HIPAA Policies Policies

HP001.1 Accounting of Disclosures of Protected Health Information Policy - November 7, 2023

The University of Louisiana at Monroe’s Accounting of Disclosures of Protected Health Information Official Policy establishes the requirements to populate and provide an Accounting of Disclosures of Protected Health Information to all patients as required by the Health Insurance Portability and Accountability Act (HIPAA).

PDF icon https://webservices.ulm.edu/policies/download-policy/815
HP003.1 De-Identification of Protected Health Information Policy - November 8, 2023

The University of Louisiana at Monroe’s De-Identification of Protected Health Information (PHI) Policy establishes the requirements for compliance with applicable HIPAA Privacy Regulations when de-identifying an individual’s Protected Health Information.

PDF icon https://webservices.ulm.edu/policies/download-policy/817
HP004.1 HIPAA Documentation Policy - November 8, 2023

The University of Louisiana at Monroe’s HIPAA Documentation Policy states that all ULM health care facilities and providers must maintain documentation of patient privacy and protected Health Information in accordance with applicable regulations. The purpose of this policy is to ensure all ULM health care facilities and providers will adhere to all documentation requirements as stated in 45 C.F.R. 164.530(j) and other applicable federal, state, and/or local laws and regulations.

PDF icon https://webservices.ulm.edu/policies/download-policy/819
HP005.1 HIPAA Limited Data Set Policy - November 8, 2023

The HIPAA Limited Data Set Policy will define and describe a Limited Data set under HIPAA. This policy will provide guidance to the health care facilities and providers affiliated with the ULM in the following areas:
• To outline the process for reviewing and responding to requests for limited data sets.
• To provide guidance on how to create a limited data set.
• To define requirements of a Data Use Agreement for use and disclosure of a limited data set.

PDF icon https://webservices.ulm.edu/policies/download-policy/821
HP006.1 HIPAA Minimum Necessary Information Policy - November 8, 2023

The HIPAA Minimum Necessary Information Policy defines the Minimum Necessary Rule under HIPAA and describes reasonable efforts to limit access to Protected Health Information based on the minimum information necessary.

PDF icon https://webservices.ulm.edu/policies/download-policy/823
HP007.1 HIPAA Notice of Privacy Practices Policy - November 8, 2023

The University of Louisiana at Monroe’s HIPAA Notice of Privacy Practices Official Policy establishes the requirements for providing adequate Notice of Privacy Practices to all patients. ULM must also provide patients with information regarding their rights with respect to Protected Health Information and ULM’s legal duty to protect patient privacy.

PDF icon https://webservices.ulm.edu/policies/download-policy/825
HP008.1 HIPAA Privacy Official and Complaint Contact Policy - November 8, 2023

The University of Louisiana at Monroe’s HIPAA Privacy Official and Complaint Contact Policy states that ULM must designate a HIPAA Privacy Official who will oversee and implement the privacy policies and procedures while ensuring ULM is in compliance with the HIPAA regulations.

PDF icon https://webservices.ulm.edu/policies/download-policy/827
HP009.1 Patient's Request for Restrictions of Uses and Disclosures of their Personal Health Information Policy - November 8, 2023

The University of Louisiana at Monroe’s Patient’s Request for Restrictions of Uses and Disclosures of their Personal Health Information (PHI) Policy establishes the requirements for providing patients with an opportunity to request a restriction of the uses and disclosures of their Protected Health Information prior to disclosure.

PDF icon https://webservices.ulm.edu/policies/download-policy/829
HP010.1 Patients Right to Access and Obtain a Copy of their Protected Health Information Policy - November 8, 2023

ULM’s Patient’s Right to Access and Obtain a Copy of their Protected Health Information Policy states that all ULM health care facilities and providers must provide patients with a right of access to inspect and obtain a copy of their Protected Health Information except as otherwise statutorily excluded.

PDF icon https://webservices.ulm.edu/policies/download-policy/831
HP011.1 Patient's Right to Request an Amendment of their Protected Health Information Policy - November 8, 2023

The University of Louisiana at Monroe’s Patient’s Right to Request an Amendment of their Protected Health Information Official Policy states that all ULM health care facilities and providers must provide patients with a right of to request an amendment as required by the HIPAA Privacy Regulations. A patient’s request for an amendment should be handled in accordance with this policy and any applicable federal or state laws or regulations.

PDF icon https://webservices.ulm.edu/policies/download-policy/833
HP012.1 Patient's Right to Request and Receive Confidential Communications Policy

The ULM Patient’s Right to Request and Receive Confidential Communications Policy defines the duty of ULM providers and facilities to provide patients with mechanism to make reasonable requests to receive confidential communications by alternative means or at alternative locations of their Protected Health Information.

PDF icon HP012.1 Patient's Right to Request and Receive Confidential Communications Policy November 8, 2023.pdf
HP013.1 Safeguards for Protected Health Information Policy - November 8, 2023

The University of Louisiana at Monroe’s Safeguards for Protected Health Information Policy states that all ULM healthcare facilities and providers will take reasonable steps to safeguard information from any intentional or unintentional use or disclosure that is in violation of the privacy policies.

PDF icon https://webservices.ulm.edu/policies/download-policy/843
HP014.1 HIPAA Privacy Training and Education Requirements for Member's of ULM's Workforce Policy - November 8, 2023

The HIPAA Privacy Training and Education Requirements for Member of ULM’s Workforce official policy describes the requirements for all ULM health care facilities and providers to provide members of its workforce with education and training on the ULM policies and procedures on Health Information Privacy and the HIPAA Privacy Regulations.

PDF icon HP014.1 HIPAA Privacy Training and Education Requirements for Members of ULM's Workforce Policy November 8, 2023.pdf
HP015.1 Use and Disclosure of PHI for Facility Directory Policy

The University of Louisiana at Monroe’s Use and Disclosure of PHI for Facility Directory Official Policy establishes the requirements for providing patients with the opportunity to agree to or prohibit the use or disclosure of their Protected Health Information in a facility’s directory.

PDF icon https://webservices.ulm.edu/policies/download-policy/847
HP016.1 Use of PHI for Treatment, Payment and Healthcare Operations Policy

The University of Louisiana Monroe’s Use of PHI for Treatment, Payment and Healthcare Operations Official Policy establishes the requirements for using or disclosing Protected Health Information to carry out treatment, obtain payment, or conduct health care operations in compliance with HIPAA Privacy regulations.

PDF icon https://webservices.ulm.edu/policies/download-policy/849
HP017.1 Use and Disclosure of Protected Health Information for Marketing Purposes Policy - November 8, 2023

The University of Louisiana at Monroe’s (ULM) Use and Disclosure of Protected Health Information for Marketing Purposes Official Policy establishes the requirements to obtain an individual’s signed authorization and media release before using or disclosing the individual’s Protected Health Information for marketing purposes.

PDF icon https://webservices.ulm.edu/policies/download-policy/851
HP018.1 Use and Disclosure of Protected Health Information that Requires an Individual's Written Authorization Policy - November 8, 2024

The University of Louisiana at Monroe’s (ULM) Use and Disclosure of Protected Health Information that Requires an Individual’s Written Authorization Policy establishes the requirements for obtaining patient authorization for the disclosure of protected health information to family members, friends, or other person identified by the patient according to HIPAA and any other state or Federal regulations.

PDF icon https://webservices.ulm.edu/policies/download-policy/853
HP019.1 Useor Disclosure of Protected Health Information to Business Associates Policy - November 8, 2023

The University of Louisiana at Monroe’s Use or Disclosure of Protected Health Information to Business Associates Official Policy establishes the requirements for disclosing a patient’s protected health information to health care facilities and any other providers affiliated with ULM according to HIPAA.

PDF icon https://webservices.ulm.edu/policies/download-policy/855
HP020.1 Use or Disclosure of Protected Health Information to Persons Involved in Patient's Care and for Notification Purposes Policy - November 8, 2023

The University of Louisiana at Monroe’s Use or Disclosure of Protected Health Information to Persons Involved in Patient’s Care and for Notification Purposes Official Policy establishes the requirements for disclosing a patient’s protected health information to family members, friends, or any other person identified by the patient according to HIPAA regulations as well as any other state or Federal Law.

PDF icon https://webservices.ulm.edu/policies/download-policy/857
HP021.1 Use or Disclosure of Protected Health Information for Fundraising Policy - November 8, 2023

The University of Louisiana at Monroe’s Use or Disclosure of Protected Health Information for Fundraising Official Policy establishes the conditions in which health care facilities and providers affiliated with ULM may use and disclose protected health information for the purpose of fundraising.

PDF icon https://webservices.ulm.edu/policies/download-policy/859
HP022.1 Employee Conduct and Disciplinary Sanctions for HIPAA Non-Compliance Policy - November 8, 2023

The University of Louisiana at Monroe’s (ULM) Employee Conduct and Disciplinary Sanctions for HIPAA Non-Compliance Policy provides a guide on the professional conduct that should be displayed by all ULM faculty, staff, and employees while adhering to relevant HIPAA Privacy laws and policies.

PDF icon https://webservices.ulm.edu/policies/download-policy/861
HP023.1 Use and Disclosure of Protected Health Information for Research Policy - November 8, 2023

The University of Louisiana at Monroe’s Use and Disclosure of Protected Health Information for Research Official Policy establishes the requirements for disclosing and using information for research purposes.

PDF icon https://webservices.ulm.edu/policies/download-policy/863