Policy Manual sample

MDT Home Health Care Agency, Inc. - Total number of pages, including the Cover Page - Any special instruction that may be needed - Fax operator's name and telephone number c. Mark each sheet of the faxed document "confidential." d. Always verify the digital display of the fax number before hitting the fax send button when transmitting PHI e. Notify the recipient before faxing to a number that is not listed on the Patient Fax Sheet to be sure that someone is there to receive, file, or deliver the PHI. f. Do not fax PHI if the receiving fax is not in a confidential location, or if no one is physically present at the receiving end. g. Always check the fax confirmation slip to be sure that the PHI went to the proper recipient. 4. Correcting a misdirected fax. a. If confidential patient information is faxed to the wrong party: - Contact the incorrect recipient immediately and ask to have the document destroyed or returned to MDT Home Health Care Agency, Inc. - Document on the MDT Home Health Care Agency, Inc. ProblemReport Form. Immediately review the process to identify problems, using the following sample questions, and submit the report form and process review to the Privacy Officer. - What occurred that caused the fax to go to the wrong recipient? - Was the problem human error, machine error, or both? - Does staff need additional or review of training? 5. Disciplinary Consequences for Violations a. Any employee who violates this policy shall be subject to a disciplinary review and, if warranted, shall be disciplined up to, and including, discharge for a willful, egregious offense. b. Any violation shall be immediately reported to the MDT Home Health Care Agency, Inc. Privacy Officer at telephone extension _____. Home Health Agency Policies A-89