Handbook of Operating Procedures

Chapter 11 - Patient Privacy Policies

11.1 General and Oversight Policies

11.1.1 Complaints Regarding Privacy and Confidentiality of Protected Health Information

11.1.2 Compliance with the Department of Health and Human Services

11.1.3 Business Associates

11.1.4 Patient Photography, Videotaping, and Other Imaging

11.1.5 Patient Health Records

11.1.6 Confidentiality of Patient Health Information

11.1.7 Patient Consent and Authorization-Basic Requirements

11.1.8 Fax Transmittal of Protected Health Information

11.1.9 Consent for Treatment of a Minor

11.1.10 Mitigation of Harmful Effects of Disclosure of Patient Health Information

11.1.11 Not Used

11.1.12 Non-Retaliation Policy

11.1.13 Charging for Copies of Health Records

11.1.14 E-Mailing Protected Health Information

11.1.15 Verification Requirements Prior to Disclosure of Protected Health Information

11.2 Uses and Disclosures of Protected Health Information

11.2.1 Use and Disclosures of Protected Health Information Without Authorization

11.2.2 Use and Disclosure of Psychotherapy Notes

11.2.3 Uses and Disclosures of Protected Health Information Based on Patient Authorization

11.2.4 For Treatment, Payment and Healthcare Operations

11.2.5 Minimum Necessary Requirements for Uses and Disclosures of Protected Health Information

11.2.6 Uses and Disclosures of Protected Health Information for/from Personal Representatives

11.2.7 Uses and Disclosures of Protected Health Information for Marketing

11.2.8 Uses and Disclosures of Protected Health Information for Fundraising

11.2.9 De-identification of Protected Health Information

11.2.10 Use and Disclosure for Judicial or Administrative Proceedings

11.2.11 Uses and Disclosures for Specialized Government Functions

11.2.12 Uses and Disclosures of Protected Health Information for Research

11.2.13 Limited Data Sets

11.2.14 Uses and Disclosures Requiring the Opportunity to Agree or Object

11.2.15 Uses and Disclosures of Protected Health Information for Publications

11.3 Patients' Rights in Regard to Privacy of Protected Health Information

11.3.1 Accounting of Disclosures of Protected Health Information

11.3.2 Patient Right to Amend Patient Health Information

11.3.3 Revocation of Authorization to Use or Disclose Protected Health Information

11.3.4 Notice of Privacy Practices

11.3.5 Right to Restrict Uses and Disclosures and Confidential Communications of Protected Health Information

11.3.6 Access of Individual to Protected Health Information

11.4 Education

11.4.1 Education and Training on Patient Privacy

Chapter 11 - Table of Contents