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1. PURPOSE
a. Ensure confidentiality, integrity, and availability of all EPHI that a CE or BA creates, receives,
maintains, or transmits.
b. Protect against any reasonably anticipated threats or hazards to the security or integrity of
such EPHI.
2. SCOPE
a. This policy applies to all organization’s employees, management, contractors, student
interns, and volunteers.
b. This policy describes the organization’s objectives and policies regarding maintaining the
privacy of patient information.
3. RESPONSIBILITIES
a. Executives/Management
Establish program objectives
Approve privacy policy
Provide training for work force
Enforce sanctions
Designate Privacy Official
b. Privacy Official
Develops privacy policies and procedures
Coordinates and implements policy through organization’s departments
Oversees training
Receives and processes privacy complaints
Processes individual rights requests
Right to access/copy protected health information (PHI)
Right to amend PHI
Right to restrict use/disclosure
Right to confidential communications
04/11/2018
Woods & Water Medical Center
600 N 21st Street
Superior, WI 54880
04/11/2018
Woods & Water Medical Center
600 N 21st Street
Superior, WI 54880
6. INDIVIDUAL RIGHTS
a. Right to access/copy PHI
b. Right to amend PHI
c. Right to restrict use or disclosure
d. Right to confidential communications
e. Right to an accounting of disclosures
f. Right to file a complaint
04/11/2018