authorizationfor[nameofpracticehealthcarefacility]to（5页）.docVIP

REQUESTS TO CORRECT OR AMEND HEALTH INFORMATION Purpose: To provide a process for handling requests by patients or their legally authorized representatives to amend or correct protected health information (PHI) consistent with federal and state laws. Policy: In general, patients or their legally authorized representatives have a right to request to amend or correct PHI maintained by the facility. The appropriate party shall review verbal requests in a timely fashion, and, if granted, the correction shall be noted in the appropriate record. Written requests must be approved or denied—in whole or in part—in a timely fashion. The appropriate party shall review written requests. Written requests and their disposition shall be documented, and any denial of a written request, in whole or in part, shall be in writing. Where applicable, the disposition of the request will be disclosed to others who need it. Primary Responsible Party: Employees of Island Hospital Medical Records Department will be responsible for receiving and processing requests for amendments. The Privacy Officer shall be ultimately responsible for the processing of these requests. Other Responsible Party: All staff must have sufficient understanding of the patient’s rights and the practice/health care facility’s obligation to approve/deny requests—in whole or in part—according to pertinent laws. Procedure: Verbal Requests When an individual makes a verbal request to correct or amend PHI, ask for verification of the identity and the authority of the individual if warranted (if the identity or the authority of the individual is not known to the practice/health care facility). The appropriate party shall approve or deny the request. If the request is granted, see procedure 3 under Written Requests. If a verbal request is denied, offer the individual the opportunity to make the request in writing by completing and signing the Request to Correct or Amend Health Information form. If the