CONFIDENTIALITY AND NON-DISCLOSURE STATEMENT
DONALSONVILLE HOSPITAL, INC. & SEMINOLE MANOR NURSING HOME
I, an employee, volunteer, or other member of the Workforce or Medical Staff of DONALSONVILLE HOSPITAL, INC. Health System, acknowledge that I have completed training on the Health System’s privacy, security, and breach notification policies and the privacy/security regulations issued under the Health Insurance Portability and Accountability Act of 1996 (also known as the HIPAA Privacy, Security and Breach Notification Rules and HITACH Act 2013).
DEFINITION – Protected health information (PHI)
Individually identifiable information (oral, written or electronic) including, but not limited to, information about a patient’s physical or mental health, the receipt of healthcare, or payment for that care; patient records; name, address, Social Security number, account number and others. Individually identifiable health information in Donalsonville Hospital employment records is not PHI; however, it may be subject to other state and federal privacy protections.
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