Common use of Minimum Content of the Policies and Procedures Clause in Contracts

Minimum Content of the Policies and Procedures. The Policies and Procedures shall include, but not be limited to: 1. Instructions and Procedures that address appropriate administrative, technical, and physical safeguards to protect PHI from any intentional or unintentional use or disclosure (a) for media inquiries and (b) that define PHI as it relates to individually identifiable health information (IIHI). 2. Protocols for training all members of SRMC’s workforce who use and disclose PHI to ensure that they know how to comply with the Policies and Procedures provided for in subparagraph (1) above. 1. Instructions and Procedures that address permissible and impermissible uses and disclosures of PHI (a) for media inquiries, (b) to workforce members who are not involved in the individual’s medical care and (c) that define PHI as it relates to individually identifiable health information (IIHI). 2. Application of appropriate sanctions against members of SRMC’s workforce who fail to comply with Policies and Procedures provided for in subparagraph (1) above. 3. Protocols for training all members of SRMC’s workforce who use and disclose PHI to ensure that they know how to comply with the Policies and Procedures provided for in subparagraph (1) above. 1. Instructions and Procedures that address (a) What is individually identifiable health information (IIHI) and the protected health information (PHI), including what is required for PHI to be unidentified; (b) Communicating with, and responding to, the media, including in regard to patient-related inquires, and (c) Sharing of patient PHI within SRMC, including sharing of patient PHI with workforce members not involved in the provision of or payment for care. 2. Protocols for training all SRMC’s workforce members who use and disclose PHI to ensure that they know how to comply with the Policies and Procedures provided for in subparagraph (1) above. 3. Application of appropriate sanctions against SRMC’s workforce members who fail to comply with Policies and Procedures provided for in subparagraph (1) above.