WAIVER OF AUTHORIZATION

ABOUT WAIVER OF AUTHORIZATION

Since the privacy provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) became effective on April 14, 2003, researchers now need to take precautions to protect the privacy of individually identifiable health information, or "protected health information" ("PHI"). Under the HIPAA Privacy Rule, some research that was exempt from informed consent and/or IRB review now requires authorization for release of PHI or a Waiver of Authorization issued by an IRB or Privacy Board.

A Covered Entity may use or disclose protected health information for research, regardless of the source of funding of the research, provided that:

The CE obtains documentation that an alteration to, or Waiver of Authorization, as required by §164.508 for use or disclosure of protected health information, has been approved by either an Institutional Review Board (IRB), or a Privacy Board that:

  • Has members with varying backgrounds and appropriate professional competency as necessary to review the effect of the research protocol on the individual's privacy rights and related interests;
  • Includes at least one member who is not affiliated with the CE, not affiliated with any entity conducting or sponsoring the research, and not related to any person who is affiliated with any of such entities; and
  • Does not have any member participating in a review of any project in which the member has a conflict of interest.

SUBMITTING A REQUEST FOR WAIVER OF AUTHORIZATION:

To submit a request for Waiver of Authorization:

1. Provide a protocol or plan for gathering and analyzing the data. Make sure your study plan includes all these elements:

  • The objective of the research project and background of study.
  • The rationale for the use of the selected subject population.
  • The procedures that will be performed to generate research data.
  • Each element of the data set that will be used in the research and the rationale for its inclusion in the data set.
  • The anticipated beginning and end dates of the project (or approximate length of data gathering activities).
  • Number of records involved in the project.

Don't leave anything out - it will only delay the review of your request. If you cannot provide an element requested on the form, provide an explanation for its omission.

2. Provide a copy of your data recording tool.

3. The fee for review of your request for Waiver of Authorization must be included with your submission material. (For fee schedule, call or e-mail Jim Saunders. Contact information below).

REVIEW PROCESS:

Your submission will be reviewed for completeness and, if complete, will be reviewed for Waiver of Authorization as follows:

Full Board Review:
Complete submissions received by the end of the day Friday will be reviewed on the following Thursday.

Expedited Review:
If the project qualifies for Expedited Review, as determined by The Privacy Board staff, review will be completed within 2 business days.

CRITERIA FOR APPROVAL TO WAIVE AUTHORIZATION:

    A. The use or disclosure of protected health information involves no more than minimal risk to the individuals;

    B. The alteration or waiver will not adversely affect the privacy rights and the welfare of the individuals;

    C. The research could not practicably be conducted without the alteration or waiver;

    D. The research could not practicably be conducted without access to, and use of, the protected health information;

    E. There is an adequate plan to protect the identifiers from improper use and disclosure;

    F. There is an adequate plan to destroy the identifiers at the earliest opportunity consistent with conduct of the research, unless there is a health or research justification for retaining the identifiers, or such retention is otherwise required by law; and

    G. There are adequate written assurances that the protected health information will not be reused or disclosed to any other person or entity, (except as required by law, for authorized oversight of the research project, or for other research for which the use or disclosure of protected health information would be permitted by regulation);

    H. The information to be used/disclosed for the purposes of the research is the minimum necessary to accomplish the intended purpose of the use, disclosure, or request.

FEE SCHEDULE

Call or e-mail Jim Saunders for the fee schedule.
Phone: 781-431-7577


The Privacy Board
40 Washington St., Suite 130
Wellesley, MA 02481
Phone: 781-431-7577 Fax: 781-237-0330
e-mail: Jim Saunders
www.theprivacyboard.com