{"id":2427,"date":"2018-04-09T17:20:54","date_gmt":"2018-04-09T21:20:54","guid":{"rendered":"https:\/\/www.med.unc.edu\/patientprivacy\/?page_id=2427"},"modified":"2025-03-20T13:23:45","modified_gmt":"2025-03-20T17:23:45","slug":"policies","status":"publish","type":"page","link":"https:\/\/www.med.unc.edu\/patientprivacy\/policies-and-forms\/policies\/","title":{"rendered":"Policies"},"content":{"rendered":"<p style=\"text-align: center\">** NOTE: If you <span style=\"font-size: 11.0pt\">are unable to access PolicyStat through UNC Health, please contact <a href=\"mailto:privacy@unchealth.unc.edu\">privacy@unchealth.unc.edu<\/a> and a member of the Privacy team can assist with providing a PDF copy of the policy to you. <\/span><\/p>\n<h2>Governance: Privacy Policy Applicability Across the UNC Health and UNC School of Medicine<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/7944532\/latest\/\">UNC Health Covered Entity Explained and OHCA and ACE Designations<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179321\/latest\/\">Designation of UNC Health Chief Privacy Officer and Chief Security Officer<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Protected Health Information (PHI)<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179222\/latest\/\">PHI and De-identification of PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179490\/latest\/\">Minimum Necessary<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179626\/latest\/\">Limited Data Sets<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Investigations, Sanctions, Breach Reporting and Whistleblower Protections<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5178857\/latest\/\">Investigating and Responding to Privacy Incidents and Complaints<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5178839\/latest\/\">Sanctions for Violations of Privacy Policies<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179755\/latest\/\">Duty to Report Suspected Incidents, Duty to Cooperate with Investigation and Duty to Mitigate Harm<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179247\/latest\/\">Breach Notification<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179347\/latest\/\">Investigation of Complaints by Secretary of the Department of Health and Human Services<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179232\/latest\/\">Whistleblowers and Anti-Retaliation Policy<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Health Information, Patient Rights and Medical Records<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179358\/latest\/\">Personal Representatives<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare-uncmc.policystat.com\/policy\/4661950\/latest\/\">Retention of the Designated Record Set, the Legal Health Record, and Financial Records<\/a>\n<ul>\n<li><a href=\"https:\/\/unchealthcare-uncmc.policystat.com\/policy\/4823551\/latest\/\">Designated Record Set<\/a> (UNC MC)<\/li>\n<\/ul>\n<\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179391\/latest\/\">Patient Right of Access to Inspect and Obtain a Copy of PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/7268015\/latest\/\">Physician Access of UNCHCS Medical Records of their Family Members, Friends, and Co-workers<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5180361\/latest\/\">Right to Request Amendment to PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179307\/latest\/\">Right to Accounting of Disclosure<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5180526\/latest\/\">Right to Request Restrictions on Uses and Disclosures of PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5180419\/latest\/\">Right to Confidential Communications<\/a><\/li>\n<li>\n<p class=\"noSpacingAbove spacingBelow\" data-text-type=\"withSpacing\"><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/14958356\/latest\">Rights Under the General Data Protection Regulation for EU Citizens Who are Patients of UNCHCS<\/a><\/p>\n<\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5178828\/latest\/\">Copy Requests and Charges for PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5419739\/latest\/\">Disposal\/Destruction of PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179343\/latest\/\">Verificiation of Identity<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Transportation of Paper PHI and Transmission of Electronic PHI<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5346687\/latest\/\">Transportation of PHI on and Off-Site<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179485\/latest\/\">Fax Transmission of PHI<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Uses and Disclosures of PHI<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/14940169\/latest\/\">Information Blocking<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5346689\/latest\/\">Notice of Privacy Practices<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179568\/latest\/\">Uses and Disclosures of PHI Requiring Authorization<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179581\/latest\/\">Uses and Disclosures of PHI Not Requiring Patient Authorization<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179653\/latest\/\">Uses and Disclosures of PHI for Marketing<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179538\/latest\/\">Use and Disclosure of PHI of Deceased Individuals<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179523\/latest\/\">Release of PHI for Workers&#8217; Compensation Purposes<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179609\/latest\/\">Use and Disclosure of PHI for Specialized Government Functions<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5180581\/latest\/\">Public Health Activities &#8211; Disclosures of PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179780\/latest\/\">Uses and Disclosures: Friends and Family<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179725\/latest\/\">Uses and Disclosures of PHI for\u00a0Fundraising Purposes<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5181100\/latest\/\">Uses and Disclosures of PHI for Facility Directory Purposes<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179593\/latest\/\">Use and Disclosure of Immunization Records<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179753\/latest\/\">Sale of PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/14958233\/latest\">Verbal Release of PHI<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179343\/latest\/\">Verification of Identity<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Training<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179635\/latest\/\">HIPAA Training for UNC Health Workforce<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Business Associates<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5440809\/latest\/\">Business Associates\u00a0<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Safeguards<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/6046588\/latest\/\">Information Security<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179741\/latest\/\">Administrative, Physical and Technical Safeguards<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5181263\/latest\/\">Physical Safeguards<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5180945\/latest\/\">Electronic Patient Information Access and Auditing of Access<\/a><\/li>\n<\/ul>\n<hr  style=\"margin:30px 0\"class=\" rule-thin osc-rule\" \/>\n<h2>Administrative Policies<\/h2>\n<ul>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5179706\/latest\/\">Changes in Policies<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5180597\/latest\/\">Documentation and Retention of Records<\/a><\/li>\n<li><a href=\"https:\/\/unchealthcare.policystat.com\/policy\/5181362\/latest\/\">Preemption of State Law<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>** NOTE: If you are unable to access PolicyStat through UNC Health, please contact privacy@unchealth.unc.edu and a member of the Privacy team can assist with providing a PDF copy of the policy to you. Governance: Privacy Policy Applicability Across the UNC Health and UNC School of Medicine UNC Health Covered Entity Explained and OHCA and &hellip; <a href=\"https:\/\/www.med.unc.edu\/patientprivacy\/policies-and-forms\/policies\/\" aria-label=\"Read more about Policies\">Read more<\/a><\/p>\n","protected":false},"author":79870,"featured_media":2629,"parent":2421,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"class_list":["post-2427","page","type-page","status-publish","has-post-thumbnail","hentry","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Policies - Privacy Office<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.med.unc.edu\/patientprivacy\/policies-and-forms\/policies\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Policies - Privacy Office\" \/>\n<meta property=\"og:description\" content=\"** NOTE: If you are unable to access PolicyStat through UNC Health, please contact privacy@unchealth.unc.edu and a member of the Privacy team can assist with providing a PDF copy of the policy to you. 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