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Policy 15: Action Plan on News Media Interaction <br /> North State Medical Transport <br /> Action Plan on News Media Interaction <br /> Step 1: Is the request asking North State Medical Transport to disclose PHI? YES NO <br /> Upon receipt of a request for information from the news media,the Public Information <br /> Officer or HIPAA Compliance Officer shall determine whether the request is asking Go to Step 2 Go to Step 3 <br /> North State Medical Transport to disclose PHI. <br /> Step 2: North State Medical Transport will not release any PHI to the news media absent a patient's written,signed authorization. The Public Information Officer or HIPAA <br /> Compliance Officer may consider asking the patient,or the patient's personal representative,whether they would agree to allow North State Medical Transport to release the <br /> requested PHI to the news media. In the event that the patient or the patient's authorized representative does agree to permit North State Medical Transport to make the <br /> disclosure,the Public Information Officer or HIPAA Compliance Officer shall require the individual to complete and sign North State Medical Transport's"Authorization to Use and <br /> Disclose Protected Health Information"Form to permit the disclosure. North State Medical Transport may only disclose PHI to the media in strict compliance with what the <br /> Authorization states. <br /> Step 3: North State Medical Transport may release the following types of"de-identified"information to members of the media in accordance with North State Medical <br /> Transport's"Policy on News Media Interaction": <br /> • Name of hospital <br /> • Number of patients <br /> • Age and gender of patients <br /> • Designation of crew members <br /> • Type of transport <br />