HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT - LABORATORY

Effective Date: 
Mon, 03/25/2013
Reviewed: 
Mon, 11/06/2017
Revised: 
Mon, 03/03/2014
Policy: 

The Student Health Center, in accordance with the Health Insurance Portability and Accountability Act of 1996, will train and educate all new employees (see training guideline for the facility) on HIPAA guidelines and how they relate to the laboratory setting.

The final security rules apply only to protected health information that is in electronic format; however the laboratory has established guidelines and approaches to allow all protected health information to be guarded as follows:

  • All papers within the laboratory containing pertinent patient information or laboratory results are kept face down during business hours.
  • lf patient charts are within the laboratory, all patient charts will remain closed unless additional documentation must be made into the patient record concerning specimen draw or collection, or when laboratory results are transcribed or reports  are submitted into the chart for physician review.
  • Any paper or label that contains patient information and is not filed or secured within the laboratory will be shredded before discarding.
  • Laboratory requisitions or encounter forms are placed in files within the laboratory; only laboratory employees have access to these files.
  • All instrument data screens or reference laboratory input screens will be kept within the laboratory; only laboratory employees have access to these files.
  • If screens are accessible for view by patients or others who may be within a laboratory or draw site setting, a cover will be placed over the screen or monitor to protect all patient information from view by these individuals.
  • Regulations are monitored and followed on a daily basis by the Laboratory Staff and are under constant Quality Assessment evaluation for additional security.
  • All paper records with PHI will be placed in a locked drawer, file cabinet or in medical records at the end of the day.  It is the primary responsibility of the career CLS staff to ensure this is completed.  If no career CLS is working in the laboratory on a given day, it is the responsibility of the per diem CLS.