whistleblowers (HIPAA)

HIPAA regulations permit workforce members of covered entities -- or of business associates -- to disclose protected health information (PHI) in order to expose unlawful or unprofessional conduct.

Such "whistleblower" disclosures must be:

  • based on a "good faith belief" that such unlawful of unprofessional conduct has occurred, and that disclosure of the PHI is necessary to revealing it;
  • made to a health oversight agency, public health authority or other entity authorized by law to investigate such conduct (such as a law enforcement agency), or to an attorney retained for the purposes of determining legal options in the matter; and
  • no more than reasonably necessary to establish the unlawful or unprofessional conduct (given that the minimum necessary standard can reasonably be inferred to cover all actions associated with PHI).

Note that HIPAA regulations also prohibit covered entities from intimidating or retaliatory acts against persons who expose problems or bring complaints.

See also:

 
 

   © 2002-2006 Contributing authors and University of Miami School of Medicine