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HIPAA Privacy and Michigan Confidentiality Laws

Sets out how the Agency, as a HIPAA covered entity, protects the privacy of every patient’s health information: the Privacy Official and complaint contact (45 CFR §164.530(a)), minimum necessary and role-based access, the uses and disclosures the Agency makes with and without a patient’s authorization, the stricter Michigan and federal rules for HIV, mental health and substance use disorder information, the Notice of Privacy Practices and its acknowledgment (Form MI-HH-PRV-01-A), patients’ privacy rights, safeguards in the home and in the field, privacy complaints, sanctions, mitigation and non-retaliation.

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About this policy
Policy number
MI-HH-PRV-01
Version
1.0
Main rule
45 CFR Part 164, Subpart E
Library
Michigan home health · 57 policies
Category
Privacy
Sections
26

In short

  • Share patient information only for care, billing or Agency work, and only as much as the task needs.
  • Before talking with family or friends, check who the patient has said may be told. Never discuss a patient with neighbors or unknown callers.
  • Give the Notice of Privacy Practices at the first visit and get the patient’s signature on the acknowledgment, or write down why not.
  • HIV, mental health and substance use information has extra protection. Ask the Privacy Official before sharing it.
  • Abuse reports required by law are never delayed for privacy reasons.
  • Report any privacy mistake or complaint to Lee Sample the same day. No one is punished for complaining.

What's inside

26 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (45 CFR Part 164, Subpart E)
  • 5. Privacy Official and Contact Person
  • 6. Minimum Necessary and Role-Based Access
  • 7. Uses and Disclosures
  • 7.1 Family, Friends and Others Involved in Care
  • 7.2 Authorizations
  • 7.3 Business Associates
  • 8. Michigan and Federal Rules That Give More Protection
  • 9. Notice of Privacy Practices
  • 9.1 Federal Changes to Watch
  • 10. Patients’ Privacy Rights
  • 11. Everyday Safeguards in the Home, in the Car and in the Office
  • 12. Privacy Complaints
  • 13. Sanctions
  • 14. Mitigation
  • 15. Responsibilities
  • 16. Records and Compliance Monitoring
  • 17. Staff Training
  • 18. References
  • 19. Related Policies and Forms
  • 20. Approval
  • 21. Revision History

An inspector may ask

  • Who is your privacy official, and where is that designation documented?
  • Show me your Notice of Privacy Practices and the signed acknowledgment for this patient. Where is the notice posted?

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