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How to make a complaint

complaintIf it is believed privacy rights have been violated by an HIPAA covered entity then patients have the right to complain about it.  A little research is necessary before filing a complaint is necessary to ensure the organization or individual believed contravened these rights are subject to HIPAA, and is a covered entity.

Once it has been ascertained that a covered entity has indeed broken the privacy rules then a complaint needs to be filed with the Office for Civil Rights.  The complaint must be in writing, but may be in email form or fax if preferred, and be sent to the correct regional office.  It must name the entity involved and contain a complete and lucid description of events and the reason why the rules have been broken.  A complainant has one hundred eighty days from the day of the incident to be accepted by the Office for Civil rights.

The complainant should not be scared of complaining if they firmly believe their rights have been contravened.  There is a specific clause in the rules that prohibit any kind of retaliation for filing a complaint.  If the Office for Civil Rights get to hear about any retaliations, they take a very dim view and the entity involved can get themselves into real trouble.

A good first step for any complainant is the Office for Civil Rights website where as much information as possible has been posted, and there is a complaint pack with guidance on how to complete it.  Some entities like Universities and some hospitals have their own HIPAA complaint procedures.  A complainant can choose which body to complain to, but if the entity itself is contacted it must be given adequate time to investigate and address the issue before complaining to the Office of Civil Rights.

As with any bureaucracy it will take time to process any complaint so this should be borne in mind once the complaint is made.  Adequate time must be allowed to pass to ensure the OCR can do its job.

2 Responses to “How to make a complaint”

  1. Conscience Thompson says:

    October 28, 2009 at 10:52 pm

    I am a nurse in Arizona and I use to work for a Long Term care here in AZ. I got terminated over a week ago and since then the facility keeps emailing me private information on new admissions including there date of birth, medical conditions, insurance information, current car paln issues and much more. These are patients that I have no right to know about and also on the emails that they send me it does not state that this is private information nor does it say if I have received the email in error or confidential or anything. I KNOW this is a violation of the patients privacy rights and it is not retailiation against the company however I was terminated for issues and they are clearly violating the rights. I have all the emails which are dated and show all this information. Doesnt the patients and their families have the right to know there stuff is being shred. These are NOT all patients that were there when I worked there some of them are new admissions that I never met.
    Please tell me you can help inthis matter
    Thank you
    Conscience Thompson

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