Health Information Management

What are our liabilities if one of our employees or business associates discloses PHI in a whistleblowing capacity?

HIPAA Weekly Advisor, August 22, 2005

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HIPAA provides protection to a covered entity for the good faith whistleblower action of a member of its workforce or a business associate. A covered entity is not in violation of the HIPAA requirements when a member of its workforce or a business associate of the covered entity discloses PHI to

  • a health oversight agency or public health authority authorized by law to investigate or otherwise oversee the relevant conduct or conditions of the covered entity for the purpose of reporting the allegation of failure to meet professional standards or misconduct by the covered entity
  • an appropriate healthcare accreditation organization for the purpose of reporting the allegation of failure to meet professional standards or misconduct by the covered entity
  • an attorney, for the purpose of determining his or her legal options with respect to whistleblowing

For the covered entity to be protected from misuse of PHI, the whistleblower must

  • believe in good faith that the covered entity has engaged in conduct that is unlawful or otherwise violates professional or clinical standards, or that the care, services, or conditions provided by the covered entity potentially endangers one or more patients, workers, or the public
  • disclose the information to a health oversight agency or public health authority, to a healthcare accreditation organization, or to an attorney retained by the employee or business associate for determining the legal options available

Go to the Section 164.502(j) Disclosures by Whistleblowers and Workforce Member Crime Victims of the Bricker & Eckler Web site for more information.

Editor's note: Attorneys from Bricker & Eckler, LLP, answered this question. This is not legal advice. Consult with your attorney for legal matters.



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