HIGH PEAKS HOSPICE

HIPAA
POLICIES AND PROCEDURES
ALPHABETICAL INDEX
As of February 7, 2019

 

  Policies are listed in Alphabetical Order by Section regardless of Number.

Section A. Privacy and Section B. Security (Administration, Physical and Technical) Policies

 

 A. Privacy

         Authorization for the Use and Disclosure of Protected Health Information PRI 101 (Updated 09/01/18)

     Form - Patient Authorization Form (Rev 09/18)
     Form - Revocation of Authorization (Rev 09/18)

Breach Notification Requirements for Protected Health Information PRI 117 (Updated 09/01/18)

Business Associates PRI102 (Updated 09/01/18)

Fundraising and Protected Health Information PRI114 (Updated 09/01/18)
      Form-  Record of Individual Who have Requested No Further Fundraising Communication (Rev 09/18) 

Marketing and Protected Health Information PRI 113 (Updated 09/01/18) 

     Form - Record of Individual No Further Marketing Communication (Rev 09/18)

Minimum Necessary Disclosures of PHI PRI110 (Updated 09/01/18)
        Form - Non-Treatment Related Disclosure of Entire Medical Records (Rev 09/18)

       Form - Routine and Recurring Disclosure of PHI Not Related to Treatment (Rev 09/18)

Minimum Necessary Requests for PHI PRI111 (Updated 09/01/18)

     FormNon Treatment Related Request of Medical Records (Rev 09/18)

     Form: Routine and Recurring Requests of PHI Not Related to Treatment (Rev 09/18)

Minimum Necessary Uses of PHI PRI109 (Updated 09/01/18)

Notice of Privacy Practices PRI100 (Rev 02/072019)

      Form - Notice of Privacy Practices for Patients (Rev 09/01/18)

       Form - Receipt of Notice of Privacy Practices (Rev 09/18)

 Patient Privacy Rights PRI103 (Rev 02/07/2019)

 Patient Request for Access to Protected Health Information (PHI) for Inspection and/or Copying PRI106 (Upd 09/01/18)

          FormRequest for Access to PHI Rev 09/18 

          Letter - Acceptance of Request for Access to PHI Rev 09/18 Contact Privacy Official

         Letter - Denial of Request for Access to PHI (Rev 09/18) Contact Privacy Official

 Patient Request for Confidential Communications PRI105 (Rev 02/07/2019)

     FormPermission For Emai Communication (Rev 09/18)
     FormRequest for Confidential Communication (Rev 09/18)

Patient Request for Restrictions on the Use and Disclosure of Protected Health Information (PHI)  PRI104 (Rev 02/07/2019)
     FormRequest for Restrictions onUse/Disclosure of PHI (Rev 09/18)

Patient Request to Amend Protected Health Information PHI PRI107 (Rev 02/07/2019)
     Letter - Acceptance to Request to Amend PHI (Re 09/18) Contact Privacy Official

     Letter - Denial of Request to Amend PHI (Rev 09/18) Contact Privacy Official

Privacy of the Protected Heath Information (PHI) of Deceased Patients PRI115 (Rev 02/07/2019)

Privacy Training for Staff PRI116 (Rev 02/07/2019)

Request for an Accounting of Disclosures of Protected Health Information (PHI) PRI108 (Rev 02/07/2019)

Sanctions for Privacy Violations PRI112 (Rev 02/07/2019)

B. Security 

                1. Administrative

           Business Associate SEC200 (Rev 02/07/2019)

           Evaluation SEC201 (Rev 02/07/2019)

           Information Access Management SEC 202 (Rev 02/07/2019)

           Information System Activity Review SEC 207 (Rev 02/07/2019)

           Password Management SEC 204 (Rev 02/07/2019)

           Protection from Malicious Software SEC205(Rev 02/07/2019)

           Risk Analysis SEC208 (Rev 02/07/2019)

           Risk Management SEC209 (Rev 02/07/2019)

           Sanctions for Security Violations SEC 210 (Rev 02/07/2019)

           Security Awareness and Training SEC203 (Rev 02/07/2019)

           Security Incidents SEC 206 (Rev 02/07/2019)

             Form: Risk Assessment Worksheet (Rev 09/18)

             Form: Security Incident Report (Rev 09/18)

             Form: Security Incident Report Log (Rev 09/18)

         Workforce Security SEC 211 (Rev 02/07/2019)

             Form: Termination of Computer Access Checklist (Rev 09/18)

     2. Physical

Device and Media Control SEC212  (Rev 02/07/2019)

Facility Access Controls SEC 213 (Rev 02/07/2019)

Workstation Use and Workstation Security SEC214  (Rev 02/07/2019)

     Form - Guidelines for the Acceptable Use and Security of Workstation (Rev 09/18)

    3. Technical

Integrity of Electronic Protected Health Information  (ePHI) SEC216 (Rev 02/07/2019)

Person or Entity Authentication SEC 217 (Rev 02/07/2019)

Technical Access Control SEC215 (Rev 02/07/2019)

Transmission Security SEC218 (Rev 02/07/2019)