![]() The PHI custodian or trustee may authorize certain individuals to review health information for a variety of reasons including practice support, quality assurance, and educational and learning opportunities. Nurses in such roles should consider whether there is written authorization for them to access and use PHI if this is part of their job or within their responsibility. Other healthcare professionals not directly involved in the patient’s care may be required to access health information. 3 In order for a patient to be cared for properly, the patient’s healthcare team members must be able to share patient information with each other in order to coordinate care. Generally, PHI should only be shared with those who are providing care or who have been consulted regarding a particular patient, on a reasonable need-to-know basis. Legislation is directed at the “custodian” or “trustee” responsible for maintaining health information, but authorizes others, including nurses, to fulfil functions on its behalf.
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