WPCd ߝx0GsMػ$)MO[ã~b~[Rוш_s V1ulWPB~[0>HMV;0ɶ(5g?-N 7xHE"ZQnq"ڌ"^it&TF$$0.åe"ZEU+1cpR9ɝ/0AshQgU1!ԶV{lr䍕NXᓾ,do Y."jE^ɨ_-1Nw @ g}jHѤКuLPi9ϪGNkl&|ln'XjG Ygh%3L:&bKSӔHhҡ_!9*wk8% pW}-\X疢tBI"|nqH4L# UN % 0:# ^ ] wi 4m   m 0c 1u 72 0w 0* 0 0T 0 0 0 0D 1 72f 0 0V5 1 72 1D 72 0U 0~R 0D 0 0 0 0 0 0e 09 0  0C 0 0 0! 0" 0M# 0$ 0$ 0% 0@M& 0& 0[' 0&( 0( 0) 0u* 04+ 0+ 0<, 0z,UB]. 1. 72&/ 1X/ 72/ 10 720 10 72Q1 11 72 2 1<2 12 72J3 72|3 13 7254 1g4 724 1 5 725 15 72`6 16 727 1K7 727 048 B88 1U8 728 09 0; 0> 0YA 0 D 0F 0I 0GL 1UN 7 OOU2[OUJ>OU6OU,PN-PG/P 0vQ 0NQIROSOSQT:WU 0UVV 0UW 0UX 0(VX D+~X AQXXy]RebRb~ cHc\\oswdc06\OCR-HP8150-508F36E0(9 Z6Times New Roman RegularX($USUS.,m.s uz.-nBackup3|xU(;3$2#  0  .3  0  3#37=CIQYag1.a.i.(1)(a)(i)1)a) i)(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#0p(#(#2#     )3  0p(#p(#  xGaeimquy}Bullet ListBullets List < :Outline001_15+ 4 <DL5Aj(\ Y`SymbolA23  Sh\  `&Times New RomanSAj(\ Y`SymbolA..Sh\  `&Times New RomanS5+ 4 <DL5(.3$ !USUS.,  (CEKQW]cioAutoList1A:A:A:A:A:A:A:A:A:(CEKQW]cioAutoList2A:A:A:A:A:A:A:A:A:*+ (_2623  ..(.(3($ !USUS.,      0  (#$  0  *D+J (_25   ," <DL,23  ..  2( 4 <DL2  *A+J (_24   ) <DL)23  ..  2( 4 <DL2  *>+J (_23  ` &<<DL&23  ..  2( 4 <DL2  *;+J (_22   #DL#23  ..  2( 4 <DL2  *8+J (_21    DL 23  ..  2( 4 <DL2  *5+J (_20  h DDL23  ..  2( 4 <DL2  *2+J (_19   L23  ..  2( 4 <DL2  */+J (_18    L23  ..  2( 4 <DL2  * (_1723  Ԁ*DJ (_16   ," <DL,23  Ԁ  2( 4 <DL2  *AJ (_15   ) <DL)23  Ԁ  2( 4 <DL2  *>J (_14  ` &<<DL&23  Ԁ  2( 4 <DL2  *;J (_13   #DL#23  Ԁ  2( 4 <DL2  *8J (_12    DL 23  Ԁ  2( 4 <DL2  *5J (_11  h DDL23  Ԁ  2( 4 <DL2  *2J (_10   L23  Ԁ  2( 4 <DL2  (/J &_9    L23  Ԁ  2( 4 <DL2  ( &_823  (DJ &_7   ," <DL,23   2( 4 <DL2  (AJ &_6   ) <DL)23   2( 4 <DL2  (>J &_5  ` &<<DL&23   2( 4 <DL2  (;J &_4   #DL#23   2( 4 <DL2  (8J &_3    DL 23   2( 4 <DL2  (5J &_2  h DDL23   2( 4 <DL2  (2J &_1   L23   2( 4 <DL2  &/J $_    L23   2( 4 <DL2  <:Default Para(#$?? ,     W>\  `*Times New RomanTTW        XXXW>\  `*Times New RomanTTW ,     \  `*Times New RomanTT(CEKQW]cioAutoList3A:A:A:A:A:A:A:A:?A:(CEKQW]cioAutoList4A:A:A:A:A:A:A:A:AA:(ʽCEKQW]cioAutoList5A:A:A:A:A:A:A:A:CA:(ڽCEKQW]cioAutoList6A:A:A:A:A:A:A:A:EA:(CEKQW]cioAutoList7A:A:A:A:A:A:A:A:GA:( CEKQW]cioAutoList9A:A:A:A:A:A:A:A:(CEKQW]cioAutoList8A:A:A:A:A:A:A:A:JA:IA:(*EGMSY_ekqAutoList10A:A:A:A:A:A:A:A:MA:(:EGMSY_ekqAutoList11A:A:A:A:A:A:A:A:OA:(JEGMSY_ekqAutoList12A:A:A:A:A:A:A:A:QA:(ZEGMSY_ekqAutoList13A:A:A:A:A:A:A:A:SA:(jEGMSY_ekqAutoList14A:A:A:A:A:A:A:A:UA:(zEGMSY_ekqAutoList15A:A:A:A:A:A:A:A:WA:&c$""0  d(EGMSY_ekqAutoList16A:A:A:A:A:A:A:A:[A:< :Outline001_2   /%` ` <DL/Ki<6X9`(Courier NewK23  Sh\  `&Times New RomanSKi<6X9`(Courier NewK..Sh\  `&Times New RomanS  2( 4 <DL2  < :Outline001_3   ," <DL,GgKr`WingdingsG23  Sh\  `&Times New RomanSGgKr`WingdingsG..Sh\  `&Times New RomanS  2( 4 <DL2  < :Outline001_4  4 ) <DL)Aj(\ Y`SymbolA23  Sh\  `&Times New RomanSAj(\ Y`SymbolA..Sh\  `&Times New RomanS  2( 4 <DL2  < :Outline001_5   &hhDL&Ki<6X9`(Courier NewK23  Sh\  `&Times New RomanSKi<6X9`(Courier NewK..Sh\  `&Times New RomanS  2( 4 <DL2  < :Outline001_6   #DL#GgKr`WingdingsG23  Sh\  `&Times New RomanSGgKr`WingdingsG..Sh\  `&Times New RomanS  2( 4 <DL2  < :Outline001_7  <  DL Aj(\ Y`SymbolA23  Sh\  `&Times New RomanSAj(\ Y`SymbolA..Sh\  `&Times New RomanS  2( 4 <DL2  < :Outline001_8   ppLKi<6X9`(Courier NewK23  Sh\  `&Times New RomanSKi<6X9`(Courier NewK..Sh\  `&Times New RomanS  2( 4 <DL2  < :Outline001_9   LGgKr`WingdingsG23  Sh\  `&Times New RomanSGgKr`WingdingsG..Sh\  `&Times New RomanS  2( 4 <DL2  ]^_`abc 359=AEIMQ1PoPoPoedKr`Wingdings\  `&Times New Roman<6X9`(Courier New(\ Y`Symbol = 'USUS.,  _&&:(# XXOCRHIPAAPrivacy  NN;(#December3,2002 r   RevisedApril3,_2003#XXR# _6)&4Hyperlink            (O$shttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=K6SCZJFg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=24&http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=UFo3G3Eg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=56&phttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=f47XY6Gg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7Ehttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=K6SCZJFg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=24&p_search_text=&p_new_search=1(-2$ !USUS.,  ݃ Level 1 Level 2 Level 3 Level 4 Level 5(-2$ !USUS.,  (-2$ !USUS.,  ($'dxduvwxyC<< c  'USUS.,  _ @ XXh %#X#hXXhH##XXXhXg#hXXXX##9%#hXhX#h#h #hXXh#hXhXO#hXXh#hXhXCRHI#hXXh#hXhXPAA#hXXh,#hXhXPrivacy   @  @ #hXXhr#hXhXKK:%##hXXh#hXhXDecember3,2002 r  @  @  @   #hXXh>#hXhXRevisedApril3,2003 4  @  @   ?+ ` hp x %#?#hXXh##XXXhX]#hXXXX o t) (#(#(#(#USUS.,  _XXh#hXXhX##XXXhXw#hXXXXhXhX#h#hz}WGCz h p @X@E'##!  (#(#    (#(##hXXh##XXXhX=#hXXXXhXhX#h#h#hXXh##XXXhX#hXXXX @ hXhX#h\#hz~QA=x h p @XE!  H v"USUS.,  _ @  H v"USUS.,  _ @ http://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.phphttp://answers.hhs.gov/cgi-bin/hhs.cfg/php/enduser/std_alp.php?p_sid=f47XY6Gg&p_lva=&p_li=&p_page=1&p_cat_lvl1=7&p_cat_lvl2=%7Eany%7E&p_search_text=&p_new_search=1 !USUS.,  _____l_   8XXdd8INCIDENTAL_ԀUSESAND_DISCLOSURES   ____[45_CFR_Ԁ164.502(a)(1)(iii)]_  __  _ Background __   _  _Many_Ԁcustomaryhealthcarecommunicationsandpracticesplayanimportantoreven Z  essentialroleinensuringthatindividualsreceivepromptandeffectivehealthcare._Due_Ԁtothe F  natureofthesecommunicationsandpractices,aswellasthevariousenvironmentsinwhich 2t individualsreceivehealthcareorotherservicesfromcoveredentities,thepotentialexistsforan ` individualshealthinformationtobedisclosed_incidentally._ԀForexample,ahospitalvisitormay  L  overhearaprovidersconfidentialconversationwithanotherproviderorapatient,ormay 8  glimpseapatientsinformationona_signinsheetornursingstationwhiteboard._ԀThe__HIPAA_ $  Privacy_ԀRuleisnotintendedtoimpedethesecustomaryandessentialcommunicationsand   practicesand,thus,doesnotrequirethatallriskofincidentaluseordisclosurebeeliminatedto   satisfyitsstandards.Rather,thePrivacyRulepermitscertainincidentalusesanddisclosuresof   protectedhealthinformationtooccurwhenthecoveredentityhasinplacereasonablesafeguards   andminimumnecessarypoliciesandprocedurestoprotectanindividualsprivacy. ~ _________ How_ԀtheRuleWorks  B   GeneralProvision.ThePrivacyRulepermitscertainincidentalusesanddisclosuresthat \ occurasabyproductof_another_Ԁ_permissibleorrequireduse_Ԁor_disclosure__________,aslongas____thecovered H entityhasappliedreasonablesafeguardsandimplementedtheminimumnecessarystandard, 4 whereapplicable,withrespecttotheprimaryuseordisclosure.See45_CFR_Ԁ164.502(a)(1)(iii)__._   Anincidentaluseordisclosureisasecondaryuseordisclosurethatcannotreasonablybe   _prevented,_Ԁ___is_Ԁlimitedin_nature,andthatoccursasaresultofanotheruseordisclosurethatis  permittedbytheRule._Ԁ_However,an_Ԁincidentaluseordisclosure_isnotpermittedifitisa________by   _productof_anunderlying_Ԁuseordisclosure_which____violates_Ԁ___the_ԀPrivacy_Rule._ !   ReasonableSafeguards.Acoveredentitymusthaveinplaceappropriateadministrative, f# technical,andphysicalsafeguardsthatprotectagainstusesanddisclosuresnotpermittedbythe R$ PrivacyRule,aswellasthatlimitincidentalusesordisclosures.See45_CFR_Ԁ164.530(c).Itis >%  notexpectedthat_acoveredentitys__safeguards_Ԁguaranteetheprivacyofprotectedhealth *&l! informationfromanyandallpotentialrisks._Reasonablesafeguardswillvaryfromcovered 'X" entitytocoveredentitydependingonfactors,suchasthesizeofthecoveredentityandthenature (D # ofitsbusiness.In_Ԁ_implementing______________reasonable_Ԁsafeguards,_coveredentitiesshouldanalyzetheir (0!$ ownneedsandcircumstances,suchasthenatureoftheprotectedhealthinformationitholds,and )"% assessthepotentialriskstopatientsprivacy.Coveredentitiesshouldalsotakeintoaccount__the_ *#& potentialeffectsonpatient_care__and_Ԁ_mayconsiderotherissues,suchas_Ԁthefinancialand +#' _administrative_burden_Ԁof_implementingparticular_____safeguards.  ____  __Manyhealthcareprovidersandprofessionalshavelongmadeitapracticetoensure   reasonablesafeguardsforindividualshealthinformation!forinstance:   Yc  0  Yc"0` (#(#  Byspeakingquietlywhendiscussingapatientsconditionwithfamilymembersin Z  awaitingroomorotherpublicarea;Yc݌F ` (#` (# Ќ  0   (#(# Yc  0  Yc"0` (#(#  Byavoidingusingpatientsnamesinpublichallwaysandelevators,andposting ` signstoremindemployeestoprotectpatientconfidentiality;Yc ݌ L ` (#` (# Ќ  0   (#(# Yc  0  YcJ"0` (#(#  Byisolatingorlockingfilecabinetsorrecordsrooms;orYcJq݌$ ` (#` (# Ќ  0   (#(# Yc  0  YcG"0` (#(#  Byprovidingadditionalsecurity,suchaspasswords,oncomputersmaintaining   personalinformation.YcGn݌ ` (#` (# Ќ  0   (#(#   Protectionofpatientconfidentialityisanimportantpracticeformanyhealthcareand ~ healthinformationmanagementprofessionals;coveredentitiescanbuilduponthosecodesof j conducttodevelopthereasonablesafeguardsrequiredbythePrivacyRule._ V   MinimumNecessary.Coveredentitiesalsomustimplementreasonableminimum .p necessarypoliciesandproceduresthat_limithowmuchprotectedhealthinformationisused, \ disclosed,andrequestedforcertainpurposes.Theseminimumnecessarypoliciesandprocedures H alsoreasonablymustlimit_Ԁwhowithintheentityhasaccesstoprotectedhealth_information,_Ԁand 4 underwhat_conditions,_Ԁbasedon___job_Ԁresponsibilitiesandthenatureofthe_business________._ԀThe   minimumnecessarystandarddoesnotapplytodisclosures,includingoraldisclosures,among   healthcareprovidersfortreatmentpurposes.___Forexample,aphysicianisnotrequiredtoapply  theminimumnecessarystandardwhendiscussingapatientsmedicalchartinformationwitha   specialistatanotherhospital.See_Ԁ45_CFR_Ԁ164.502(b)and164.514(d),andthe_factsheetand ! frequentlyaskedquestionsonthiswebsiteabout______the_Ԁminimumnecessary_standard,_Ԁformore z" information. f#   Anincidentaluseordisclosurethatoccursasaresultofafailuretoapplyreasonable >%  safeguardsortheminimumnecessarystandard,whererequired,isnotpermittedunderthe *&l! Privacy_Rule. 'X" __  Forexample: (0!$ 0  Yc  Yc ("0` (#(#  Theminimumnecessarystandardrequiresthatacoveredentitylimitwhowithin *#& theentityhasaccesstoprotectedhealthinformation,basedonwhoneedsaccess +#' toperformtheirjobduties.Ifahospitalemployeeisallowedtohaveroutine,  unimpededaccesstopatientsmedicalrecords,wheresuchaccessisnotnecessary  forthehospitalemployeetodohisjob,thehospitalisnotapplyingtheminimum   necessarystandard.Therefore,anyincidentaluseordisclosurethatresultsfrom   thispractice,suchasanotherworkeroverhearingthehospitalemployees   conversationaboutapatientscondition,wouldbeanunlawfuluseordisclosure   underthePrivacyRule.Yc (;(݌z ` (#` (# Ќ      FrequentlyAskedQuestions R`  hXXXX0  ToseePrivacyRuleFAQs,clickthedesiredlinkbelow:6Y*8 (#(# #XXXhXL,#hXXXX X#XXXhX-# 4psnO  5  nO  ,nOo-   6[-n  7-hXXXX4o nO  5  FAQsonIncidentalUsesandDisclosures6.nO.  7 /#XXXhXἜ.#hXXXX      X#XXXhXἳ/#dhXXXXd#XXXhX*0# X9%4 4 <DLX94r nO  5  nO  dhXXXXFAQsonALLPrivacyRuleTopics dnO0   #XXXhXC1#hXXXX60nO  7 1dhXhXԀ   #hXXhd2##XXXhX1#m{lF|8hhXXdXXd8<( ` hp x 44X<hXXXXhXhX(Y#hXXh3##XXXhXἪ3#hXXXXoucanalsogotod#XXXhX04#4 2 nO  5  nO  hXXXXhttp://_answers.hhs.gov_/cgibin/_hhs.cfg_/_php_/_enduser_/_std_alp.php_n4  #XXXhX5#hXXXX64n  7 !4dhXhX,#hXXh6##XXXhX]6#hXXXXthen  select"PrivacyofHealthInformation/HIPAA"fromtheCategorydropdownlistand v clicktheSearchbutton.d#XXXhX=7#hXXXX)hXhX#h8#h bp   #h~8##XX<8# d