Confidentiality, Privacy and Security

How to account for Patient disclosure

  • 1.  How to account for Patient disclosure

    Posted 09-12-2019 18:35
    Hello, I need some input on how other facilities are handing patient disclosures through secure channels. Below is an example

    I need to communicate to a workforce member regarding patient x. I IM or Chat to my co worker about patient X disclosing PHI as we communicate. 

    When the patient requests an accounting of disclosures how do you account for IM or Chats about the patient that took place that is not being captured? 

    Do you consider this incidental disclosures and therefore not needing to document it as an accounting of disclosure?

    Thanks Kris

    Kris Lundell MBA,  CIPP/US, CiPT, CHP, CHPS, HCISPP
    Privacy and Security Consultants LLC

  • 2.  RE: How to account for Patient disclosure

    Posted 09-13-2019 08:58

    I would not consider these disclosures, just inter-office communication about patients.......


    Wendy Mangin, MS, RHIA

    Executive Project Director – Regulatory Compliance/Privacy Officer


    Good Samaritan 

    520 S. Seventh St. | Vincennes, Indiana | 47591

    Hospital: 812.882.5220 | Direct: 812.885.3487 

    Fax: 812.885.3912 | 

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  • 3.  RE: How to account for Patient disclosure

    Posted 09-17-2019 14:13

    We would not consider these disclosures either.


    Lynn Boyes, RHIT

    Health Information Management Director,

    HIPAA Privacy Officer

    7010 S. Yale Ave | Tulsa, OK 74136 918.236.4135 direct line

    918.499.1598 fax

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  • 4.  RE: How to account for Patient disclosure

    Posted 09-25-2019 08:56
    I agree with the others, this part of hospital operations and not part of the AOD requirements.

    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital