HIPAA PAT-601 Access to Protected Health Information

This policy describes when it is appropriate to permit a patient to access his or her Protected Health Information and the procedures to follow when approving or denying a patient request to access his or her Protected Health Information.

HIPAA Privacy Rule: Education of Covered Workforce

It is USC’s policy to provide education to its faculty, staff, students and other employees or volunteers who use, disclose or access Protected Health Information as part of their job responsibilities at USC.

Emergency Management

The university recognizes the need to prepare for unexpected events such as natural or human-caused disasters, as well as the need to return the university as quickly as possible to its normal operations should such events occur.

HIPAA CLIN-207 Security Risk Analysis and Management

In accordance with the HIPAA Security Rule, USC maintains a HIPAA security risk analysis and management program to assess and prioritize risks to the confidentiality,
integrity and availability of Protected Health Information (PHI) and to respond, accept or remediate as appropriate.

Unmanned Aerial Systems (drones)

Due to potential risks to safety, security and privacy, USC generally prohibits operations of an Unmanned Aerial System (UAS; commonly known as a drone) on or above USC property or in connection with a USC-sanctioned or affiliated event or activity, including commercial, recreational, hobbyist, or other uses.

Disability Accommodations

The university is committed to the full accessibility of our campus, programs and activities to individuals with disabilities.

Sponsored Project Funded Expense Provisions (Expenditures)

The purpose of this policy is to ensure controls for sponsored project funded expense provisions. When expenses are to be charged to a sponsored project account, the terms of the applicable contract or grant will take precedence over university expenditure policies.

HIPAA PAT-604 Patient Requests to Restrict Uses and Disclosures of Protected Health Information

USC will consider requested restrictions. However, except in the limited circumstances described below, USC has no obligation to agree to any such request, nor is it required to cite a reason for refusing to do so.

HIPAA PAT-603 Accounting of Disclosures of Protected Health Information

This policy describes the process for responding to a patient’s request for an accounting of disclosures of his or her Protected Health Information.

HIPAA PAT-602 Patient Requests to Amend Protected Health Information

Except as set forth below, the University of Southern California (USC) recognizes the right of a patient to request an amendment to his or her Protected Health Information or a record about a patient maintained by USC in a “Designated Record Set.”

Postdoctoral Scholars

USC recognizes the importance of assisting postdoctoral scholars as they develop into independent investigators.

Human Anatomic Materials Procurement

USC is committed to ensuring that human anatomical materials used for academic purposes meet all applicable regulatory and safety requirements.

HIPAA PAT-606 Resolution of Patient Complaints

It is USC’s policy to provide a process for individuals to make complaints regarding USC’s compliance with the Privacy Rule.

HIPAA PAT-605 Patient Requests to Receive Confidential Communications

It is USC’s policy to accommodate a reasonable request by a patient to receive communications of Protected Health Information from USC by alternative means or at alternative locations, provided the procedures for requesting such accommodations as set forth below, are followed.

HIPAA CLIN-206 Minimum Security Standards for ePHI for Keck

Keck Medicine of University of Southern California (Keck) recognizes that federal and California law require that Protected Health Information receive the highest level of access control and security protection in order to safeguard the confidentiality and protect the patients’ right to privacy of such information consistent with USC’s privacy policies.

HIPAA RES-301 Uses and Disclosures of Protected Health Information for Research Purposes

Federal and state regulations govern the protection of human subjects in research. While these regulations provide for some patient confidentiality protections, the HIPAA Privacy Rule adds additional privacy protections for human subjects and establishes the conditions under which protected health information (“PHI”) may be used or disclosed
by the University of Southern California (USC) for research purposes.

HIPAA CLIN-203 Special Privacy Considerations

USC recognizes that federal and California law require that certain categories of patient’s Protected Health Information receive additional privacy protections.

HIPAA CLIN-202 Personal Representatives of Patients

A patient’s “Personal Representative” is the person who has the authority, under California law, to make health care decisions on behalf of the patient. Although there are exceptions, in general a person who has the capacity to make his or her
own health care decisions does not have a Personal Representative.

Missing Student Information

USC supports the health and safety of all students. This policy and procedure has been developed to assist in locating students who reside in on-campus and university-owned housing and who have been determined by USC to be missing.

Injury and Illness Prevention

USC is committed to excellence in environmental health and safety stewardship on our campuses and in the larger USC community. This policy outlines safety responsibilities and requirements placed on all USC personnel (faculty, staff, students, contractors, and volunteers)—to support injury and illness prevention, maintain a safe and healthful workplace, and ensure individual and institutional compliance with relevant environmental health and safety regulations.

Violence-Free Campus and Workplace

The university’s goal is to enhance the safety of all USC campuses, facilities, activities, and events so that students, faculty, staff, patients and visitors can work, learn and receive health care in an environment free from violence and threats.

Weekday Football Game Protocol

These guidelines have been developed for the purpose of establishing the university’s expectations regarding the management of weekday football games.

Conflict of Interest in Research

The purpose of this policy is to promote the highest ethical standards in situations where conflicts of interest may occur in the conduct of research.

Campus Access

The university reserves the right to restrict or prohibit access to university property and to prohibit certain activities on campus.

Reporting Wrongdoing

USC requires faculty, staff, students, volunteers and others affiliated with the university to report suspicion of wrongdoing promptly to the proper authorities for investigation.

HIPAA CLIN-201 Use of Protected Health Information for Treatment Payment and Health Care Operations

University of Southern California (USC) is permitted to use and disclose an individual’s Protected Health Information for treatment, payment and health care operations, provided: USC gives patients a Notice of Privacy Practices (Notice), which
describes the ways in which USC may use patients’ PHI; USC makes a good faith effort to obtain written acknowledgement of receipt of the Notice; and USC only uses and releases the minimum amount of health information necessary when doing so for payment or healthcare operations purposes.

HIPAA CLIN-204 Facility Directory

Purpose is to ensure that the maintenance of the facility directory at University of Southern California is in accordance with the HIPAA privacy regulations.

HIPAA CLIN-200 Notice of Privacy Practices

The University of Southern California (USC) is required to give all patients a Notice of Privacy Practices (Notice), which explains i) the ways that USC may use and release their health information; and ii) describes the patients’ rights with respect to their health information.

HIPAA GEN-105 Disclosures of Deidentified

The University of Southern California (USC) may use or disclose de-identified health information without obtaining a patient’s authorization.

HIPAA GEN-103 Public Policy Disclosures

USC may use or disclose PHI for treatment, payment and health care operations without an individual’s authorization in accordance with USC HIPAA Policy CLIN – 201 and USC’s Notice of Privacy Practices, provided the individual has acknowledged receipt of USC’s Notice of Privacy Practices or USC has made good faith efforts to obtain the individual’s acknowledgement of receipt.

HIPAA GEN-102 When to Obtain Authorizations

The University of Southern California (USC) may use and disclose an individual’s Protected Health Information (PHI) only pursuant to a written Authorization of the
patient or the patient’s Personal Representative with the following exceptions.

Student Records

The University of Southern California maintains the privacy of student education records and allows students the right to inspect their education records consistent with the requirements of the Family Educational Rights and Privacy Act of 1974 (FERPA).