Gain a strategic edge in HIPAA compliance with this sample policy for protected health information (PHI) measures. Whether you’re overseeing patient data or guiding your organization’s privacy practices, this tool offers essential support for navigating complex regulations. It’s designed to simplify the process, reduce risks and foster a culture of security, making it the perfect starting point for anyone committed to protecting sensitive health information.

Each section of this audit tool addresses specific aspects of HIPAA compliance, offering detailed guidance on various scenarios involving PHI. It covers policies related to disclosing and requesting only the minimum amount of PHI necessary, as well as disclosures required by law, for health oversight and for law enforcement purposes. It also outlines protocols for public health disclosures and measures to avert serious threats to health and safety. Additionally, this tool includes sections on maintaining facility directories and the enforcement of these policies, ensuring that users have a clear understanding of their obligations and the procedures necessary for compliance. This structured approach makes it easier for organizations to implement effective practices that protect sensitive health information while complying with regulatory standards.

Sample procedures include:

• Legal counsel must review business associate agreements.
• Requests for disclosures of protected health information will be individually reviewed in accordance with criteria listed in the policy.
• Any employee (temporary or permanent) found to have violated this policy may be subject to disciplinary action, including termination of employment, legal action as appropriate, or both.
• Knowledge of a violation or potential violation of this policy must be reported directly to the privacy officer, compliance officer or the employee compliance hotline.