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| HIPAA IMPLEMENTATION RECOMMENDATIONS &
CONSIDERATIONS |
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| HIPAA Regulation: Privacy Rule: Consent Requirement Section
164.506(a) |
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The following guidelines
should be considered to comply with the above regulation:
- Develop a procedure and a consent
form to secure written consent for use or disclosure of protected health
information to carry out treatment, payment, and health care operations when an
individual first presents himself or herself.
- If protected health information is
used or disclosed for treatment, payment, or health care operations without
consent in an emergency, or as required by law, or if consent could not be
obtained because of barriers in communication, attempt to get consent as soon
as possible. If consent cannot be obtained, document the effort to get consent
and state the reason consent was not obtained.

- Determine what action will be
taken if an individual will not consent to use or disclosure of protected
health information or treatment, payment, or health care
operations.
- Identify actions to be taken when
an individual revokes his or her consent. (The health care provider must comply
with the revocation, except to the extent that theprovider has taken action in
reliance upon the original consent.)
- Develop a procedure to document
and retain an individual's signed consent.
- Adopt a standard form for consent
requests that contains all necessary elements cited in §164.506(c), as
follows:
a) is written in plain language; b) informs the individual
that protected health information may be used and disclosed for treatment,
payment, or health care operations; c) informs the individual that the
health care provider may change its privacy practices as described in its
privacy notice and tells the individual how to get a revised notice; d)
states that the individual has a right to request restrictions upon use and
disclosure of protected health information for treatment, payment and health
care operations; that the provider does not have to agree to requested
restrictions; and that if the provider does agree to restrictions, the
restrictions are binding.

- Prohibit the use or disclosure of
protected health information for marketing, sale, fund raising, employment
determinations, or disclosure to non-authorized individuals unless patient
authorization is secured under Section 64.508.
- Consider obtaining consent for use or disclosure of
protected health information even when it is not required.
- Consider using a time and date stamp on consent forms to
be sure the handling of patient information was appropriate at the time it was
done.
- Consider having a single area for disclosure of all
information such as a private office, even if decisions to use or disclose are
made elsewhere.
- Make sure that contracts and business associate
agreements reflect appropriate concern for the privacy and security of patient
information.
- Consult with legal counsel about the documentation needed
to support use or disclosure of protected health information when the health
care provider was unable to obtain consent.
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