Explain the principles of PHI.

Explanation should include knowledge of

  • individually identifiable health information
    • demographic data that can identify the individual’s past, present, or future physical or mental health or condition
    • common identifiers (e.g., name, address, birth date, Social Security number)

  • Privacy Rule, which protects all individually identifiable health information held or transmitted by a covered entity or business associate, in any form (i.e., electronic, paper, oral)
  • provisions of health care to the individual
  • past, present, or future payment for the provision of health care to the person
  • individually identifiable health information including many Privacy Rule excludes from PHI employment records that a covered entity maintains related to employer, education, and certain other records per the Family Educational Rights and Privacy Act (FERPA) (https://www2.ed.gov/policy/gen/guid/fpco/ferpa/index.html Links to an external site.). 
  • de-identified health information which has no restrictions on the use or disclosure
  • de-identified information which neither identifies nor provides a reasonable basis to identify a person
  • two ways to de-identify information
    • formal determination by a qualified statistician
    • removal of specified identifiers of individual, family members, household members, and employer.

Process/Skill Questions:

  • What forms of media are covered under the Privacy Rule?
  • Who can release health information?
  • How can payment history affect patient care?
  • What are the individual identifiers under PHI?
  • What is de-identified health information?
  • How does one de-identify PHI?