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Title: Provision of Notice of Privacy Practices Policy: PRV-1-21.01
Category: HIPAA Compliance

Authority: 45 CFR §
HIPAA Section:
164.520(c)

Standard: Notice of Privacy Practices Responsibility: Health Care Components
Effective Date: 04/14/2003 Page 1 of 1
Approved by: OSU Legal Counsel Revised:

Policy

CHS will make the Notice of Privacy Practices, (NPP), available on request to any person upon request. 

The provision shall take place no later than the first time the patient presents for treatment at CHS. 

In an emergency situation, CHS will make every effort to provide the NPP as soon as practicable.

Except in emergency situations, CHS will make a good faith effort to obtain a written acknowledgment of receipt of the notice.  This written acknowledgment will require the patient to sign the specified area of the NPP form.  If such acknowledgment is not obtained, CHS will document on the NPP form the reasons why the acknowledgment was not obtained.  The patient maintains eligibility for services regardless of the compliance with the acknowledgment statement.

The NPP will be posted within the Information boards of CHS and copies will be available for others upon request. 

At such time as the NPP is revised, CHS will make the NPP available upon request on or after the effective date.

CHS will maintain an electronic version of the NPP on the CHS web site.  A downloadable version will be available on the web site.

If a patient requests to receive the NPP by email, CHS will make every effort to comply based upon the accuracy of the requestor’s address.  If CHS becomes aware of a delivery failure, note will be made and a paper version will be made available to the patient.  The individual who requests an electronic version of the NPP retains the right to a hard copy of the NPP.

Procedure
  1. All patients shall receive a copy of the NPP upon presenting for treatment for the first time.  This includes workers compensation patients, and any staff or faculty presenting for treatment, including immunizations.
  2. The NPP will be maintained on the OSU-CHS website.
  3. The NPP may be emailed upon the request of any individual
  4. A copy of the NPP will be provided to any person requesting a copy
  5. A copy of the NPP will be included in the mailing of health information to individuals if requested.
  6. Any changes in the NPP will be handled in a manner consistent with HIPAA directives.
  7. If a person presents for treatment and is unable to request or receive a copy of the NPP, CHS will make every effort to provide a copy at a subsequent time when the patients’ condition allows such information to be communicated
  8. The NPP form shall be used to document the acknowledgement of receipt of the NPP.  CHS staff shall obtain these signatures upon presentation for treatment.
  9. If the patient refuses to sign the acknowledgement statement, CHS will document on the form the patients refusal, date and sign the form.  The Compliance Office will be informed of any such refusals.

 

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