Use and Disclosure of PHI for Training Health Care Professionals: Difference between revisions

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==Policy==
==Policy==
The University of Nebraska Medical Center (UNMC) shall use and disclose Protected Health Information (PHI) to train health care professionals in accordance with the requirements of the [https://www.cdc.gov/phlp/publications/topic/hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)] and UNMC policies to maintain confidentiality of PHI and protect patient privacy.  
The University of Nebraska Medical Center (UNMC) shall use and disclose Protected Health Information (PHI) to train health care professionals in accordance with the requirements of the [https://www.cdc.gov/phlp/publications/topic/hipaa.html Health Insurance Portability and Accountability Act of 1996 (HIPAA)] and UNMC policies to maintain confidentiality of PHI and protect patient privacy.  
==Definitions==
===Formal Training===
As described in this policy, formal training includes learning that is delivered in an intentional way, and is guided by an instructor, supervisor, or other designated individual, versus casual, unstructured, and/or self-directed access to or disclosure of PHI (e.g., perusing the records/images/labs of patients you are curious about, sharing patient information with a colleague because it is “interesting”, etc.).
===Protected Health Information (PHI)===
Individually identifiable health information including demographic information, collected from an Individual, whether oral or recorded in any medium, that:
*is created or received by UNMC/Nebraska Medicine; 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 and identifies the Individual or with respect to which there is a reasonable basis to believe the information can be used to identify the Individual. 
PHI includes genetic information, which includes information about the following items (and excludes information about an Individual’s sex or age):
*an Individual’s genetic tests; 
*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); or
*any request for, or receipt of, genetic services (e.g., genetic test, genetic counseling, genetic education), or participation in clinical research which includes genetic services by the Individual or any family member of the Individual.
PHI excludes:
*individually identifiable health information of a person who has been deceased for more than fifty (50) years.
*education records covered by the Family Educational Rights and Privacy Act (FERPA); and
*employment records held by UNMC in its role as employer.
===Research===
Systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge.
===Workforce===
Employees, medical staff, volunteers, trainees, 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.
==Procedures==
==Procedures==
===Formal Training of Health Care Professionals===
===Formal Training of Health Care Professionals===
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See UNMC Policy No. 6057, [[Use and Disclosure of Protected Health Information]], for additional information regarding de-identification.
See UNMC Policy No. 6057, [[Use and Disclosure of Protected Health Information]], for additional information regarding de-identification.
==Definitions==
===Formal Training===
As described in this policy, formal training includes learning that is delivered in an intentional way, and is guided by an instructor, supervisor, or other designated individual, versus casual, unstructured, and/or self-directed access to or disclosure of PHI (e.g., perusing the records/images/labs of patients you are curious about, sharing patient information with a colleague because it is “interesting”, etc.).
===Protected Health Information (PHI)===
Individually identifiable health information including demographic information, collected from an Individual, whether oral or recorded in any medium, that:
*is created or received by UNMC/ACE; 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 and identifies the Individual or with respect to which there is a reasonable basis to believe the information can be used to identify the Individual.
PHI includes genetic information, which includes information about the following items (and excludes information about an Individual’s sex or age):
*an Individual’s genetic tests;
*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); or
*any request for, or receipt of, genetic services (e.g., genetic test, genetic counseling, genetic education), or participation in clinical research which includes genetic services by the Individual or any family member of the Individual.
PHI excludes:
*individually identifiable health information of a person who has been deceased for more than fifty (50) years.
*education records covered by the Family Educational Rights and Privacy Act (FERPA); and
*employment records held by UNMC in its role as employer.
===Research===
A systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalized knowledge. Generalized knowledge is knowledge that can be applied to populations outside the population served by the ACE.
===Workforce===
Employees, medical staff, volunteers, trainees, and other persons whose conduct, in the performance of work for Nebraska Medicine/UNMC, is under the direct control of Nebraska Medicine/UNMC, whether or not they are paid by Nebraska Medicine/UNMC.
==Additional Information==
==Additional Information==
*Contact the [mailto:privacy@nebraskamed.com Privacy Office] or at 402-559-5136.
*Contact the [mailto:privacy@nebraskamed.com Privacy Office] or at 402-559-5136.

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