MRCSB Confidentiality Procedure Updates

1. During a medical emergency, we must attempt to seek consent (at least verbally and document later) from an individual before disclosing any substance use-related treatment information. If the individual cannot provide informed consent, then we may make the disclosure, if it is critical to the emergency situation.

True

False

2. For MRCSB staff, all electronic or telephonic work which includes PHI shall be done so via MRCSB equipment only. Which of the following statements is FALSE?

A. I can use my personal device during an urgent or emergent situation that comes up after regular work hours, for example, entering a prescription refill for an individual on the weekend. I will notify supervisor when this has occurred

B. If I am not issued a computer by MRCSB but I am required to access PHI and Credible, and it has been approved by my Program Director, I can use my personal device to document in Credible. For example, I provide mentoring services to youth

C. The Program Director and Privacy Officer, or the Executive Director, may approve a specific exception to allow a staff person to use their personal device to document in Credible

D. I can use my personal device (smart phone, tablet, or computer) any time to document in Credible without approval or discussing with my program director and the privacy officer

4. A lawyer who receives a copy of an individual’s records because of a subpoena or a ROI is now considered a “lawful holder” of SA-related PHI. Thus, they must adhere to 42 CFR, part 2. We make them aware of this by providing them with a copy of our Redisclosure Statement, which explains this.

True

False

5. A “duty to protect” action by staff always will be staffed with the appropriate program or administrative director as soon as reasonably possible, and documented in the record as a “PHI Disclosure log” service.

True

False

MRCSB Confidentiality Procedure Updates

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