Large Provider Revises Patient Contact Process to Reflect Requests for Confidential Communications
Large Provider Revises Patient Contact Process to Reflect Requests for Confidential Communications
Covered Entity: General Hospital
Issue: Impermissible Disclosure; Confidential Communications
A patient alleged that a general hospital disclosed protected health
information when a hospital staff person left a message on the
patient’s home phone answering machine, thereby failing to accommodate
the patient’s request that communications of PHI be made only through
her mobile or work phones. In response, the hospital instituted a
number of actions to achieve compliance with the Privacy Rule. To
resolve this matter to the satisfaction of OCR, the hospital: retrained
an entire Department with regard to the requirements of the Privacy
Rule; provided additional specific training to staff members whose job
duties included leaving messages for patients; and, revised the
Department’s patient privacy policy to clarify patient rights to
accommodation of reasonable requests to receive communications of PHI by
alternative means or at alternative locations.
| Can a covered entity use existing aspects of the HIPAA Privacy Rule to give individuals the right to decide whether sensitive information about them may be disclosed to or through a health information organization (HIO)? Yes. To the extent a covered entity is using a process either to obtain consent or act on an individual’s right to request restrictions under the Privacy Rule as a method for effectuating individual choice, policies can be developed for obtaining consent or honoring restrictions on a granular level, based on the type of information involved. For example, specific consent and restriction policies could ...read more |
| Can a covered entity use existing aspects of the HIPAA Privacy Rule to give individuals the right to decide whether sensitive information about them may be disclosed to or through a health information organization (HIO)? Yes. To the extent a covered entity is using a process either to obtain consent or act on an individual’s right to request restrictions under the Privacy Rule as a method for effectuating individual choice, policies can be developed for obtaining consent or honoring restrictions on a granular level, based on the type of information involved. For example, specific consent and restriction policies could ...read more |
| If a CSP stores only encrypted ePHI and does not have a decryption key, is it a HIPAA business associate? Answer: Yes, because the CSP receives and maintains (e.g., to process and/or store) electronic protected health information (ePHI) for a covered entity or another business associate. Lacking an encryption key for the encrypted data it receives and maintains does not exempt a CSP from business associate status and associated obligations under the HIPAA Rules. An entity that maintains ePHI on behalf of a covered entity (or another business associate) is a business associate, even if the entity cannot actually ...read more |
| Private Practice Revises Access Procedure to Provide Access Despite an Outstanding Balance Covered Entity: Private Practice Issue: Access A complainant alleged that a private practice physician denied her access to her medical records, because the complainant had an outstanding balance for services the physician had provided. During OCR’s investigation, the physician confirmed that the complainant was not given access to her medical record because of the outstanding balance. OCR provided technical assistance to the physician, explaining that, in general, the Privacy Rule requires that a covered entity provide an individual access to their medical record within 30 days of ...read more |
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