Policy Manual


Permitted Uses and Disclosure of Protected Health Information Regarding Facility Directories      

Type: Policy                 Category: General                 Level: Community Care 

Parties: Community Care employees and contractees

Printer Friendly Version: http://apps.comcareme.org/policymanual/default.aspx?code=1.ME.33&nonav=yes

Supporting References: HIPAA Privacy Rule Standard 164:510a

Parent Effective Date Approval Level Revision Dates Last Reviewed
N/A  4-13-2003  Board    4-13-2003
Related Document Code Related Document Name Type

Policy:  Community Care may use the following protected health information to maintain a directory of individuals in its facility: The individual’s name; The individual’s location in the Community Care health care facility; The individual’s condition described in general terms that does not communicate specific medical information about the individual; and The individual’s religious affiliation; and Disclose for directory purposes such information: To members of the clergy or Except for religious affiliation, to other persons who ask for the individual by name. A Community Care entity must inform an individual of the protected health information that it may include in a directory and the persons to whom it may disclose such information (including disclosures to clergy of information regarding religious affiliation) and provide the individual with the opportunity to restrict or prohibit some or all of the uses or disclosures. The Community Care entity may orally inform the individual of and obtain the individual’s oral agreement or objection to a use or disclosure within this policy. If the opportunity to object to uses or disclosures required cannot practicably be provided because of the individual’s incapacity or an emergency treatment circumstance, Community Care may use or disclose some or all of the protected health information for the facility’s directory, if such disclosure is consistent with a prior expressed preference of the individual, if any, that is known to the Community Care and in the individual’s best interest as determined by Community Care, in the exercise of professional judgment. Community Care entity must inform the individual and provide an opportunity to object to uses or disclosures for directory purposes when it becomes practicable to do so once the emergency situation has abated.