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# Title Date Creator
1 Detecting and preventing fraud, waste and abuse. 3364-15-02 2007-01-01 Director of Internal Audit & Chief Compliance Officer
2 Compliance incident reporting (non-patient). 3364-15-03 2008-08-01 Director of Internal Audit and Chief Compliance Officer
3 Confidentiality of patient information. 3364-15-10 2008-11-18 Chief Compliance Officer, Privacy Officer
4 Government investigation of fraud and abuse. 3364-15-11 2008-11-18 Compliance Officer for Health Affairs, Deputy General Counsel for Health Affairs, CEO of UTMC, Executive VP for Clinical Affairs, Dean of COMLS
5 HIPAA organizational structure and administrative responsibilities. 3364-15-01 2006-07-01 Privacy Officer, Human Resources, Information Technology, and Health Information Management
6 Non-retaliation policy. 3364-15-04 2008-08-01 Director of Internal Audit & Chief Compliance Officer
7 Protected disclosures and anonymous reporting line. 3364-15-05 2008-08-01 Director of Internal Audit & Chief Compliance Officer
8 Identity theft detection, prevention and mitigation. 3364-15-12 2009-05-01 Executive Director of Internal Audit & Chief Compliance Officer
9 Technology Accessibility. 3364-15-15 2015-02-02 Director of Campus Accessibility and Student Disability Services
10 Release of Health Information. 3364-90-01 1978-01-01 Privacy Officer, Director of Health Information Management
11 Minimum Necessary Guidelines for Use/Disclosure of Protected Health Information. 3364-90-02 2003-04-14 Privacy Officer, Director of Health Information Management
12 Medical record retention and destruction; disposal of protected health information. 3364-90-16 2010-11-15 Privacy Officer, Director Health Information Management,, Vice President for Human Resources, Vice President for Information Technology
13 Medical record amendment. 3364-90-17 2003-04-14 Privacy Officer, Director of Health Information Management
14 Patient request for confidential communications. 3364-90-18 2010-11-15 Privacy Officer, Director Health Information Management, Vice President for Human Resources, Vice President for Information Technology
15 Business associate agreement. 3364-90-13 2010-11-15 Privacy Officer, Director of Health Information Management, Legal Purchasing
16 Photographing, videotaping, filming, video recording. 3364-90-14 2010-11-17 Privacy Officer, Director of Health Information Management, Director of Communicatins
17 Accounting and documentation of disclosures of protected health information other than treatment, payment or healthcare operations. 3364-90-11 2003-04-14 Privacy Officer, Director of Health Information Management
18 Technology Accessibility/Americans with Disabilities Act Compliance Procedures. 3364-15-15 2015-02-02 Director of Campus Accessibility & Student Disability Services
19 Electronic signatures. 3364-15-16 2015-06-01 Executive Director of Internal Audit & Chief Compliance Officer
20 Medical record availability and access. 3364-90-07 2013-09-01 Privacy Officer, Director of Health Information Management

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