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Pages 226-231

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From page 226...
... 226 APPENDIX D SURVEY QUESTIONS TCRP, STUDY TOPIC 15-04 HOW THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA) AND OTHER PRIVACY LAWS AFFECT PUBLIC TRANSPORTATION OPERATIONS Agency Name: ________________________________________________________________________ Name of Employee: ________________________________________________________________________ Job Title: ________________________________________________________________________ Contact telephone/ cell phone number: ___________________/ _____________________ Email address: _________________________________ How many years have you been with the agency?
From page 227...
... 227 Questions and Requests 1. Does your agency receive, create, transmit or maintain health information or records on individuals for whom your agency provides transportation to doctors, hospitals, clinics, or other health care providers?
From page 228...
... 228 (c) Is your agency a hybrid entity as defined in the HIPAA regulations, for example, a department of a covered entity providing transportation services in connection with health care services subject to HIPAA?
From page 229...
... 229 If your answer is "Yes," please (a) provide details, including what kind of health information or records your agency receives, creates, transmits, or maintains and (b)
From page 230...
... 230 14. Are you aware of an opinion by any court (federal, state, city, or county)
From page 231...
... 231 18. To the extent information has not been provided already, has your agency been sued in tort, for breach of contract, or otherwise regarding an alleged, unauthorized or improper use or disclosure of health information or records your agency receives, creates, transmits, or maintains on patrons for whom your agency provides transportation to health care providers?

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