Patient Right to Request an Amendment | Page 4

Title : Patient Right to Request an Amendment Page 4 of 6 Number : RENOWN . CCD . 740 Effective : 8 / 16 / 2017
could foreseeably rely , on such information to the detriment of the individual .
5 . Denial of the Amendment
a . If Renown denies the amendment in whole or in part , this organization will provide the individual who requested the amendment with a written denial within sixty ( 60 ) days after receipt of the Request for Amendment .
b . The denial will use plain language and contain : 1 ) One of the following reasons for the denial : i . Was not created by this organization ;
ii . The individual originator of PHI is no longer available to act on the requested amendment ;
iii . Is not part of the Designated Record Set ;
iv . Would not be available for inspection ( e . g . psychotherapy notes , information compiled in anticipation of , or for use in a civil , criminal or administrative action or proceeding ) or ;
v . Is accurate and complete .
2 ) A statement of the individual ’ s right to submit a written statement disagreeing with the denial and how the individual may file such a statement ;
3 ) A statement that , if the individual does not submit a statement of disagreement , the individual may request that this organization provide the individual ’ s request for amendment and the denial with any future disclosures of the PHI that is the subject of the amendment ; and
4 ) A description of how the individual may complain to this organization pursuant to the complaint procedures established as part of HIPAA or to the Secretary of the U . S . Department of Health and Human Services . The description must include the name , or title and telephone number of this organization ’ s Privacy Officer .
c . For partial denials , the denial notice will explain what portion of the amendment will be granted and what portion will be denied .
1 ) The notice will also explain how the patient may contact this organization if he or she wishes the organization to make the partial amendment .