Access to Designated Record Set: Difference between revisions

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Policy No.: '''6059'''<br />
Policy No.: '''6059'''<br />
Effective Date: '''03/17/03'''<br />
Effective Date: '''03/17/03'''<br />
Revised Date: '''09/20/22 Draft'''<br />
Revised Date: '''10/28/22 Draft'''<br />
Reviewed Date:<br />
Reviewed Date:<br />


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*employment records held by UNMC in its role as employer.
*employment records held by UNMC in its role as employer.
===Psychotherapy Notes===
===Psychotherapy Notes===
Notes recorded (in any medium) by a licensed mental health practitioner (LMHP) documenting or analyzing the contents of a conversation during a private counseling session or group, joint or family counseling session. Psychotherapy notes are kept separate from the Individual's medical record. Psychotherapy notes are sometimes referred to as "process notes." Psychotherapy notes exclude medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests and any summary of the following items: diagnosis, functional status, the treatment plan, symptoms, prognosis and progress. Psychotherapy notes are not progress notes.
Notes recorded (in any medium) by a mental health provider including psychiatrists, psychologists and other mental health professionals documenting or analyzing the contents of a conversation during a private counseling session or group, joint or family counseling session. Psychotherapy notes are kept separate from the rest of the individual’s medical record. Psychotherapy notes exclude medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests and any summary of the following items: diagnosis, functional status, the treatment plan, symptoms, prognosis and progress to date. Psychotherapy notes are not progress notes and are created at the discretion of the mental health care provider. (HIPAA: 45 CFR §164.501)
==Additional Information==
==Additional Information==
*Contact [mailto:privacy@nebraskamed.com Privacy Officer]
*Contact [mailto:privacy@nebraskamed.com Privacy Officer]