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Hi,

I'm going to go out on a limb here and confess that we have chosen to
allow physicians complete access to patient records.

We had similar issues to the ones you described below. We also had many
others that I'm sure you just did not have time to list.

Basically, a patient may end up being cared for by just about any
physician defined in our system. The problem's created by attempting to
lock a physician out of a particular patient's record were deemed less
critical than the problem's created for the patient when the physician
could not gain access to their record.

So, we sat down with our Core Team Leaders and our Senior Management and
our independent Compliance Officer and talked about our options. The
decision was made to grant open access. We have the ability to track
physician's access using audit logs albeit an onerous task. We are
looking to create a SQL database of these logs upon which we will build
filters to track specific types of access scenarios. This should
simplify the process.

Well, I suppose I should kiss my family goodbye before I'm carted off to
HIPAA jail. :) My next message may be awhile since I understand that
access to computers is limited in the "big house".

Thanks,

Mike Cottle

Sumter Regional Hospital

100 Wheatley Drive

Americus, GA 31709

 

(229) 931-1380 IT Dept.

(229) 931-1309 IT Fax


-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] On Behalf Of Castillo, Cristina
Sent: Friday, June 02, 2006 11:26 AM
To: [email protected]; [EMAIL PROTECTED]
Subject: [MEDITECH-L] Restricting Physician's Patient Access 

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Please let me know if this is feasible. We have a physician that is
covering for certain physicians. We restricted his access only to his
patients and the physicians he is covering for (thru page 3 of the MIS
User dict). However, we don't want him to access patients admitted in
ARU even though some of the Rehab patients are under one of the doctors
he is covering for. We don't want to restrict him by Location either as
it will be too limiting for him and he will still be able to access ARU
patients anyway if he goes to that unit. Is there something that can be
done to accomplish this? Maybe thru a rule or something? Any workaround?
MEDITECH says that it is not possible (although they will research on
the issue). Thank you in advance for any input you may have. Have a good
Friday to all!

Cristina G. Castillo, BSN, RN
Manager, Clinical Informatics
Pacific Alliance Medical Center
531 W. College St.
Los Angeles, Ca 90012
Ph: (213) 437-4214
Fax: (213) 617-9203
Email: [EMAIL PROTECTED]
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