Fax Transmissions: Difference between revisions

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POLICY NO : 6065<br />
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EFFECTIVE DATE: 03/17/03<br />
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<br />
[[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 />
Policy No.: '''6065'''<br />
Effective Date: '''03/17/03'''<br />
Revised Date: '''09/29/14'''<br />
Reviewed Date: '''09/29/14'''<br />


<big>'''Facsimile Transmissions Policy'''</big><br />
<big>'''Facsimile Transmissions Policy'''</big><br />
NOTE: These guidelines are provided to assist UNMC workforce, including those in the patient treatment areas of the Munroe-Meyer Institute, the College of Medicine Optical Shop, the Lions Eye Bank and the College of Dentistry, as applicable, comply with HIPAA regulations. Those departments and clinics which fall under the jurisdiction of  The Nebraska Medical Center and/or University Medical Associates should consult the policies and procedures of those entities for authoritative guidance.<br />
=== Basis for Policy ===
<br />
   
   
==Basis for Policy==
It is the policy of University of Nebraska Medical Center (UNMC) to establish guidelines for use of facsimile machines to safeguard confidential information.
==Definitions==
'''Protected Health Information''' means individually identifiable health information that is created or received by UNMC and relates to the past, present, or future physical or mental health or condition of the individual; or the past, present, or future payment for the provision of health care to an individual.
==Policy==
1. Confidential information, including protected health information and proprietary information, may be transmitted via facsimile.<br />


It is the policy of University of Nebraska Medical Center (UNMC) to protect confidentiality and privacy through appropriate use of information gathered in the course of employment or other affiliation with UNMC or entrusted to UNMC for academic, research, patient care, or administrative purposes. <br />
2. Accompany each transmission with a cover letter that includes:
*Date/time of transmission
*Sender and receiver name
*Address
*Telephone number and fax number
*Number of pages
*Confidentiality statement (see example below)<br />
:"This communication is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and confidential. If you are not the intended recipient, or the employee or agent responsible for delivering the communication to the intended recipient, you have received this communication in error and are prohibited from reading, printing, or disclosing any of the information contained in it. If you have received this communication in error, please notify the sender immediately by telephone to arrange for the return or destruction of these documents." <br />


3. Protected health information shall be transmitted in accordance with UNMC Policy 6057, [[Use and Disclosure of Protected Health Information]].<br />


4. Verify new fax numbers (including autofax) prior to using them. Never fax information to an unknown fax number.<br />
 
=== Policy ===
<br />


   
5. When faxing directly from the electronic medical record utilize the Communications tab.
*Use the "Recipients" buttons to select "PCP", "Referring", etc. from the provider directory.  
*When using the “Other” recipient button, verify that the contact information added is correct.<br />


In accordance with the Health Insurance Portability and Accountability Act of 1996  (HIPAA), Executive Memorandum No. 27, and UNMC Policy No. 6045, Privacy, Confidentiality and Information Security, and UNMC Policy No. 6057, Use and Disclosure of Protected Health Information, workforce shall use facsimile (fax) transmissions in a manner that will safeguard private and confidential information to the extent possible.
6. If a fax is received in error, notify the sender immediately, and destroy the document.<br />


7. Remove faxed documents from the fax machine promptly.<br />
 
Department administration shall determine what information entrusted to their department is private and/or confidential and shall communicate methods of protecting that information from acquisition through destruction to appropriate persons associated with their department. UNMC workforce and business associates with access to private and/or confidential information will be held accountable for maintaining confidentiality.<br />
 
 
 
=== Definitions ===
<br />
 
 
'''Privacy''' is defined as the right of individuals to keep information about themselves from being disclosed.
 
'''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
*    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.
 
Records containing PHI, in any form, are the property of UNMC.  The PHI contained in the record is the property of the individual who is the subject of the record.
 
 
Protected health information excludes education records covered by the Family Educational Rights and Privacy Act (FERPA), and employment records held by UNMC in its role as employer.
 
 
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.
 
 
For more information, contact Sharon Welna, Security Officer, or see Facsimile Transmission Procedures.
 
 
Template for Fax Cover Letter / Facsimile Transmission Procedures
 


This is a new UNMC Policy.<br />
8. Do not install facsimile machines in high traffic areas with access to unauthorized personnel.
==Additional Information==
*Contact the [mailto:debrbishop@nebraskamed.com Privacy Officer]
*See [http://wiki.unmc.edu/index.php?title=Fax_Transmissions&action=edit Guidelines - Fax Transmissions]]<br /><br />


This page updated on Tuesday, August 26, 2003, by dkp.
This page maintained by [mailto:dpanowic@unmc.edu dkp].

Revision as of 12:56, August 2, 2019

Human Resources   Safety/Security   Research Compliance   Compliance   Privacy/Information Security   Business Operations   Intellectual Property   Faculty


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

Policy No.: 6065
Effective Date: 03/17/03
Revised Date: 09/29/14
Reviewed Date: 09/29/14

Facsimile Transmissions Policy

Basis for Policy

It is the policy of University of Nebraska Medical Center (UNMC) to establish guidelines for use of facsimile machines to safeguard confidential information.

Definitions

Protected Health Information means individually identifiable health information that is created or received by UNMC and relates to the past, present, or future physical or mental health or condition of the individual; or the past, present, or future payment for the provision of health care to an individual.

Policy

1. Confidential information, including protected health information and proprietary information, may be transmitted via facsimile.

2. Accompany each transmission with a cover letter that includes:

  • Date/time of transmission
  • Sender and receiver name
  • Address
  • Telephone number and fax number
  • Number of pages
  • Confidentiality statement (see example below)
"This communication is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged and confidential. If you are not the intended recipient, or the employee or agent responsible for delivering the communication to the intended recipient, you have received this communication in error and are prohibited from reading, printing, or disclosing any of the information contained in it. If you have received this communication in error, please notify the sender immediately by telephone to arrange for the return or destruction of these documents."

3. Protected health information shall be transmitted in accordance with UNMC Policy 6057, Use and Disclosure of Protected Health Information.

4. Verify new fax numbers (including autofax) prior to using them. Never fax information to an unknown fax number.

5. When faxing directly from the electronic medical record utilize the Communications tab.

  • Use the "Recipients" buttons to select "PCP", "Referring", etc. from the provider directory.
  • When using the “Other” recipient button, verify that the contact information added is correct.

6. If a fax is received in error, notify the sender immediately, and destroy the document.

7. Remove faxed documents from the fax machine promptly.

8. Do not install facsimile machines in high traffic areas with access to unauthorized personnel.

Additional Information

This page maintained by dkp.