L&E_Ch

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Southwest Mississippi Community College *

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1323A

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Law

Date

Feb 20, 2024

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docx

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2

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Law & Ethics Ch.9 AHIMA Case Study 2.21 Confidentiality Statement Policy: PINE VALLEY COMMUNITY HOSPITAL PPE CONFIDENTIALITY AGREEMENT Pine Valley Community Hospital (PVCH) values protection of confidential information concerning patients, their families, medical staff, co-workers, and hospital operations as well. PVCH and the student signing this agreement agree to protect the privacy and security of Protected Health Information (PHI) ensuring compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and any other applicable laws. The student is obligated to maintain the confidentiality and privacy of PHI throughout their professional practice experience (PPE). Regardless of how patient and hospital information is stored (paper or computer systems), it is considered confidential. Access to computer systems will be regulated through the use of security codes and confidential passwords. Those individuals granted access are responsible, ethically and legally, to follow the confidentiality requirements and agree to the following: 1. I will Protect all patient and hospital information. 2. I will Release only authorized information to authorized individuals and entities. 3. I will Not disclose security codes or use another individual’s security code 4. I will Not write down or otherwise make password or security code accessible 5. I Recognize my security code is my electronic signature 6. I will not access or attempt to access information other than the information I have authorization to access and need to know to complete my job on any day. 7. I will report any and all breaches of confidentiality by others to the providers privacy officer. I understand that failure to do so subjects me to disciplinary action or termination because its an ethical violation. I have read and agree to adhere to the conditions of this confidentiality agreement. I understand that any violation of the above conditions will result in disciplinary action or termination.
_______________________________ _______________________________ Student Signature Date _______________________________ _______________________________ Name (Please Print) Agency/School Source: AHIMA Professional Practice Experience Guide, Version V, 2017
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