Federal Register / Vol. 81, No. 19 / Friday, January 29, 2016 / Notices 5033 

DEPARTMENT OF VETERANS 

AFFAIRS 

Privacy Act of 1974; Amendment of 

System of Records 

AGENCY: Department of Veterans Affairs 

(VA). 

ACTION: Notice of amendment of system 

of records. 

SUMMARY: As required by the Privacy 

Act of 1974 (5 U.S.C. 552a(e)(4)), notice 

is hereby given that the Department of 

Veterans Affairs (VA) is amending the 

system of records entitled ‘‘Ethics 

Consultation Web-based Database 

(ECWeb)-VA’’ (152VA10E) as set forth 

in 76 FR 43386. VA is amending the 

system of records by revising the System 

Number, Categories of Individuals 

Covered by the System, Category of 

Records in the System, Purpose, Routine 

Uses of Records Maintained in the 

System, Safeguards, Retention and 

Disposal, and System Manager and 

Address. VA is republishing the system 

notice in its entirety. 

DATES: Comments on this new system of 

records must be received no later than 

February 29, 2016. If no public 

comment is received during the period 

allowed for comment or unless 

otherwise published in the Federal 

Register by VA, the new system will 

become effective February 29, 2016. 

ADDRESSES: Written comments 

concerning the amended system of 

records may be submitted through 

www.regulations.gov; by mail or handdelivery to Director, Regulations 

Management (02REG), Department of 

Veterans Affairs, 810 Vermont Avenue 

NW., Room 1068, Washington, DC 

20420; or by fax to (202) 273–9026. All 

comments received will be available for 

public inspection in the Office of 

Regulation Policy and Management, 

Room 1063B, between the hours of 8:00 

a.m. and 4:30 p.m., Monday through 

Friday (except holidays). Please call 

(202) 461–4902 for an appointment. In 

addition, during the comment period, 

comments may be viewed online 

through the Federal Docket Management 

System (FDMS) at www.regulations.gov. 

FOR FURTHER INFORMATION CONTACT: 

Kenneth Berkowitz, MD, Acting 

Executive Director, National Center for 

Ethics in Health Care (10P6), 

Department of Veterans Affairs, 810 

Vermont Avenue NW., Washington, DC 

20420; telephone (202) 501–0364. 

SUPPLEMENTARY INFORMATION: The 

system number is changed from 

152VA10E to 152VA10P6 to reflect the 

current organizational alignment. 

The Category of Individuals Covered 

by the System is being amended to 

remove beneficiaries of other Federal 

agencies and replace it with other 

requesters or participants from outside 

VA for whom personal information will 

be collected. 

The Category of Records in the 

System is being amended to add that the 

ECWeb record documents the 

consultation request, relevant 

consultation specific information, a 

summary of the information including 

the ethical analysis and moral 

deliberation, the explanation of the 

findings to relevant parties and support 

of the consultation process. The ECWeb 

record also includes related notes and 

attachments. 

The Purpose in this system of records 

is being amended to include education, 

but will remove law enforcement 

investigations. 

Routine Uses of Records Maintained 

in the System being deleted are: 

2. Disclosure of health care information 

furnished and the period of care, as deemed 

necessary and proper, to accredited service 

organization representatives and other 

approved agents, attorneys, and insurance 

companies to aid claimants whom they 

represent in the preparation, presentation 

and prosecution of claims under laws 

administered by VA, state or local agencies. 

3. VA may disclose on its own initiative 

any information in this system, except the 

names and home addresses of Veterans and 

their dependents, which is relevant to a 

suspected or reasonably imminent violation 

of law, whether civil, criminal or regulatory 

in nature, and whether arising by general or 

program statute or by regulation, rule or 

order issued pursuant thereto, to a Federal, 

state, local, tribal, or foreign agency charged 

with the responsibility of investigating or 

prosecuting such violation, or charged with 

enforcing or implementing the statute, 

regulation, rule or order. On its own 

initiative, VA may also disclose the names 

and addresses of Veterans and their 

dependents to a Federal agency charged with 

the responsibility of investigating or 

prosecuting civil, criminal or regulatory 

violations of law, or charged with enforcing 

or implementing the statute, regulation, rule 

or order issued pursuant thereto. 

5. Relevant information may be disclosed 

in the course of presenting evidence to a 

court, magistrate or administrative tribunal, 

in matters of guardianship, inquests and 

commitments; to private attorneys 

representing Veterans rated incompetent in 

conjunction with issuance of Certificates of 

Incompetency; and to probation and parole 

officers in connection with Court required 

duties. 

15. For program review purposes and the 

seeking of accreditation and/or certification, 

health care information may be disclosed to 

survey teams of The Joint Commission (TJC), 

and similar national accrediting agencies or 

boards with whom VA has a contract or 

agreement to conduct such reviews, but only 

to the extent that the information is necessary 

and relevant to the review. 

18. Patient identifying information may be 

disclosed to Federal agencies and VA and 

government-wide third party insurers 

responsible for payment of the cost of 

medical care for the identified patients, in 

order for VA to seek recovery of the medical 

care costs. These records may also be 

disclosed as part of a computer matching 

program to accomplish these purposes. 

19. Relevant health care information may 

be disclosed to health and welfare agencies, 

housing resources and utility companies, 

possibly to be combined with disclosures to 

other agencies, in situations where VA needs 

to act quickly in order to provide basic and/ 

or emergency needs for the Veteran and 

Veteran’s family where the family resides 

with the Veteran or serves as a caregiver. 

All of the Routine Uses of Records 

Maintained in the System are 

renumbered due to the deletions to 

allow for sequential numbers. Routine 

use 29 which stated: Assist in quality 

improvement efforts with respect to 

ethics consultation practices as part of 

approved research or ongoing quality 

improvement projects is now routine 

use 21 which is being clarified to state 

that disclosure of ethics consultation 

records to groups (e.g., American 

Society for Bioethics and the 

Humanities) performing improvement 

or quality assessments as part of 

approved research or ongoing quality 

improvement projects with respect to 

ethics consultation practices. 

Safeguards number 3 is being 

amended to remove access to the Austin 

VA Data Processing Center is generally 

restricted to Center employees, 

custodial personnel, Federal Protective 

Service and other security personnel. 

The Retention and Disposal is being 

amended to remove in accordance with 

the records is deposition authority 

approved by the Archivist of the United 

States, paper records and information 

stored on electronic storage media are 

maintained for 75 years after the last 

episode of patient care then destroyed/ 

deleted. This section will now state that 

records that are stored within 

Computerized Patient Record System 

(CPRS) and Veterans Health Information 

Systems and Technology Architecture 

(VistA) will be maintained in 

accordance with Record Control 

Schedule (RCS) 10–1 Item # XLIII–2, 

Electronic Health Records, NARA job# 

N1–15–02–3. All other records 

maintained outside the Electronic 

Health Record will be maintained in 

accordance with General Records 

Schedule (GRS) 25 Ethics Program 

Records Item 1.a and 1.b (N1–GRS–01– 

1 item 1a & 1b). 

The System Manager and Address is 

amending the official responsible for 

policies and procedures from the Chief 


jstallworth on DSK7TPTVN1PROD with NOTICES
5034 Federal Register / Vol. 81, No. 19 / Friday, January 29, 2016 / Notices 

Ethics in Health Care to the Executive 

Director. 

The notice of amendment and an 

advance copy of the system notice have 

been sent to the appropriate 

Congressional committees and to the 

Director of Office of Management and 

Budget (OMB) as required by 5 U.S.C. 

552a(r) (Privacy Act) and guidelines 

issued by OMB (65 FR 77677), 

December 12, 2000. 

Signing Authority 

The Secretary of Veterans Affairs, or 

designee, approved this document and 

authorized the undersigned to sign and 

submit the document to the Office of the 

Federal Register for publication 

electronically as an official document of 

the Department of Veterans Affairs. 

Robert L. Nabors II, Chief of Staff, 

approved this document on January 12, 

2016, for publication. 

Dated: January 13, 2016. 

Kathleen M. Manwell, 

Program Analyst, VA Privacy Service, Office 

of Privacy and Records Management, 

Department of Veterans Affairs. 

152VA10P6 

SYSTEM NAME: 

Ethics Consultation Web-based 

Database (ECWeb)-VA 

SYSTEM LOCATION: 

Automated records within the Ethics 

Consultation Web-based Database 

(ECWeb) may be maintained on a VAowned server administered by the 

Department of Veterans Affairs, 810 

Vermont Avenue NW., Washington, DC. 

CATEGORIES OF INDIVIDUALS COVERED BY THE

SYSTEM: 

The records include information 

concerning. 

1. Veterans who have applied for 

health care services under Title 38, 

U.S.C., Chapter 17, and members of 

their immediate families. 

2. Spouse, surviving spouse, and 

children of Veterans who have applied 

for health care services under Title 38, 

U.S.C., Chapter 17. 

3. Other requesters or participants 

from outside VA for whom personal 

information will be collected. 

4. Individuals examined or treated 

under contract or resource sharing 

agreements. 

5. Individuals examined or treated for 

research or donor purposes. 

6. Individuals who have applied for 

Title 38 benefits, but who do not meet 

the requirements under Title 38 to 

receive such benefits. 

7. Individuals who were provided 

medical care under emergency 

conditions for humanitarian reasons. 

8. Pensioned members of allied forces 

provided health care services under 

Title 38, U.S.C., Chapter I. 

9. Current and former employees. 

10. Contractors employed by the 

Department of Veterans Affairs. 

CATEGORIES OF RECORDS IN THE SYSTEM: 

The ECWeb record documents the 

consultation request, relevant 

consultation specific information, a 

summary of the information including 

the ethical analysis and moral 

deliberation, the explanation of the 

findings to relevant parties and support 

of the consultation process. The ECWeb 

record also includes related notes and 

attachments. 

The records may include information 

related to ethics consultations 

performed in and for VHA medical 

treatment facilities. Information may 

include relevant information from a 

health record (a cumulative account of 

sociological, diagnostic, counseling, 

rehabilitation, drug and alcohol, 

dietetic, medical, surgical, dental, 

psychological, and/or psychiatric 

information compiled by VA 

professional staff and non-VA health 

care providers); subsidiary record 

information (e.g., tumor registry, dental, 

pharmacy, nuclear medicine, clinical 

laboratory, radiology, and patient 

scheduling information); identifying 

information (e.g., name, address, date of 

birth, partial social security number), 

military service information (e.g., dates, 

branch and character of service, service 

number, health information), family or 

authorized surrogate information (e.g., 

next-of-kin and person to notify in an 

emergency), employment information 

(e.g., occupation, employer name and 

address), and information pertaining to 

the individual’s medical, surgical, 

psychiatric, dental, and/or treatment 

(e.g., information related to the chief 

complaint and history of present illness; 

information related to physical, 

diagnostic, therapeutic, special 

examinations, clinical laboratory, 

pathology and x-ray findings, 

operations, medical history, 

medications prescribed and dispensed, 

treatment plan and progress, 

consultations; photographs taken for 

identification and medical treatment, 

education and research purposes; 

facility locations where treatment is 

provided; observations and clinical 

impressions of health care providers to 

include identity of providers and to 

include, as appropriate, the present state 

of the patient’s health, an assessment of 

the patient’s emotional, behavioral, and 

social status, as well as an assessment 

of the patient’s rehabilitation potential 

and nursing care needs). In addition the 

record may include the name and 

contact information for health care 

providers, and information regarding 

health care rendered by those providers. 

AUTHORITY FOR MAINTENANCE OF THE SYSTEM: 

Title 38, U.S.C., 501(b), 304, 7301, 

and 7304(a). 

PURPOSE(S): 

The automated records may be used 

for such purposes as: Ethics 

consultation concerning education; 

ongoing treatment of the patient; 

documentation of treatment provided; 

payment; health care operations such as 

producing various management and 

patient follow-up reports; responding to 

patient and other inquiries; for 

epidemiological research and other 

health care related studies; statistical 

analysis, resource allocation and 

planning; providing clinical and 

administrative support to patient health 

care; audits, reviews and investigations 

conducted by staff of the health care 

facility, the VISN’s, VA Central Office, 

and the VA Office of Inspector General 

(OIG); sharing of health information 

between and among Veterans Health 

Administration (VHA), Department of 

Defense (DoD), Indian Health Services 

(IHS), and other government and private 

industry health care organizations; 

quality improvement/assurance audits, 

reviews and investigations; personnel 

management and evaluation; employee 

ratings and performance evaluations, 

and employee disciplinary or other 

adverse action, including removal; 

advising health care professional 

licensing or monitoring bodies or 

similar entities of activities of VA and 

former VA health care personnel; and, 

accreditation of a VA health care facility 

by an entity such as TJC. 

ROUTINE USES OF RECORDS MAINTAINED IN THE

SYSTEM, INCLUDING CATEGORIES OF USERS AND

THE PURPOSES OF SUCH USES: 

To the extent that records contained 

in the system include information 

protected by 38 U.S.C. 7332, i.e., 

medical treatment information related to 

drug abuse, alcoholism or alcohol abuse, 

sickle cell anemia or infection with the 

human immunodeficiency virus; 

information protected by 38 U.S.C. 

§ 5705, i.e., quality assurance records; or 

information protected by 45 CFR parts 

160 and 164, i.e., individually 

identifiable health information (IIHI), 

such information cannot be disclosed 

under a routine use unless there is also 

specific statutory authority permitting 

the disclosure. VA may disclose 

protected health information pursuant 

to the following routine uses where 

required or permitted by law. 


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Federal Register / Vol. 81, No. 19 / Friday, January 29, 2016 / Notices 5035 

1. Disclosure of health care 

information as deemed necessary and 

proper to Federal, state and local 

government agencies and national 

health organizations in order to assist in 

the development of programs that will 

be beneficial to claimants, to protect 

their rights under law, and assure that 

they are receiving all benefits to which 

they are entitled. 

2. Disclosure of individually 

identifiable health care information may 

be made by appropriate VA personnel to 

the extent necessary and on a need-toknow basis, consistent with good 

medical and ethical practices, to family 

members and/or the person(s) with 

whom the patient has a meaningful 

relationship. 

3. Relevant information may be 

disclosed to a guardian ad litem in 

relation to his or her representation of 

a claimant in any legal proceeding. 

4. Relevant information may be 

disclosed to attorneys, insurance 

companies, employers, third parties 

liable or potentially liable under health 

plan contracts, and to courts, boards, or 

commissions, only to the extent 

necessary to aid VA in preparation, 

presentation, and prosecution of claims 

authorized under Federal, state, or local 

laws, and regulations promulgated 

thereunder. 

5. Disclosure of health information, 

excluding name and home address, 

(unless name and address is furnished 

by the requester) for research purposes 

determined to be necessary and proper, 

to epidemiological and other research 

entities approved by the Under 

Secretary for Health. 

6. Relevant information may be 

disclosed to the Department of Justice 

and United States Attorneys in defense 

or prosecution of litigation involving the 

United States, and to Federal agencies 

upon their request in connection with 

review of administrative tort claims 

filed under the Federal Tort Claims Act, 

28 U.S.C. 2672. 

7. Relevant health care information 

concerning a non-judicially declared 

incompetent patient may be disclosed to 

a third party upon the written 

authorization of the patient’s next of kin 

in order for the patient or, consistent 

with the best interest of the patient, a 

member of the patient’s family, to 

receive a benefit to which the patient or 

family member is entitled or, to arrange 

for the patient’s discharge from a VA 

medical facility. Sufficient information 

to make an informed determination will 

be made available to such next of kin. 

If the patient’s next of kin are not 

reasonably accessible, the Chief of Staff, 

Director, or designee of the custodial VA 

health care facility may make disclosure 

of health care information for these 

purposes. 

8. Relevant health care information 

may be disclosed to a non-VA nursing 

home facility that is considering the 

patient for admission, when information 

concerning the individual’s medical 

care is needed for the purpose of 

preadmission screening under 42 CFR 

483.20(f), for the purpose of identifying 

patients who are mentally ill or 

mentally retarded, so they can be 

evaluated for appropriate placement. 

9. Relevant health care information 

may be disclosed to a State Veterans 

Home for the purpose of medical 

treatment and/or follow-up at the State 

Home when VA makes payment of a per 

diem rate to the State Home for the 

patient receiving care at such home, and 

the patient receives VA medical care. 

10. Relevant health care information 

may be disclosed to (a) A Federal 

agency or non-VA health care provider 

or institution when VA refers a patient 

for hospital or nursing home care or 

medical services, or authorizes a patient 

to obtain non-VA medical services and 

the information is needed by the Federal 

agency or non-VA institution or 

provider to perform the services; or (b) 

a Federal agency or a non-VA hospital 

(Federal, state and local, public or 

private) or other medical installation 

having hospital facilities, blood banks, 

or similar institutions, medical schools 

or clinics, or other groups or individuals 

that have contracted or agreed to 

provide medical services, or share the 

use of medical resources under the 

provisions of 38 U.S.C. 513, 7409, 8111, 

or 8153, when treatment is rendered by 

VA under the terms of such contract or 

agreement or the issuance of an 

authorization, and the information is 

needed for purposes of medical 

treatment and/or follow-up, determining 

entitlement to a benefit or, for VA to 

effect recovery of the costs of the 

medical care. 

11. Information from an ECWeb 

record which relates to the performance 

of a health care student or provider may 

be disclosed to a medical or nursing 

school, or other health care related 

training institution, or other facility 

with which there is an affiliation, 

sharing agreement, contract, or similar 

arrangement when the student or 

provider is enrolled at or employed by 

the school or training institution, or 

other facility, and the information is 

needed for personnel management, 

rating and/or evaluation purposes. 

12. Relevant health care information 

may be disclosed to individuals, 

organizations, private or public 

agencies, etc., with whom VA has a 

contract or sharing agreement for the 

provision of health care or 

administrative services. 

13. The record of an individual who 

is covered by a system of records may 

be disclosed to a Member of Congress, 

or a staff person acting for the Member, 

when the Member of staff person 

requests the record on behalf of and at 

the written request of the individual. 

14. Disclosure may be made to the 

National Archives and Records 

Administration in records management 

inspections conducted under authority 

of Title 44 U.S.C. 

15. VA may disclose information from 

this system of records to the Department 

of Justice (DoJ), either on VA’s initiative 

or in response to DoJ’s request for the 

information, after either VA or DoJ 

determines that such information is 

relevant to DoJ’s representation of the 

United States or any of its components 

in legal proceedings before a court or 

adjudicative body, provided that, in 

each case, the agency also determines 

prior to disclosure that release of the 

records to the DoJ is a use of the 

information contained in the records 

that is compatible with the purpose for 

which VA collected records. VA, on its 

own initiative, may disclose records in 

this system of records in legal 

proceedings before a court or 

administrative body after determining 

that the disclosure of the records to the 

court or administrative body is a use of 

the information contained in the records 

that is compatible with the purpose for 

which VA collected the records. 

16. VA may disclose on its own 

initiative any information in the system, 

except the names and home addresses of 

Veterans and their dependents, that is 

relevant to a suspected or reasonably 

imminent violation of the law whether 

civil, criminal, or regulatory in nature 

and whether arising by general or 

program statute or by regulation, rule or 

order issued pursuant thereto, to a 

Federal, state, local, tribal or foreign 

agency charged with the responsibility 

of investigating or prosecuting such 

violation, or charged with enforcing or 

implementing the statute, regulation, 

rule or order. VA may also disclose on 

its own initiative the names and 

addresses of Veterans and their 

dependents to a Federal agency charged 

with the responsibility of investigating 

or prosecuting civil, criminal, or 

regulatory violations of law, or charged 

with enforcing or implementing the 

statutes, regulation, or order issued 

pursuant thereto. 

17. Disclosure to other Federal 

agencies may be made to assist such 

agencies in preventing and detecting 

possible fraud or abuse by individuals 

in their operations and programs. 


jstallworth on DSK7TPTVN1PROD with NOTICES
5036 Federal Register / Vol. 81, No. 19 / Friday, January 29, 2016 / Notices 

18. VA may, on its own initiative, 

disclose any information or records to 

appropriate agencies, entities, and 

persons when (1) VA suspects or has 

confirmed that the integrity or 

confidentiality of information in the 

system of records has been 

compromised; (2) the Department has 

determined that as a result of the 

suspected or confirmed compromise, 

there is a risk of embarrassment or harm 

to the reputations of the record subject, 

harm to economic or property interests, 

identify theft or fraud, or harm to the 

security, confidentiality, or integrity of 

this system or other systems (entity) that 

rely upon the potentially compromised 

information; and (3) the disclosure is to 

agencies, entities, or persons whom VA 

determines as reasonably necessary to 

assist or carry out the Department’s 

efforts to respond to the suspected or 

confirmed compromise and prevent, 

minimize, or remedy such harm. This 

routine uses permits disclosures by the 

Department to respond to a suspected or 

confirmed data breach, including the 

conduct of any risk analysis or 

provision of credit protection services as 

provided in 38 U.S.C. 5724, as the terms 

are defined in 38 U.S.C. 5727. 

19. For program review purposes and 

the seeking of accreditation and/or 

certification, disclosure may be made to 

survey teams of TJC and similar national 

accreditation agencies or boards with 

whom VA has a contract or agreement 

to conduct such reviews, but only to the 

extent that the information is necessary 

and relevant to the review. 

20. Disclosure of information may be 

made to the next-of-kin and/or the 

person(s) with whom the patient has a 

meaningful relationship to the extent 

necessary and on a need-to-know basis 

consistent with good medical and 

ethical practices. 

21. Disclosure of ethics consultation 

records to groups (e.g., American 

Society for Bioethics and the 

Humanities) performing improvement 

or quality assessments as part of 

approved research or ongoing quality 

improvement projects with respect to 

ethics consultation practices. 

POLICIES AND PRACTICES FOR STORING, 

RETRIEVING, ACCESSING, RETAINING, AND

DISPOSING OF RECORDS IN THE SYSTEM: 

STORAGE: 

Records are maintained on electronic 

media in ECWeb on a centrally located 

VA-owned server. In most cases, copies 

of back-up computer files are 

maintained at off-site locations. 

Subsidiary record information is 

maintained at the various respective 

ethics consultation services within the 

health care facility and by individuals, 

organizations, and/or agencies with 

whom VA has a contract or agreement 

to perform such services, as the VA may 

deem practicable. 

RETRIEVABILITY: 

Records are retrieved by consultation 

number, name of ethics consultant, 

requester, ethics domain or topic, 

facility, keywords or phrases. 

SAFEGUARDS: 

1. Access to VA working and storage 

areas is restricted to VA employees on 

a ‘‘need-to-know’’ basis; strict control 

measures are enforced to ensure that 

disclosure to these individuals is also 

based on this same principle. Generally, 

VA file areas are locked after normal 

duty hours and the facilities are 

protected from outside access by the 

Federal Protective Service or other 

security personnel. 

2. Access to computer rooms at health 

care facilities is generally limited by 

appropriate locking devices and 

restricted to authorized VA employees 

and vendor personnel. Automated Data 

Processing (ADP) peripheral devices are 

placed in secure areas (areas that are 

locked or have limited access) or are 

otherwise protected. Information in 

ECWeb may be accessed by authorized 

VA employees. Access to file 

information is controlled at two levels; 

the systems recognize authorized 

employees by series of individually 

unique passwords/codes as a part of 

each data message, and the employees 

are limited to only that information in 

the file, which is needed in the 

performance of their official duties. 

Information that is downloaded from 

ECWeb and maintained on personal 

computers is afforded similar storage 

and access protections as the data that 

is maintained in the original files. 

Access to information stored on 

automated storage media at other VA 

locations is controlled by individually 

unique passwords/codes. 

3. Access to computer rooms is 

restricted to authorized operational 

personnel through electronic locking 

devices. All other persons gaining 

access to computer rooms are escorted. 

Information stored in the computer may 

be accessed by authorized VA 

employees at remote locations including 

VA health care facilities, Information 

Systems Centers, VA Central Office, and 

Veteran Integrated Service Networks. 

Access is controlled by individually 

unique passwords/codes, which must be 

changed periodically by the employee. 

RETENTION AND DISPOSAL: 

Records that are stored within 

Computerized Patient Record System 

(CPRS) and Veterans Health Information 

Systems and Technology Architecture 

(VistA) will be maintained in 

accordance with Record Control 

Schedule (RCS) 10–1 Item # XLIII–2, 

Electronic Health Records, NARA job# 

N1–15–02–3. All other records 

maintained outside the Electronic 

Health Record will be maintained in 

accordance with General Records 

Schedule (GRS) 25 Ethics Program 

Records Item 1.a and 1.b (N1–GRS–01– 

1 item 1a & 1b). 

SYSTEMS AND MANAGER(S) AND ADDRESS: 

Official responsible for policies and 

procedures: Executive Director, National 

Center for Ethics in Health Care, 

Veterans Health Administration, 

Department of Veterans Affairs, 810 

Vermont Avenue NW., Washington, DC 

20420. Official maintaining the system: 

Director at the VA health care facility 

where the individuals are associated. 

NOTIFICATION PROCEDURE: 

Individuals seeking information 

regarding access to and contesting of 

ECWeb records may write, call or visit 

the last VA health care facility where 

health care was provided or by writing 

the National Center for Ethics in Health 

Care. 

RECORD ACCESS PROCEDURE: 

Individuals seeking information 

regarding access to and contesting of 

records in this system may write, call or 

visit the VA health care facility location 

where they are or were employed or 

made contact or they may write the 

National Center for Ethics in Health 

Care. 

CONTESTING RECORD PROCEDURES: 

(See Record Access Procedures 

above.) 

RECORD SOURCE CATEGORIES: 

Information in this system of records 

is provided by the patient, family 

members or accredited representative, 

and friends, authorized surrogates, 

health care agents, employees, 

contractors, medical service providers, 

and various automated systems 

providing clinical and managerial 

support at VA health care facilities. 

[FR Doc. 2016–01701 Filed 1–28–16; 8:45 am] 

BILLING CODE 8320–01–P 


jstallworth on DSK7TPTVN1PROD with NOTICES