Preston C - Week 4 Assignment
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School
Texas A&M University *
*We aren’t endorsed by this school
Course
635
Subject
Philosophy
Date
Dec 6, 2023
Type
docx
Pages
2
Uploaded by prestoncm2017
xxxxx Hospital Policy on Use and Disclosure of PHI for
Treatment, Payment, and Operations
Date Effective: xx/xx/xxxxx
Approved by: John Doe
***************************************************************
POLICY:
xxxx Hospital’s policy regarding PHI is that it may only be used and/or disclosed following Texas and
federal laws.
DEFINITIONS:
Patient Medical Record:
Documentation of all services provided and/or performed on a patient. (This
does not include administration information such as insurance, billing, and/or payments – see Patient
Accounting Record for more information).
Protected Health Information (PHI
): Any patient information identifying the person or health of a patient.
PROCEDURE:
1.
Treatment Disclosure
a.
Patient requests must be obtained prior to disclosure of information unless it is within
the hospital guidelines for continuity of treatment.
2.
Payment/Operations Disclosure
a.
Information may only be disclosed if a patient has completed the hospital disclosure
form required upon admission and/or start of care.
form that each patient is asked to
sign upon admission or at registration.
i.
This includes insurance reimbursement as well as claims and billing.
ii.
This includes business operations, health care audits, review, and any non-
clinical necessities for treatment.
3.
The patient must authorize, using hospital disclosure form, any and all sharing of protected
health information (PHI) prior to disclosure.
a.
Patient medical information disclosure form is completed upon admission and/or start of
care and can be located in patient file.
i.
Verification of completed disclosure form is required
prior
to sharing of PHI.
b.
Patient disclosure forms will be updated at least annually and kept on file for at least
seven (7) years or as regulated by Texas and/or federal regulations.
4.
Public Health Concerns
a.
Per regulations, the following are exempt from requiring written patient disclosure:
i.
Birth/death announcement
ii.
Abuse/Neglect notifications to appropriate agency.
iii.
Public health crises/diseases as required by Texas and/or federal guidelines,
including sexually transmitted infections (STI)
iv.
Immunizations
5.
Patient Disclosure Rights
a.
The patient has the right to refuse disclosure of PHI and only allow disclosure on a case-
by-case basis.
i.
Please reference the patient disclosure form in patient medication record and
contact patient as necessary for disclosure permission as necessary.
ii.
This does not apply to life-threatening issues where disclosure is required for
continuity of care within the clinical treatment team.
6.
Psychological/Psychiatric Disclosures
a.
These are not covered under the general hospital patient disclosure form.
b.
The treating provider has discretion in information shared or withheld from
psychotherapeutic disclosures and determination of appropriateness of sharing.
i.
If full disclosure is requested, a specialized form is required and will be reviewed
by the hospital legal team on a case-by-case basis.
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