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a <br />A01 <br />EXHIBIT 1: ACKNOWLEDGEMENT OF OBLIGATION TO INFORM PATIENTS OF PARTICIPATION <br />I acknowledge that as a Covered Entity, our organization is obligated to inform our patients regarding our <br />participation in health information exchange. I have received a copy of the MHIN Community View Access <br />Management Policy, HIE Patient Opt -Out Policy, and suggested wording that can be used in our Notice of <br />Privacy Practices (NPP), <br />I have also been made aware that the Office of Civil Rights (OCR) encourages healthcare providers to include <br />information about health information exchanges in their NPP. The OCR takes the position that providers <br />should be "open and transparent about any policies,, procedures, and technologies that directly affect <br />individuals and/ortheir individually identifiable health information." As noted by the OCR, healthcare providers <br />are encouraged to use their NPPs or a separate notice of the disclosures that may be made to and through a <br />health information exchange, and describe how the patient's Protected Health Information (PHI) will be <br />protected. So although notice of participation in a health information exchange is not a required element of a <br />NPP', the OCR advises that covered entities furnish this information to their patients to promote openness and <br />transparency. <br />Signed: <br />&t,VA0VED <br />By: '16411*4 of Piwic WDirki, <br />Printed: Y Tuw <br />Title: <br />Company: <br />Date: <br />I "Openness and Transparency," The HIPAA Privacy Rule and Electronic Health Information Exchange in a <br />Networked Environment. Office of Civil Rights, Accessed Aug. 27, 2014. http://www.lihs.gov/ocr/privacy/ <br />hipaa/understanding/special/healthit/opennesstransparency.pdf <br />WIN Form #3013 Revised.- 0810812014 page 19 of 19 <br />