The information below comes from the statement of deficiencies compiled by health inspectors and provided to AHCJ by the Centers for Medicare and Medicaid Services. It does not include the steps the hospital plans to take to fix the problem, known as a plan of correction. For that information, you should contact the hospital, your state health department or CMS. Accessing the document may require you to file a Freedom of Information Request. Information on doing so is available here.
| EL PASO BEHAVIORAL HEALTH SYSTEM | 1900 DENVER AVE EL PASO, TX 79902 | Feb. 6, 2019 |
| VIOLATION: PATIENT RIGHTS: PRIVACY AND SAFETY | Tag No: A0142 | |
| Based on clinical record review, facility policy review, and staff interview the facility failed to implement patient privacy rights. Patients' Health information was release without the authorization from the patient. . Findings included: . Facility document titled "Patient Rights Under the HIPAA Privacy Rule" states in part, "Patients have the right to request that a Facility restrict the use or disclosure of PHI (Protected Health Information) for treatment, payment or health care operations; the disclosure to persons involved in their health care or payment for health care; and/or disclosures to notify family members or others about the individual's general condition, location or death. The process for handling a patient's request to restrict the use or disclosure of their PHI is outlined in UHS Privacy 21.0 Patient's Rights to Request Use or Disclosure Restrictions and Alternative Communications." . Facility document titled "Authorization for Disclosure and use of Protected Health Information" was signed by patient #1 on 12/11/2019. Document indicates that patient did not want information disclosed. Facility document titled "Aftercare Agency Referral Letter" indicated that the patient #1 medical information was faxed the aftercare facility without the patients' consent. " Discharge Plan Part 1 " My Recovery/Crisis Safety Plan " Psychiatric Evaluation " Last Physician's order " Aftercare Discharge Plan Part 2 " Discharge Summary " Advanced Directive/Healthcare Proxy " Patient Instructions for Home Medications The finding was confirmed by staff #9 (HIM Director) the afternoon of 2/5/2019. |
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