Flashcards in 1601 Confidentiality and Disclosure of PHI (administration) Deck (16):
What policy number is Confidentiality and Disclosure of PHI?
Who is responsible handling PHI requests
in accordance with the guidelines set forth in this document?
TFD Headquarters Personnel, including the Financial Assistant and the Account Technician for EMS billing.
Health Insurance Portability and Accountability Act.
Who functions as TFD's privacy officer?
The Medical Services Officer for Operations shall function as the TFD Privacy Officer.
Where and when do individuals who request access, amendment and/or restriction of a
patient’s PHI shall be referred to?
All individuals who request access, amendment and/or restriction of a
patient’s PHI shall be referred to TFD Headquarters.
a. Hours of operation for handling PHI requests are Monday through Friday, 8 a.m. to 5 p.m.
Acceptable uses of PHI within the TFD organization include?
a. Exchange of patient information needed for patient care
c. Other essential internal health care operations, including supervision, peer review, internal audits and quality assurance activities
When can TFD personnel provide a copy of the patient’s EMIR to law enforcement personnel?
TFD personnel may provide a copy of the patient’s EMIR to law enforcement personnel only when the patient is and will remain in law
a. Otherwise, all law enforcement requests for a patient EMIR must be made through TFD Headquarters during normal business hours
when the patient suffers from traumatic
injuries believed to be the result of a criminal act TFD personnel may verbally share the following PHI with Law enforcement?
a. Patient name, age, sex, residence and/or condition
b. Extent and location of patient’s injuries
c. Patient’s level of consciousness
d. Patient’s destination
TFD personnel shall document all PHI disclosures, except those that are?
a. Made to carry out patient care or internal health care operations
b. Merely incidental and secondary to a permitted or required disclosure
c. Made for national security purposes
For all reports of unauthorized
disclosures of PHI that meet the
requirements of a breach the Privacy Officer shall?
Record all breach incidents in the electronic PHI Breach Log
The documentation for a report of unauthorized disclosure of PHI shall be
in the form of a?
electronic “Report of PHI Disclosure” form submitted to the Privacy Officer.
Who do TFD Headquarters Personnel
Refer people to for PHI requests?
1. Refer individuals with PHI requests to the Financial Assistant.
2. If the Financial Assistant is not available, refer the requesting individual to the Account Technician for EMS billing.
3. If both the Financial Assistant and the Account Technician for EMS billing are not available, refer the requesting individual to the Privacy Officer or
If the requester is not the patient. What are acceptable forms of proof of his/her status as legal representative
a. Power of attorney
b. Release form
c. Birth certificate (for minors)
d. Death certificate (for deceased patients) along with legal proof of personal representative status (e.g.; court order, will)
Who is responsible for maintaining this document?
TFD Privacy Officer or his/her designee
What does SOAPED stand for
S = Subjective findings
O = Objective findings
A = Overall assessment
P = Plan for care
E = Evaluation of change
D = Dissemination of PHI