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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 == | ||
Nebraska Medicine/UNMC implements reasonable and appropriate access controls in alignment with National Institute of Standards and Technology (NIST) standards and guidance to maintain the minimum necessary access. [https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53] and the [https://www.cdc.gov/phlp/ | Nebraska Medicine/UNMC implements reasonable and appropriate access controls in alignment with National Institute of Standards and Technology (NIST) standards and guidance to maintain the minimum necessary access. [https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53] and the [https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html HIPAA Security Rule] outline considerations for the access control family of security controls. | ||
== Policy == | == Policy == | ||
Nebraska Medicine (Nebraska Medical Center, Bellevue Medical Center, and UNMCP)/UNMC shall provide patients, as required by law and upon written request, with a list of applicable individuals/organizations to which their Protected Health Information (PHI) has been disclosed. | Nebraska Medicine (Nebraska Medical Center, Bellevue Medical Center, and UNMCP)/UNMC shall provide patients, as required by law and upon written request, with a list of applicable individuals/organizations to which their Protected Health Information (PHI) has been disclosed. | ||
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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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*UNMC Policy No. 6057, [[Use and Disclosure of Protected Health Information]] | *UNMC Policy No. 6057, [[Use and Disclosure of Protected Health Information]] | ||
*[https://info.unmc.edu/_documents/hippa-docs/_accounting-of-disclosures-form.pdf Request for Accounting of Disclosures of Health Information Form] | *[https://info.unmc.edu/_documents/hippa-docs/_accounting-of-disclosures-form.pdf Request for Accounting of Disclosures of Health Information Form] | ||
*[https://www.cdc.gov/phlp/ | *[https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)] | ||
*[https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53] | *[https://csrc.nist.gov/publications/detail/sp/800-53/rev-5/final NIST Special Publication 800-53] | ||
*[https://www.cdc.gov/phlp/ | *[https://www.cdc.gov/phlp/php/resources/health-insurance-portability-and-accountability-act-of-1996-hipaa.html HIPAA Security Rule] | ||
This page maintained by [mailto: | This page maintained by [mailto:mhurlocker@unmc.edu mh] | ||