Prohealth Care More Land Surgery CenterProhealth Care More Land Surgery Center
Prohealth Care More Land Surgery Center
Prohealth Care More Land Surgery CenterProhealth Care More Land Surgery Center

Confidentiality of Information-General Issues


It is the policy of ProHealth Care Moreland Surgery Center to maintain anindividual’s right to privacy and confidentiality of information. Information known orcontained in the patient's medical record (known as protected health information) shallbe treated as confidential and will be released in appropriate circumstances only withthe written consent of the patient or legal guardian. Information concerning patients,visitors and staff shall be managed with the highest degree of appropriateness andconfidentiality, pursuant to organization wide policies and procedures.


  1. All persons employed at the surgery center having access to information concerningpatients, such as volunteers, facility staff members and physicians must hold allinformation in strict confidence, and shall abide by the Health Insurance Portabilityand Accountability Act (HIPAA) regulations.
  2. Information concerning patients which may be considered ordinary facts andnecessary for planning of specific care and services, will be handled withprofessional discretion and on a "need to know” basis.
  3. Information regarding physicians, staff members or volunteers is to be relayed toothers as appropriate to the related job function or task and/or to facilitate patientcare and services only. Information regarding physicians, staff members orvolunteers is to be kept on a professional level, and only discussed in relationship tothe individual’s purpose and function within the institution.
  4. Requests for patient information will be directed to Business Office. Disposition ofsuch requests will be in accordance with the facility's established policy andprocedure for Release of Information and pursuant to the HIPAA regulations.
  5. Advances in technology will be reviewed as these are made available to theinstitution, to determine if these advances can be employed to improve privacy andconfidentiality practices.
  6. At no time shall staff members, volunteers, or others associated with The SurgeryCenter, who have access to confidential patient or facility information, speak with thenews media, or others outside the facility, without prior approval from facilityadministration. All encounters with the news media should be directed toadministration.
  7. All staff will be educated and trained about the requirements for information privacyand confidentiality appropriate for each level of employee to carry out his/herhealthcare function within the facility. Education and training includes orientation,initial education and any ongoing education and training necessary related tochanges with this organization’s information confidentiality and privacy practices.
  8. Enforcement of the principles of this policy will be monitored through the combinedefforts of the Executive & Medical Director and the contracted Information Systemsteam. Violations of this policy will be conducted with quarterly reports submitted tothe Quality Improvement Committee and Governing Body.
  9. Outcomes from monitoring activities will be analyzed to determine if improvementscan be made in privacy and confidentiality practices.


Accreditation Handbook for Ambulatory Health Care, Chapter 1-B, 1-C, 3-A-11, Rightsof the Patients and Administration , 2008

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