Individual Assignment 4Section 164.510(b) of the Privacy Rule describes three ways that a provider can determinewhether the patient agrees or objects to a disclosure, including:1. Obtaining the individual's agreement to the disclosure2. Providing the individual with a specific opportunity to object to the disclosure, and theindividual does not express an objection to the disclosure3. Reasonably inferring from the circumstances, based on the exercise of professionaljudgment, that the individual does not object to the disclosurePart 1: Assume you are a hospital compliance officer and have been tasked with creatingprivacy and security policies and procedures for your organization. In crafting your policies andprocedures, how would you structure your institution's approach and why? Many disclosures ofPHI are permitted based on the relationship of the person seeking information to the patient.What techniques should your hospital adopt through its policies for verifying the identity of anindividual to whom information about the patient could be disclosed or to verify the individual'srelationship to the patient? Would you adopt a single approach, or would your policy vary, forinstance, based on the circumstances? Please write up a brief response (2-3 pages max, doublespaced) addressing these questions. Note that you do not have to create actual policies andprocedures in crafting your response to these questions.Part 2: How would your policy apply in each of the cases below (eg, are there certain people orcategories of individuals with whom information regarding the condition and treatment of thepatient would always, sometimes, or never be shared)? Please give support for your conclusions.A. A school bus has overturned, and 30 elementary school children are rushed to yourhospital. Some are in serious condition, some are dead when they arrive at thehospital, and some have merely cuts and bruises and will be released shortly. As theperson the hospital has designated the contact person regarding patients involved inthis terrible accident, from whom would you likely receive requests for informationabout these children and their condition? To whom would you disclose PHl and towhom would you not disclose PHI? Why?B. An ekderly widow who lives alone is brought to the ER by a neighbor who found thewoman partially conscious in the hallway of her apartment building. The ncighbor tellsthe ER intake clerk that the patient lives alone but has a daughter who lives 200 milesaway and a grandson who lives in the same town but has not seen his grandmother in10 years. Who could the hospital notify? Is there anyone else to whom informationabout the patient's condition could be disclosed? What, if anything, could the hospitaltell the neighbor who brought the woman in about the patient's condition?C. A 12-ycar-old girl is brought to the ER by a schoolmate and the schoolmate's mother. Thegirl claims that she has been attacked and raped. Her parents are divorced, and her mother,who is at work, has sole custody of the child, although her father lives nearby in the sametown. Who could the hospital notify? To whom could information about the patient bedisclosed, if askod? What, if anything, could the hospital tell the people who brought thegirl to the ER about the patient's condition?D. A famous singer falls off her horse in a nasty riding accident and is rushed to thehospital. She signs in under an assumed name. What PHI could be disclosed about thesinger and her medical condition, and to whom could it be disclosed?E. The vice president of the United States, who has a history of heart disease, is rushed tothe ER for treatment. Naturally, many inquiries are made about his condition. What PHI,if any, could be disclosed and to whom?

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