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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]] | ||
<br /><br /> | <br /><br /> | ||
Policy No.: '''6030'''<br /> | |||
Effective Date: '''02/01/94'''<br /> | |||
Revised Date: '''10/17/03'''<br /> | |||
Reviewed Date: '''10/17/03'''<br /> | |||
<big>'''Informed Consent for UNMC Media Production and Distribution Policy'''</big> | <big>'''Informed Consent for UNMC Media Production and Distribution Policy'''</big> | ||
== Basis for Policy == | == Basis for Policy == | ||
It is the responsibility of any [http://www.unmc.edu/ University of Nebraska Medical Center] (UNMC) department seeking an audio-visual media production to safeguard the right to privacy of all patients, staff and others involved in the production by verifying proper informed consent has been obtained. | |||
It is the responsibility of any [http://www.unmc.edu/ University of Nebraska Medical Center] (UNMC) department seeking an audio-visual media production to safeguard the right to privacy of all patients, staff and others involved in the production by verifying proper informed consent has been obtained. | |||
== Policy == | == Policy == | ||
It is the policy of UNMC to obtain the appropriate legal authorization from all participants before they are involved in the production of audio-visual media for educational or informational purposes. | It is the policy of UNMC to obtain the appropriate legal authorization from all participants before they are involved in the production of audio-visual media for educational or informational purposes. | ||
Any protected health information included in the production of audio-visual media will be utilized in accordance with UNMC Policy 6057, [[Protected Health Information (PHI) | Use and Disclosure of Protected Health Information]]. | Any protected health information included in the production of audio-visual media will be utilized in accordance with UNMC Policy 6057, [[Protected Health Information (PHI) | Use and Disclosure of Protected Health Information]]. | ||
The Media Authorization Form [CON-0043 (Rev. 7/03)] can be obtained from Public Affairs in small quantities or in bulk through [http://info.unmc.edu/procurement/general-supply/ UNMC General Supply]. | The Media Authorization Form [CON-0043 (Rev. 7/03)] can be obtained from Public Affairs in small quantities or in bulk through [http://info.unmc.edu/procurement/general-supply/ UNMC General Supply]. | ||
NOTE: If the news media is involved in the production, see the News Media section of UNMC Policy No. 6001, [[Public Affairs]]. | |||
NOTE: If the news media is involved in the production, see the News Media section of UNMC Policy No. 6001, [[Public Affairs]]. | |||
== Definitions == | == Definitions == | ||
'''Audio-visual media''' include photographs, printed materials, television programs, video/audio recordings, video teleconferencing, internet displays and other image transmission and/or displays. | '''Audio-visual media''' include photographs, printed materials, television programs, video/audio recordings, video teleconferencing, internet displays and other image transmission and/or displays. | ||
'''Participants''' include patients and their families and/or visitors, UNMC students, employees and volunteers, and others who are asked to participate in the production of audio-visual media for UNMC, its partners and affiliates. | '''Participants''' include patients and their families and/or visitors, UNMC students, employees and volunteers, and others who are asked to participate in the production of audio-visual media for UNMC, its partners and affiliates. | ||
'''Protected Health Information (PHI)''' is individually identifiable health information. Health information means any information, whether oral or recorded in any medium, that: | '''Protected Health Information (PHI)''' is individually identifiable health information. Health information means any information, whether oral or recorded in any medium, that: | ||
* is created or received by UNMC; and | * is created or received by UNMC; and | ||
* relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual.<br /> | * relates to the past, present, or future physical or mental health or condition of an individual; the provision of health care to an individual; or the past, present, or future payment for the provision of health care to an individual.<br /> | ||
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Protected health information excludes education records covered by the Family Educational Rights and Privacy Act ([http://www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html FERPA]) and the Gramm-Leach-Bliley Act ([http://www.business.ftc.gov/privacy-and-security/gramm-leach-bliley-act GLBA]) privacy regulations, and employment records held by UNMC in its role as employer. | Protected health information excludes education records covered by the Family Educational Rights and Privacy Act ([http://www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html FERPA]) and the Gramm-Leach-Bliley Act ([http://www.business.ftc.gov/privacy-and-security/gramm-leach-bliley-act GLBA]) privacy regulations, and employment records held by UNMC in its role as employer. | ||
==Additional Information== | |||
*See [[Informed Consent for UNMC Media Production and Distribution Procedures | Obtaining Informed Consent for UNMC Audio-Visual Media Production and Distribution Procedures]] | |||
This page | This page maintained by [mailto:dpanowic@unmc.edu dkp] | ||