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Policy No.: '''6061'''<br /> | Policy No.: '''6061'''<br /> | ||
Effective Date: '''03/17/03'''<br /> | Effective Date: '''03/17/03'''<br /> | ||
Revised Date: ''' | Revised Date: '''06/06/24'''<br /> | ||
Revised Date: ''' ''' | Revised Date: '''06/06/24'''<br /> | ||
<big>'''Accounting of Protected Health Information Disclosures Policy'''</big> | <big>'''Accounting of Protected Health Information Disclosures Policy'''</big> | ||
== Basis for Policy == | == Basis for Policy == | ||
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It is the policy of Nebraska Medicine (Nebraska Medical Center, Bellevue Medical Center and UNMCP)/UNMC to comply with the procedures set forth below. | It is the policy of Nebraska Medicine (Nebraska Medical Center, Bellevue Medical Center and UNMCP)/UNMC to comply with the procedures set forth below. | ||
#An individual has a right to receive an accounting of disclosures of PHI made by the ACE during a time period specified up to six (6) years prior to the date of the request, except for disclosures: | #An individual has a right to receive an accounting of disclosures of PHI made by the ACE during a time period specified up to six (6) years prior to the date of the request, except for disclosures: | ||
#*To carry out treatment, payment or health care operations (including permissible disclosures to other providers for their treatment, payment or health care operations) | #*To carry out treatment, payment or health care operations (including permissible disclosures to other providers for their treatment, payment or health care operations). | ||
#*To the individual about his or her own information ; | #*To the individual about his or her own information; | ||
#*Authorized by the individual | #*Authorized by the individual written authorization; | ||
#*For the facility directory or to persons involved in the individual's care, or other notification purposes permitted under law; | #*For the facility directory or to persons involved in the individual's care, or other notification purposes permitted under law; | ||
#*For national security or intelligence purposes; | #*For national security or intelligence purposes; | ||
#*To correctional institutions or other law enforcement officials who have custody of an individual as permitted under law; | #*To correctional institutions or other law enforcement officials who have custody of an individual as permitted under law; | ||
#*As part of a limited data set (see UNMC Policy No. 6057, [[Use and Disclosure of Protected Health Information]]); | #*As part of a limited data set (see UNMC Policy No. 6057, [[Use and Disclosure of Protected Health Information]]); | ||
#Individuals shall make their requests to the Health Information Management Department (HIM), using the ''' | #Individuals shall make their requests to the Health Information Management Department (HIM), using the '''[https://info.unmc.edu/_documents/hippa-docs/_accounting-of-disclosures-form.pdf Request for Accounting of Disclosures of Health Information Form]'''; | ||
#Content Requirements. The accounting for each disclosure must include: | #Content Requirements. The accounting for each disclosure must include: | ||
#*Date of disclosure; | #*Date of disclosure; | ||
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== Definitions == | == Definitions == | ||
===Affiliated Covered Entity (ACE)=== | ===Affiliated Covered Entity (ACE)=== | ||
Legally separate covered entities that | Legally separate covered entities that designate themselves as a single covered entity for the purpose of HIPAA Compliance. Current ACE members are: The Nebraska Medical Center, UNMC Physicians, UNMC, University Dental Associates, Bellevue Medical Center and Nebraska Pediatric Practice, Inc. d/b/a Children’s Specialty Physicians. ACE membership may change from time to time. The Notice of Privacy Practices lists current ACE members. | ||
===Health Care Operations=== | ===Health Care Operations=== | ||
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*an Individual’s genetic tests; | *an Individual’s genetic tests; | ||
*the genetic tests of an Individual’s family members; or | *the genetic tests of an Individual’s family members; or | ||
*the manifestation of a disease or disorder in such Individual’s family members (i.e., family medical history) | *the manifestation of a disease or disorder in such Individual’s family members (i.e., family medical history). | ||
PHI excludes: | PHI excludes: | ||
*individually identifiable health information of a person who has been deceased for more than fifty (50) years. | *individually identifiable health information of a person who has been deceased for more than fifty (50) years. | ||
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*[https://www.cdc.gov/phlp/publications/topic/hipaa.html#security-rule HIPAA Security Rule] | *[https://www.cdc.gov/phlp/publications/topic/hipaa.html#security-rule HIPAA Security Rule] | ||
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