PII/PHI & HIPAA

Please be advised that email correspondence to the Network is NOT secure and does not meet the guidelines established by the Health Insurance Portability and Accountability Act (HIPAA) for transmission of Patient Identifying Information (PII) or Protected Health Information (PHI). For more information about PII/PHI and HIPAA guidelines, please click here.

ALL security breaches MUST be reported to the Centers for Medicare and Medicaid Services (CMS).

As per CMS guidelines, if we receive PII or PHI on any patient via email, this breach must be reported to the sender and the facility administrator via email, and to CMS through the use of the CMS Incident Handling Actions. An investigation will be done by a designated CMS QualityNet (QNet) security staff member. Depending on the type and severity of the incident, internal procedures and/or external agencies will be notified as required by law. Upon receipt of our notice from the Network, it is your facility’s responsibility to notify your organization’s HIPAA compliance officer and to follow the guidelines established by your institution to comply with HIPAA mandates.