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.
| A Covered Entity is: A health plan. An individual or group plan that provides, or pays the cost of, medical care. Health plans include private entities (e.g., health insurers and managed care organizations) and government organizations (e.g., Medicaid, Medicare, and the Veterans Health Administration) A health care provider. A provider of health care services and any other person or organization that furnishes, bills, or is paid for health care in the normal course of business. Health care providers (e.g., physicians, hospitals, and clinics) are covered entities if they transmit health information in electronic form in connection with a transaction ...read more |
| Private Practice Revises Policies and Procedures Addressing Activities Preparatory to Research Covered Entity: Private Practice Issue: Impermissible Disclosure-Research A private practice physician who was the principal investigator of a clinical research study disclosed a list of patients and diagnostic codes to a contract research organization to telephone patients for recruitment purposes. The disclosure was not consistent with documents approved by the Institutional Review Board (IRB). The private practice maintained that the disclosure to the contract research organization was permissible as a review preparatory to research. Activities considered “preparatory to research” include: preparing a research protocol; developing a research hypothesis; ...read more |
| Large Health System Restricts Provider's Use of Patient Records Covered Entity: Multi-Hospital Healthcare Provider Issue: Impermissible Use A nurse practitioner who has privileges at a multi-hospital health care system and who is part of the system’s organized health care arrangement impermissibly accessed the medical records of her ex-husband. In order to resolve this matter to OCR’s satisfaction and to prevent a recurrence, the covered entity: terminated the nurse practitioner’s access to its electronic records system; reported the nurse practitioner’s conduct to the appropriate licensing authority; and, provided the nurse practitioner with remedial Privacy Rule training. ...read more |
| Dentist Revises Process to Safeguard Medical Alert PHI Covered Entity: Health Care Provider Issue: Safeguards, Minimum Necessary An OCR investigation confirmed allegations that a dental practice flagged some of its medical records with a red sticker with the word "AIDS" on the outside cover, and that records were handled so that other patients and staff without need to know could read the sticker. When notified of the complaint filed with OCR, the dental practice immediately removed the red AIDS sticker from the complainant's file. To resolve this matter, OCR also required the practice to revise its policies and operating ...read more |
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