LOS ANGELES COUNTY
DEPARTMENT OF MENTAL HEALTH
  Policy 300.07 Use of Client Information for Publication
 
Policy Category:  Clinical
Distribution Level:  Directly Operated
Responsible Party:  Human Subjects Review Committee
 
Approved by Curley L. Bonds, MD, Chief Medical Officer, on Mar 28, 2024 
 
I.  PURPOSE
 
To establish a policy for approving, under limited circumstances, publication of client information that may meet the Los Angeles County Department of Mental Health (DMH/Department) Protected Health Information (PHI) de-identification standards.
 
II.  DEFINITIONS
 
Covered Entity: Health plans, health care clearinghouses, and those health care providers who conduct certain financial and administrative transactions electronically to comply with each set of final administrative simplification standards.

Limited Data Set:  Information that excludes direct identifiers of the individual, or of relatives, employers, or household members of the individual.

Protected Health Information (PHI): The individually identifiable information relating to the past, present, or future physical or mental health or condition of an individual, provision of health care to an individual, or payment for health care provided to an individual.

De-Identification of PHI: The process of removing elements of PHI so that the resultant client information or health information provides no reasonable basis for identifying a client per DMH Policy 500.04.

Publication: The dissemination of information in a manner in which it becomes publicly available.

Use or disclose: With respect to individually identifiable health information, the sharing, utilization, examination, or analysis of such information that identifies or reasonably can be used to identify a client within DMH.
 
III.  POLICY
 
A covered entity may use or disclose a limited data set only for the purposes of research, research publication, or health care operations.

DMH shall address any material breach or violation of this policy and take appropriate legal or administrative action in accordance with DMH Policies 506.01, 506.02, and 506.03.
 
IV.  PROCEDURES
 
No procedures are associated with this policy.
 
V.  AUTHORITIES