module4 patient rights

7/28/2019 Module4 Patient Rights

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Online Course

Module 4

Patients Rights

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Introduction

Patients have the right to access their PHI

and/or request that we restrict the use anddisclosures of their PHI.


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Right to Request Restrictions on

Uses and Disclosures of PHIThe patient can request that UNC HCS restricthow PHI is used or shared to carry outTreatment, Payment, or Healthcare Operations(TPO).

We are not required to agree to the restrictionsthey request. However, even if we agree to their

request in certain situations, i.e., emergencytreatment, it may not be followed.

If a patient asks for restrictions, contact

your Privacy Officer.


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Right of Access to PHI

With certain exceptions, patients have a right to

inspect and receive a copy of PHI that is used

to make decisions about them.

Requests for access to PHI should be referred

to the Medical Information Management

Department (Release of Information) at 966-2336.


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For Example:

A patient who is being seen for a routine follow-up exam approaches Josh, a Clinical Business

Associate at the front desk and asks for copiesof his medical record. Josh accesses thepatients medical records using WEBCIS, printsall of the patients records and hands them tothe patient.

Is this the appropriate way for a patient to

receive a copy of his medical record?


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For Example:

No. Josh should have advised the patient thatcopies of medical records are obtained by

contacting Medical Information Management. Ifpossible, Josh should provide the patient withthe Authorization Form (HD 555) to completeand submit to the Medical Information

Management Department for responding totheir request.


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Right to Amendment of PHI

The patient has the right to request that UNC

HCS amend his/her PHI.

Requests for amendments should be referred to

the Medical Information Management

Department at 966-2336.


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Designated Record Set (DRS)

Patients have the right to access or amend only

the designated record set (defined in the

following slide) through the approvedprocedures.


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The DRS is defined as records (paper or

electronic) maintained by or for UNC HCS that

are: the medical and billing records about patients; or

the enrollment, payment, claims adjudication, and

case or medical management record systems;

and/or used, in whole or in part, by UNC HCS to make

decisions about patients.


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Examples of what the DRS does NOT include

are:

Shadow records

Research Data

Source documentation such as x-ray films, fetal

monitoring strips, EKG/EEG tracings, etc.


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Right to Complain about Privacy and

Security Policies and Procedures

Patients have a right to complain about UNC

HCS policies and procedures regarding privacyand security of their PHI.

Patients should be referred to your Privacy or

Information Security Officer to report any

complaints.


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Right to Confidential and

Alternative CommunicationsA patient has the right to request how and wherethey are contacted. UNC HCS must

accommodate reasonable requests, which mustbe in writing.

If you receive such a request from a patient, youshould ask the patient to complete the Request

for Alternative Means or Location for ConfidentialCommunications form and forward thecompleted form to your Privacy Officer.


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Refraining from Intimidating or

Retaliatory Acts

Neither UNC HCS nor any of its employees or

contractors may intimidate, threaten, coerce,discriminate against, or take any other

retaliatory action against a patient or a patients

representative for exercising their rights.


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For Example:

A patient in the Ob-Gyn clinic asks the clinicmanager for an alternative communication

method regarding her lab results. Rather than

sending her results to the address on file, she

would prefer her results be sent to a post officebox. The clinic manager knows that the patient

is married and doesnt see any reason for her to

make such a request and asks her to explain

her reason.

Does the clinic manager have a right to ask

her for a reason?


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For Example:

No. The clinic manager should fill out the

Request for Alternative Means or Location for

Confidential Communication form and forward itto his/her Privacy Officer. The Privacy Officer

will review the request and work with the

applicable department to determine whether the

request can be accommodated.


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You have now successfully completed

the online HIPAA Patient Rights Module

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