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Policy 13: Policy on Designated Record Sets <br /> North State Medical Transport <br /> Policy on Designated Record Sets <br /> Purpose <br /> To ensure that North State Medical Transport patients and their authorized <br /> representatives are granted rights regarding Protected Health Information ("PHI") in <br /> accordance with the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"), this <br /> policy establishes what protected health information ("PHI") at North State Medical Transport <br /> should be accessible to patients as part of a Designated Record Set ("DRS"). Under HIPAA, a <br /> DRS includes medical records that are created or used by North State Medical Transport to <br /> make decisions about the patient. <br /> Scope <br /> This policy applies to all North State Medical Transport staff members responsible for <br /> the designation of PHI into designated record sets and those responsible for fulfilling patient <br /> requests pertaining to PHI. All staff members should be familiar with the types of information <br /> that will be part of a DRS. Generally, the HIPAA Compliance Officer will be responsible for <br /> fulfilling patient requests related to PHI and for ensuring that the correct information is made <br /> part of the DRS. <br /> Procedure <br /> The DRS should only include PHI as defined under HIPAA, and should be comprised of <br /> individually identifiable healthcare and billing information created, received, maintained or <br /> transmitted by or on behalf of North State Medical Transport that is used, in whole or in part, <br /> by North State Medical Transport to make decisions about individuals. The HIPAA Compliance <br /> Officer shall be the party in charge of designating what information is part of a DRS at North <br /> State Medical Transport and for ensuring that appropriate information is being maintained by <br /> North State Medical Transport in its designated record sets. <br /> The Designated Record Set at North State Medical Transport <br /> 1. The DRS at North State Medical Transport for any requests regarding PHI includes the <br /> following records: <br /> a. Paper or electronic patient care reports ("PCR" or "ePCR") created or received by <br /> North State Medical Transport and supplementary information regarding the <br /> patient's condition. This includes any photos, videos, monitor strips, Physician <br /> Certification Statements, Refusal of Care forms, Advance Beneficiary Notice of <br />