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The University of Texas at Dallas

HIPAA Privacy Manual

Table of Contents

General

Section 1: Introduction and Definition of Terms
Section 2: Designation of UT Dallas Hybrid Entity
Section 3: Privacy Officer
Section 4: Notice of Privacy Practices
Section 5: Maintaining Patient Confidentiality & Minimum Necessary Standard
Section 6: Patient Authorization: Uses and Disclosures of Protected Health Information
Section 7: Fundraising
Section 8: Marketing
Section 9: Sale of Protected Health Information
Section 10: Permitted Use and Disclosure of Protected Health Information to Family and Friends — Individual Care and Notification Purposes
Section 11: Personal Representatives, Minors and Deceased Individuals
Section 12: Business Associates
Section 13: Releases & Disclosures Requiring No Authorization
Section 14: Psychotherapy Notes: Use and Disclosure
Section 15: Research Use and Disclosure of Protected Health Information
Section 16: De-identification of Protected Health Information
Section 17: Verification of Patient Identification

Patients’ Rights

Section 18: Patient Access to Protected Health Information
Section 19: Request to Amend Designated Record Set
Section 20: Requests for Restricting Access to Protected Health Information
Section 21: Requests for Communications at Alternative Locations or by Alternative Means
Section 22: Requests for Accounting of Disclosures
Section 23: Complaint Process

Record Issues

Section 24: Electronic Mail Containing Protected Health Information
Section 25: Facsimile Transmittal of Protected Health Information
Section 26: Electronic Protected Health Information
Section 27: Maintaining and Storing Protected Health Information; Secure Destruction
Section 28: Verbal Use of Protected Health Insurance
Section 29: Medical Record and Media Policy

Compliance Issues

Section 30: Record Keeping and Documentation
Section 31: Discipline and Dismissal, Non-retaliation
Section 32: Education and Training of the Health Care Component Workforce
Section 33: Employee PHI Confidentiality Agreement

Breach Response

Section 34: Breach Notification Policy

HIPAA Privacy Forms Referred to in the Manual:

  1. Complaint Form
  2. Disclosure Log Form
  3. Request for Access to Protected Health Information Form
  4. Request for Accounting of Disclosure Form
  5. Request for Amendment to Protected Health Information Form
  6. Request for Alternate Confidential Communications of Medical Information Form
  7. Request for Restriction on Use or Disclosure of Protected Health Information Form
  8. Revocation of Authorization Form
  9. Unencrypted Email Request and Consent Form