Public Hospital Corrects Impermissible Disclosure of PHI in Response to a Subpoena
Public Hospital Corrects Impermissible Disclosure of PHI in Response to a Subpoena
Covered Entity: General Hospital
Issue: Impermissible Uses and Disclosures
A public hospital, in response to a subpoena (not accompanied by a
court order), impermissibly disclosed the protected health information
(PHI) of one of its patients. Contrary to the Privacy Rule protections
for information sought for administrative or judicial proceedings, the
hospital failed to determine that reasonable efforts had been made to
insure that the individual whose PHI was being sought received notice of
the request and/or failed to receive satisfactory assurance that the
party seeking the information made reasonable efforts to secure a
qualified protective order. Among other corrective actions to remedy
this situation, OCR required that the hospital revise its subpoena
processing procedures. Under the revised process, if a subpoena is
received that does not meet the requirements of the Privacy Rule, the
information is not disclosed; instead, the hospital contacts the party
seeking the subpoena and the requirements of the Privacy Rule are
explained. The hospital also trained relevant staff members on the new
procedures.
| What is a covered entity’s obligation under the Breach Notification Rule if it transmits an individual’s PHI to a third party designated by the individual in an access request, and the entity discovers the information was breached in transit? This guidance remains in effect only to the extent that it is consistent with the court’s order in Ciox Health, LLC v. Azar, No. 18-cv-0040 (D.D.C. January 23, 2020), which may be found at https://ecf.dcd.uscourts.gov/cgi-bin/show_public_doc?2018cv0040-51. More information about the order is available at https://www.hhs.gov/hipaa/court-order-right-of-access/index.html. Any provision within this guidance that has been vacated by the Ciox Health decision is rescinded. ...read more |
| Private Practice Ceases Conditioning of Compliance with the Privacy Rule Covered Entity: Private Practice Issue: Conditioning Compliance with the Privacy Rule A physician practice requested that patients sign an agreement entitled “Consent and Mutual Agreement to Maintain Privacy.” The agreement prohibited the patient from directly or indirectly publishing or airing commentary about the physician, his expertise, and/or treatment in exchange for the physician’s compliance with the Privacy Rule. A patient’s rights under the Privacy Rule are not contingent on the patient’s agreement with a covered entity. A covered entity’s obligation to comply with all requirements of the Privacy Rule ...read more |
| Issued by: Office for Civil Rights (OCR) Do the HIPAA Rules allow a covered entity or business associate to use a CSP that stores ePHI on servers outside of the United States? Answer: Yes, provided the covered entity (or business associate) enters into a business associate agreement (BAA) with the CSP and otherwise complies with the applicable requirements of the HIPAA Rules. However, while the HIPAA Rules do not include requirements specific to protection of electronic protected health information (ePHI) processed or stored by a CSP or any other business associate outside of the United States, OCR notes that ...read more |
| Clinic Sanctions Supervisor for Accessing Employee Medical Record Covered Entity: Outpatient Facility Issue: Impermissible Use and Disclosure A hospital employee's supervisor accessed, examined, and disclosed an employee's medical record. OCR's investigation confirmed that the use and disclosure of protected health information by the supervisor was not authorized by the employee and was not otherwise permitted by the Privacy Rule. An employee's medical record is protected by the Privacy Rule, even though employment records held by a covered entity in its role as employer are not. Among other corrective actions to resolve the specific issues in the case, a letter ...read more |
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