A health information organization must implement and enforce policies governing the
privacy and security of individually identifiable health information and compliance
with this chapter. These policies must:
1. Implement the individual rights prescribed in § 36-3802.
2. Address the individual's right to opt out of having the individual's individually
identifiable health information accessible through the health information organization
pursuant to § 36-3803.
3. Address the content and distribution of the notice of health information practices
prescribed in § 36-3804.
4. Implement the restrictions on disclosure of individually identifiable health information
through the health information organization as prescribed in § 36-3805.
5. Address security safeguards to protect individually identifiable health information
as required by the health insurance portability and accountability act security rule
(45 Code of Federal Regulations part 164, subpart C).
6. Prescribe the appointment and responsibilities of a person or persons who have
responsibility for maintaining privacy and security procedures for the health information
7. Require training of each employee and agent of the health information organization
about the health information organization's policies, including the need to maintain
the privacy and security of individually identifiable health information and the penalties
for the unauthorized access, release, transfer, use or disclosure of individually
identifiable health information. The health information organization must initially provide this training before
an employee or agent may have access to individually identifiable health information
available through the health information organization, and at a later time as reasonable
and appropriate in accordance with the training implementation specifications required
by the health insurance portability and accountability act privacy rule (45 Code of Federal Regulations section 164.530(b)).
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