Policy Manual

 
  1.MEP.23  

Access of Protected Health Information (client record) by a client      

Type: Procedure                 Category: General                 Level: Community Care 

Parties: Community Care Employees and Contractees

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Supporting References: COA General Standards G11.4 et.al.

Parent Effective Date Approval Level Revision Dates Last Reviewed
N/A  4-13-2003  Executive Director  1/04  4-13-2003
Related Document Code Related Document Name Type

Procedure:  .

  1. Any employee or contractee who receives a request from a client to have access to, or obtain a copy of their record, or any subset of information included therein, should notify their supervisor and the Privacy Officer within 24 hours of the request. The employee or contractee should also provide the phone number to the client where he or she may contact the Privacy Officer to discuss the process of receiving information.
  2. Upon notification, the Privacy Officer will contact the client within three (3) business days of the request and document required information regarding the request.
  3. After collecting the necessary information from the client, the privacy officer will, within five (5) business days of speaking with the client, convene a meeting between the employee or contractee who accepted the request, the employee responsible for maintenance of the client record, and the clinical supervisor of the case (this must be a licensed individual). In establishing this meeting, other relevant treatment providers with Community Care may be included. The request will be reviewed at this meeting and a decision made whether to grant or deny the request.
  4. If the request is granted, the Privacy Officer will, within five (5) business days, notify the client by phone, and in writing, of the approval of the request. The Privacy Officer will make arrangements with the client to receive the information requested in a confidential manner.
  5. If the request is denied, the Privacy Officer will contact the client within five (5) business days, by phone and in writing, notifying them of the denial and the reason(s) for the denial.
  6. If the client requests a review of the decision, the Privacy Officer will consult with the Executive Director to appoint a Licensed Health Care Professional within Community Care to independently review the denial.
  7. The Privacy Officer will inform the client in writing, and by phone, of the decision of the review of the denial within three (3) business days of the review meeting.
  8. All written documentation regarding the process must be maintained as part of the client record.