Policy on Protected Health Information Under the Health Insurance Portability and Accountability Act (HIPAA)

April 24, 2023

The Policy on Protected Health Information Under the Health Insurance Portability and Accountability Act informs Baylor community members of the lawful handling of PHI and establishes a system and provides guidance for operating units for complying with HIPAA regulations.

Overview of Policy

• Establishes Baylor as a self-designated HIPAA Hybrid Entity

• Covers the HIPAA Privacy and Security Rules

• Establishes guidelines for securing physical, verbal, and electronic forms of PHI

• Includes reporting requirements for HIPAA disclosure incidents

• Discusses disclosures and uses of PHI

• Details authorization requirements and patient’s rights under HIPAA