SCL Health PHI Access

Agreement for Electronic Access to PHI
THIS AGREEMENT FOR ELECTRONIC ACCESS TO PHI (“Agreement”) is made and entered into as of (“Effective Date”) by and between Sisters of Charity of Leavenworth Health System, Inc. dba SCL Health, on behalf of its Affiliate hospitals, and _____ ("External User") with _____ (Entity Name).
EXTERNAL USER (entity name)
Individual to be Granted Access
*SCL Health Sponsor must be
  • a Workforce Member (manager level or above) of SCL Health or one of the SCL Health Care Sites, or
  • if for access by a healthcare provider’s staff, a credentialed member of the Medical Staff at an SCL Health Care Site for which access is being requested
Application Access Requested
Exhibit B: ACCESS BY ANOTHER COVERED ENTITY’S WORKFORCE

Access to PHI by another Covered Entity’s Workforce into the SCL Health Patient Information Systems MUST meet one of the following permitted disclosures.

NOTE: Access by the workforce of one covered entity into the patient information systems of another covered entity, is a disclosure of protected health information by the covered entity whose patient information systems are accessed. Disclosure means the release, transfer, provision of, access to, or divulging in any other manner of information outside the entity holding the information §160.103 Definitions, Disclosure)

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