violated and do not wish to address the issue at the department or clinic level.<br />
 
The Notice of Privacy Practices (see UNMC Policy No. 6058, Notice of Privacy Practices ) provided to patients shall direct patients to contact The Nebraska Medical Center Patient Relations Department or the Secretary of Health and Human Services if they believe their privacy rights have been violated and do not wish to address the issue at the department or clinic level.


Privacy/confidentiality complaints and their disposition shall be documented and retained for six years. (HIPAA: 45 CFR §164.530(d)(2))<br />
Privacy/confidentiality complaints and their disposition shall be documented and retained for six years. (HIPAA: 45 CFR §164.530(d)(2))  
=== Definitions ===
=== Definitions ===
<br />
'''Information security''' is defined as the ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from alteration, destruction or loss.
'''Information security''' is defined as the ability to control access and protect information from accidental or intentional disclosure to unauthorized persons and from alteration, destruction or loss.
   
   
'''Notice of Privacy Practices''' is a document notifying individuals receiving direct treatment at UNMC about the uses and disclosures of their PHI and their rights regarding PHI.
'''Notice of Privacy Practices''' is a document notifying individuals receiving direct treatment at UNMC about the uses and disclosures of their PHI and their rights regarding PHI.  


'''Privacy''' is defined as the right of individuals to keep information about themselves from being disclosed.  
'''Privacy''' is defined as the right of individuals to keep information about themselves from being disclosed.  


'''Workforce''' refers to faculty, staff, volunteers, trainees, students, independent contractors and other persons whose conduct, in the performance of work for UNMC, is under the direct control of UNMC, whether or not they are paid by UNMC.  
'''Workforce''' refers to faculty, staff, volunteers, trainees, students, independent contractors and other persons whose conduct, in the performance of work for UNMC, is under the direct control of UNMC, whether or not they are paid by UNMC.  
 
=== Additional Information ===
For more information, see Privacy Incident Response and Breach Notification Procedures or contact Sheila Wrobel, Privacy Officer, or The Nebraska Medical Center Patient Relations Department at 559-8158.  
*Contact [mailto:dbishop@unmc.edu Privacy Officer]
 
*Nebraska Medicine Patient Relations Department at 402-559-8158
External Resources for Patients and Consumers / Patient Relations Case Sheet
*UNMC Policy No. 6045, [[Privacy/Confidentiality|Privacy, Confidentiality and Security of Patient and Proprietary Information]]
Privacy Incident Response and Breach Notification Procedures  
*UNMC Policy No. 6056, [[Retention and Destruction/Disposal of Private and Confidential Information]]
*UNMC Policy No. 6058, [[Notice of Privacy Practices]]
*See Privacy Incident Response  UNDER CONSTRUCTION
*Breach Notification Procedures  UNDER CONSTRUCTION
*External Resources for Patients and Consumers UNDER CONSTRUCTION
*Patient Relations Case Sheet UNDER CONSTRUCTION
*Privacy Incident Response and Breach Notification Procedures UNDER CONSTRUCTION


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