Below is a HIPAA privacy question posed by the Director of Medical Information at our 
institution. Could you please give us some direction and guidance on how to proceed.


Wentworth-Douglass Hospital would like to have an joint arrangement with our treating 
physicians which would allow the hospital to use one "Consent to the Use and 
Disclosure of Health Information for Treatment, Payment, or Healthcare Operations" as 
well as one "Notice of Health Information Practices".

Issues:

1. Does the Privacy regulations, section 164.501, "Organized health care arrangement 
allow WDH to accomplish the goal?
2. Do I need to show proof of the joint arrangement by requiring the physician groups 
to sign a document agreeing to adopt the WDH consent and notice for their WDH 
patients? 


Thank You,

Donna Maciak
Director, Performance Improvement & Regulatory Affairs
WDH



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