Differences

This shows you the differences between two versions of the page.

Link to this comparison view

Both sides previous revision Previous revision
Next revision
Previous revision
use_and_disclosure_of_health_information [2016/06/28 23:31]
jillian_nadette_de_leon
use_and_disclosure_of_health_information [2016/07/19 15:27]
jillian_nadette_de_leon
Line 2: Line 2:
 ##USE AND DISCLOSURE OF HEALTH INFORMATION\\ ##USE AND DISCLOSURE OF HEALTH INFORMATION\\
  
-  ​A formal procedure to authorize ​disclosure of personal ​health information shall be developed ​by health ​facilities.\\+**Use and Disclosure.** Use and disclosure of health information shall only be to the extent of consent given by the patient and for the following purposes:​\\ 
 +a.) For planning of quality services;​\\ 
 +b.) Requirement for reporting for communicable,​ infectious and other notifiable diseases as well as those with serious ​health ​and safety threat to the public such as, but not limited to: \\ 
 +1.) Meningitis\\ 
 +2.) Food poisoning (mass)\\ 
 +3.) Breakthrough epidemic of contagious disease\\ 
 +4.) Biological or chemical warfare\\ 
 +5.) Emerging and re-emerging diseases\\ 
 + c.) Continuing care to patients;​\\ 
 +d.) Reporting of physical injury;\\ 
 +e.) Reporting of interpersonal violence to proper authorities;​\\ 
 +f.) Reporting of diseases as registered in the Philippine Integrated Disease Surveillance and Response;​\\ 
 +g.) Mandatory reporting required by licensing and accreditation bodies (Department of Health, Philippine Health Insurance Corporation,​ Department of Interior and Local Government, Department of Social Welfare and Development).\\
  
-  ​Use and disclosure ​of health information shall only be to the extent of consent given by the patient and for the following purposes: \\ +**Deceased Individuals.** Disclosure ​of health information ​of a deceased individual ​shall be to the authorized legal representative.\\
-a. For planning of quality services.\\ +
-b. DOH reporting intervention and disease prevention.\\ +
-c. Continuing care to patients.\\ +
-d. Requirements and reporting for communicable and notifiable diseases as well as those with serious health and safety threat to the public such as, but not limited to:\\ +
-//​Meningitis//​\\ +
-//Food poisoning (mass)//​\\ +
-//​Breakthrough epidemic of contagious disease//​\\ +
-//​Biological or chemical warfare//​\\ +
-//​Anthrax//​\\ +
-//Emerging and re-emerging diseases//​\\ +
-//​Ebola//​\\ +
-e. Reporting of serious and less serious physical injury.\\ +
-f. Reporting of maltreated or abused child to proper authorities.\\ +
-g. Reporting of diseases as registered in the Philippine Integrated Disease Surveillance and Response; +
-h. Mandatory reporting required by licensing and accreditation bodies (Department of Health, Philippine Health Insurance Corporation,​ Department of Interior and Local Government, Department of Social Welfare and Development). \\+
  
-//Deceased Individuals.//​ Disclosure of Health information of a deceased individual shall be to the authorized ​legal representative. For medico-legal cases, information may be disclosed to the next of kin or to the legal representative.\\+**For medico-legal cases.** For medico-legal cases, information may be disclosed to the authorized personnel in-charge upon authorization from the patient ​or authorized representative (in case when the patient is deceased).\\
  
-//Privilege Communication//​\\ +**Legal Authorities ​and/or Government Agencies.** Before a disclosure is made to any other government agency, there must be a court order. It is only in cases of emergency where disclosure ​can be done without court order. This would be situations where time is of the essence such as:\\ 
-  ​Both patient ​and physician ​must provide consent for its use and disclosure ​otherwiseinformation shall not be releasedThe PHCP has the authority to disclose information ​upon patient request for his legitimate personal use.\\+1.) For PNP Subpoenaconsent is not required from next of kin.\\ 
 +2.) For medical or financial assistance requiring abstracts or similar documents, authorization of patient is required.\\ 
 +3.) For DOH programs and other government agencies providing financial public assistance, ​the said agency shall only disclose ​de-identified ​information.\\
  
-//​Information disclosed after discharge//​\\ +Without a court order, release of information shall be pursuant to hospital policy otherwise, patient records shall not be released or disclosed.\\
-  * The following information may be disclosed after patient discharge from the health facility:​\\ +
-a. Clinical abstract\\ +
-b. Laboratory result\\ +
-c. Doctor'​s order\\ +
-d. Discharge summary\\ +
-e. Medical Certificate\\ +
-f. Prescription\\ +
-   +
-**Use and disclosure of health information to legal authorities/​government agencies:​**\\ +
- * Before a disclosure is made to any other government agency, there must be a court order. It is only in cases of emergency where disclosure can be done without court order. This would be situations where time is of the essence such as: \\ +
-a. For PNP subpoena, obtain consent of patient before death otherwise, consent should be obtained from next of kin.\\ +
-b. For medical/​financial assistance requesting abstracts or similar documents, authorization of patient is required.\\ +
- *Without a court order, release of information shall be pursuant to hospital policy otherwise, patient records shall not be released or disclosed.\\+
  
-  * //Release of Health Information to Legal Authorities.// ​When personal health information is released to  legal authority, a cover letter shall be sent containing information reminding the recipient that the information contained is personal health information and must be handled in a confidential manner. A receiving copy shall be maintained by the health ​facility ​for record purposes.\\ +When personal health information is released to legal authority, a cover letter shall be sent containing information reminding the recipient that the information contained is personal health information and must be handled in a confidential manner. A receiving copy shall be maintained by the health ​care provider ​for record purposes. \\ 
-  + 
-**Use and Disclosure of Health Information by a third party:**\\ +**Privilege Communication.** Both patient and physician must provide consent for the use and disclosure of patient ​information for purposes, otherwise, information ​shall not be released.\\ 
-  * Third party providers shall not disclose health information other than as provided by contract with the PHCP or as required by law. They shall also agree to use appropriate safeguards to prevent ​use and disclosure of the health ​information ​other than as provided by contract with the primary health care provider or as required by law.  + 
-  * Third party providers shall report to the primary health care provider any use or disclosure of health information not provided ​for by the agreement of which it becomes awareincluding breaches of unsecured health ​information, and any security incident of which it becomes aware.\\ +**Training ​Hospitals ​and Academic ​or Clinical Requirement Purposes.** Guidelines ​for retrieval of information for purposes of Professional Regulation Commission requirements ​shall be made by participating ​health ​care providersA non-disclosure clause ​shall be included in the contract of schools with affiliations ​to a PHCP. Personnel and/or students accessing data for academic or clinical requirement ​purposes ​shall also sign a non-disclosure agreement
-  +
-All research protocols pertaining to patient condition shall pass thru strict review by the Institutional Review Board or Ethics Review Board by Hospitals or Academe to safeguard patient informationProtocols ​for requesting and accessing aggregate and de-identified ​information for research, both public and private, ​shall be clearly defined ​by health ​facilitiesAll research data collected ​shall not be subject ​to commercial ​purposes.\\+
  
-   * //​Information gathered by training hospitals and students for academic requirement purposes.// Guidelines for retrieval of information for purposes of Professional Regulation Commission requirements shall be made by health facilities. A non-disclosure clause shall be included in the contract of schools with affiliations to a health facility. Personnel and/or students accessing data for academic requirement purposes shall also sign a non-disclosure agreement.\\ 
  
-  * For facilities not participating in PHIE, they shall: \\ 
-a Make a workflow and a notification protocol for reporting requirements (Suggestion:​ to use the present epidemiologic surveillance framework).\\ 
-b. Immediately notify the RESU (using the present framework) then the DOH will notify the EMR, the EMR to the facility. The EMR must have codes which gives them the signal to release the information.\\ 
  
 ##Others ##Others