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1. PURPOSE: To ensure that UAB covered entities apparatus and advance behavior for the use and acknowledgment of bloom information in acquiescence with the Bloom Insurance Portability and Accountability Act (“HIPAA”) and Alabama accompaniment law.

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2. PHILOSOPHY: UAB ethics and promotes business practices apropos the acquaintance of bloom information.

3. APPLICABILITY: This accepted action applies to all UAB Covered Entities (School of Dentistry, School of Bloom Professions, School of Medicine, School of Nursing, School of Optometry, Joint Bloom Sciences Departments, School of Apprenticeship Community Clinic, UAB Bloom Plans, and added UAB entities that may be added from time-to-time) and to the afterward UABHS Covered Entities: UAB Hospital, The Kirklin Clinic of UAB Hospital, The Kirklin Clinic of UAB Hospital at Acton Road, Callahan Eye Hospital and Callahan Eye Hospital Clinics, UAB Bloom Centers, Medical West, VIVA Health, Inc., University of Alabama Bloom Services Foundation, Ophthalmology Services Foundation, Valley Foundation, and added UABHS managed entities that may be added from time-to-time. For purposes of this policy, UAB and UABHS Covered Entities shall be collectively referred to as “UAB.”

4. DEFINITIONS: UAB adopts the definitions set alternating in the HIPAA regulations at 45 CFR Parts 160, 162, and 164.

Authorization: A certificate that is appropriate to be active by the accommodating to use and acknowledge defined able bloom advice for defined purposes. It may be appropriate in some affairs in adjustment to conduct research.

4.1. Disclosure: The release, transfer, accouterment of acceptance to, or acknowledgment in any added abode of advice alfresco the UAB Covered Article captivation the information.

4.2. Able Bloom Advice (“PHI”): Bloom information, including demographic advice calm from an alone and created or accustomed by a bloom provider, bloom plan, employer or bloom affliction clearinghouse that relates to the past, present, or approaching concrete or brainy bloom or action of any individual; the accouterment of bloom affliction to an individual; or the past, present, or approaching acquittal for the accouterment of bloom affliction to an individual, and that identifies an alone or there is a reasonable base to accept the advice can be acclimated to analyze the alone and that is transmitted or maintained by cyberbanking media or any added anatomy or medium. PHI does not accommodate alone identifiable bloom advice in apprenticeship annal covered or absolved by the Family Educational Right and Aloofness Act and appliance annal captivated by a covered article in its role as an employer.

4.3. Use: The sharing, employment, application, utilization, examination, or assay of PHI within an article that maintains the PHI.

5. POLICY STATEMENTS:

5.1. Use and Acknowledgment of PHI for Assay – General Rule

5.1.1. UAB Covered Entities will alone use or acknowledge PHI for assay in accordance with the requirements set alternating in this policy.

5.2. Assay Use – Use and Acknowledgment Afterwards Accommodating Authorization

5.2.1. UAB Covered Entities may use and acknowledge PHI for assay by accepting IRB consent, but afterwards accepting accommodating Authorization, beneath any one of the afterward circumstances:

5.2.1.1. Reviews basic to assay – The researcher charge document  anniversary of the following:

5.2.1.1.1. use or acknowledgment is accustomed alone to analysis PHI as all-important to adapt a assay agreement or for agnate purposes basic to research;

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5.2.1.1.2. no PHI is to be removed from UAB by the researcher in the advance of the review; and

5.2.1.1.3. the PHI for which use or acceptance is accustomed is all-important for the assay purposes.

5.2.1.2. Decedent’s information:

5.2.1.2.1. Researchers may use the PHI of a asleep alone 50 years afterwards the afterlife of the alone afterwards any HIPAA allotment or waiver.

5.2.1.2.2. Researchers may use decedent advice that is beneath than 50 years from the date of the afterlife of the alone if the researcher abstracts the following:

5.2.1.2.2.1. Use or acknowledgment is alone for assay on the  PHI of decedents

5.2.1.2.2.2. at the appeal of the UAB Covered Entity, affidavit of the afterlife of the individuals; and

5.2.1.2.2.3. the PHI for which use or acceptance is accustomed is all-important for the assay purposes.

5.2.1.3. Limited Data Set – The researcher may use a Limited Data Set for assay if the researcher enters into a Data Use Agreement.

5.2.1.3.1. A Limited Data Set is PHI that excludes the following:

5.2.1.3.1.1. names

5.2.1.3.1.2. postal abode information, added than boondocks or city, State, and zip code;

5.2.1.3.1.3. blast numbers;

5.2.1.3.1.4. fax numbers

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5.2.1.3.1.5. cyberbanking mail addresses

5.2.1.3.1.6. amusing aegis numbers

5.2.1.3.1.7. medical almanac numbers

5.2.1.3.1.8. bloom plan almsman numbers

5.2.1.3.1.9. annual numbers

5.2.1.3.1.10. certificate/license numbers

5.2.1.3.1.11. agent identifiers and consecutive numbers, including allotment bowl numbers

5.2.1.3.1.12. accessory identifiers and consecutive numbers

5.2.1.3.1.13. web accepted ability locators (URLs)

5.2.1.3.1.14. internet agreement (IP) abode numbers

5.2.1.3.1.15. biometric identifiers, including feel and articulation prints; and

5.2.1.3.1.16. abounding face accurate images and any commensurable images

5.2.1.3.2. The researcher charge assurance a Data Use Agreement.

5.2.1.4. De-identified Advice – The researcher may use De-identified Bloom Advice for research. For purposes of this policy, “de-identified bloom information” agency bloom advice that does not accommodate any of the following:

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5.2.1.4.1. names

5.2.1.4.2. all geographic subdivisions abate than a State, including artery address, city, county, precinct, zip cipher and their agnate geocodes, except for the antecedent three digits of a zip cipher if, according to the Bureau of Census the geographic assemblage formed by accumulation all zip codes with the  same three antecedent digits contains added than 20,000 bodies and the antecedent three digits of a zip cipher for all such geographic units absolute 20,000 or few bodies is afflicted to 000;

5.2.1.4.3. all elements of dates (except year) anon accompanying to an individual, including bearing date, acceptance date, acquittal date, date of death, and all ages over 89 and all elements of dates (including year) apocalyptic of such age, except that such ages and elements may be aggregated into a distinct class of age 90 or older;

5.2.1.4.4. blast numbers;

5.2.1.4.5. fax numbers

5.2.1.4.6. cyberbanking mail addresses

5.2.1.4.7. amusing aegis numbers

5.2.1.4.8. medical almanac numbers

5.2.1.4.9. bloom plan almsman numbers

5.2.1.4.10. annual numbers

5.2.1.4.11. certificate/license numbers

5.2.1.4.12. agent identifiers and consecutive numbers, including allotment bowl numbers

5.2.1.4.13. accessory identifiers and consecutive numbers

5.2.1.4.14. web accepted ability locators (URLs)

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5.2.1.4.15. internet agreement (IP) abode numbers

5.2.1.4.16. biometric identifiers, including feel and articulation prints;

5.2.1.4.17. abounding face accurate images and any commensurable images; and

5.2.1.4.18. any added different anecdotic number, appropriate or cipher

5.2.1.5. IRB approval of a abandonment of accommodating allotment – A UAB Covered Article may use or acknowledge PHI for assay if it has acquired affidavit of ALL of the afterward from the UAB IRB:

5.2.1.5.1. A account that the abandonment was accustomed by the UAB IRB or added IRB accustomed by UAB IRB.

5.2.1.5.2. A account anecdotic the IRB and the date on which the abandonment was accustomed

5.2.1.5.3. A account that the IRB has bent that the abandonment satisfies the afterward criteria:

5.2.1.5.3.1. the use or acknowledgment of PHI involves no added than basal accident to the aloofness of individuals based on the attendance of the afterward elements:

5.2.1.5.3.1.1. there is an able plan to assure the identifiers from abnormal use and acknowledgment

5.2.1.5.3.1.2. there is an able plan to abort the identifiers at the ancient befalling constant with conduct of the research, unless there is a bloom or assay absolution for application the identifiers or such assimilation is contrarily appropriate by law

5.2.1.5.3.1.3. there are able accounting assurances that the PHI will not be reused or appear to any added being or entity, except as appropriate by law, for accustomed blank of the assay project, or for added assay for which the use or acknowledgment of PHI would be acceptable by law.

5.2.1.5.3.2. the assay could not apparently be conducted afterwards the about-face or abandonment

5.2.1.5.3.3. the assay could not apparently be conducted afterwards acceptance to and use of the PHI

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5.2.1.5.4. A abrupt description of the PHI for which use or acceptance has been bent to be all-important by the IRB

5.2.1.5.5. A account that the abandonment of allotment has been advised and accustomed beneath either accustomed or expedited analysis procedures

5.2.1.5.6. The signature of the Armchair or added member, as appointed by the chair, of the IRB.

5.3. Assay Use – Use and Acknowledgment With Accommodating Authorization

5.3.1. UAB Covered Entities may use and acknowledge PHI for assay by accepting the individual’s active Allotment on the accustomed UAB form.

5.3.2. Compound Authorizations

5.3.2.1. The Allotment anatomy may be accumulated with any added blazon of accounting permission for the aforementioned or addition assay study, such as,

5.3.2.1.1. With the Informed Accord certificate to participate in the research.

5.3.2.1.2. With addition Allotment for the aforementioned assay study.

5.3.2.1.3. With an Allotment for the conception or aliment of a assay database or repository.

5.3.2.2. If the Allotment anatomy contains one assay abstraction that is not conditioned on accord in addition study, as able-bodied as a abstraction that is conditioned on addition study, again the Allotment anatomy charge acutely let the accommodating apperceive the aberration amid the two Authorizations and analyze the assay abstraction that is not conditioned on accord in any added study.

5.3.2.3. Assay involving Psychotherapy Notes cannot be accumulated with any added Authorizations.

5.3.2.4. The Allotment anatomy may admittance approaching assay if the Allotment abundantly describes the approaching assay such that it would be reasonable for the alone to apprehend that his/her PHI could be acclimated or appear for that purpose and that the Allotment informs the alone if acute research, such as axis corpuscle assay or assay that may go adjoin some religious convictions, may be a possibility.

5.4. Anniversary UAB Covered Article shall advance procedures to apparatus this policy.

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6. REFERENCES: None

7. SCOPE: This action applies to all UAB Covered Entities and to UABHS Covered Entities articular in Section 3.

8. ATTACHMENTS: Note: All HIPAA forms may be begin at the UAB/UABHS HIPAA website at www.HIPAA.uab.edu.

To appearance added HIPAA Core Behavior and for added information, amuse appointment http://www.hipaa.uab.edu/index.php/policies. 

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