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SOP: HIPAA Privacy & Minimum Necessary Standard

How to protect PHI and follow the HIPAA minimum necessary standard.

SOP: HIPAA Privacy & Minimum Necessary Standard

This SOP defines how we protect resident PHI and apply the minimum necessary rule in daily workflows.

Key rules

  • Access PHI only to do your job.
  • Discuss PHI in private areas; avoid elevators and lobbies.
  • Use resident initials on whiteboards.

Checklist

  • Screens locked when unattended
  • Papers face-down; shred bins used
  • Email PHI sent via secure channel only

Download: HIPAA Privacy Quick Guide (PDF)

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