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case study
Private Practice Implements Safeguards for Waiting Rooms
Covered Entity: Private Practice
Issue: Safeguards; Impermissible Uses and Disclosures
A staff member of a medical practice discussed HIV testing procedures with a patient in the
waiting room, thereby disclosing PHI to several other individuals. Also, computer screens
displaying patient information were easily visible to patients. Among other corrective actions to
resolve the specific issues in the case, OCR required the provider to develop and implement
policies and procedures regarding appropriate administrative and physical safeguards related to
the communication of PHI. The practice trained all staff on the newly developed policies and
procedures. In addition, OCR required the practice to reposition its computer monitors to
prevent patients from viewing information on the screens, and the practice installed computer
monitor privacy screens to prevent impermissible disclosures.
Recommendations
1. Determine and discuss specific strategies for preventing such HIPAA violations in the future.
2. What should be done and who should do it to make sure that such violations do not recur?

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