Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Mike Lieman
On 2/23/06, Ruben Safir [EMAIL PROTECTED] wrote: I dunno, Well that would be obvious your duty to The State in obeying it's regulations about privacy and your duty to your customers seems pretty clear cut. Not so clear cut. First I don't have any customers. Maybe you have

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Kevin Toppenberg
Hey guys, can we agree to disagree, or move any ensuing flame war to another venue? Kevin On 2/23/06, Mike Lieman [EMAIL PROTECTED] wrote: On 2/23/06, Ruben Safir [EMAIL PROTECTED] wrote: I dunno, Well that would be obvious your duty to The State in obeying it's

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Mike Lieman
On 2/23/06, Kevin Toppenberg [EMAIL PROTECTED] wrote: Hey guys, can we agree to disagree, or move any ensuing flame war to another venue? Kevin Agreed. This thread is dead. Arguing in a mailing list is like competing in the Special Olympics Even if you win, ...

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Chris Farley
Dude...Special Olympics?? That was tasteless and uncalled for. You should be ashamed of yourself. Chris Farley -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mike Lieman Sent: Thursday, February 23, 2006 10:00 AM To:

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-22 Thread Mike Lieman
On 2/21/06, Ruben Safir [EMAIL PROTECTED] wrote: On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: On 2/16/06, Ruben Safir [EMAIL PROTECTED] wrote: Open my records! Please open my records. Is that clear enough? How do you think your patients feel about that? I don't really

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-22 Thread Kevin Toppenberg
Ruben is not a physician, as far as I know. I believe he is a pharmacist. Kevin On 2/22/06, Mike Lieman [EMAIL PROTECTED] wrote: On 2/21/06, Ruben Safir [EMAIL PROTECTED] wrote: On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: On 2/16/06, Ruben Safir [EMAIL PROTECTED] wrote:

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-22 Thread Ruben Safir
On Wed, 2006-02-22 at 11:35, Mike Lieman wrote: On 2/21/06, Ruben Safir [EMAIL PROTECTED] wrote: On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: On 2/16/06, Ruben Safir [EMAIL PROTECTED] wrote: Open my records! Please open my records. Is that clear enough? How

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-22 Thread Mike Lieman
On 2/22/06, Ruben Safir [EMAIL PROTECTED] wrote: On Wed, 2006-02-22 at 11:35, Mike Lieman wrote: On 2/21/06, Ruben Safir [EMAIL PROTECTED] wrote: On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: On 2/16/06, Ruben Safir [EMAIL PROTECTED] wrote: Open my records! Please open

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-21 Thread Ruben Safir
I believe local governments has a carve out. In fact, governments and law enforcement in general have a carve out. On Mon, 2006-02-20 at 08:06, Mike Ginsburg wrote: I assume that while we still have HIPAA, that the City of New York meets all HIPAA requirements and that all the appropriate

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-21 Thread Ruben Safir
On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: On 2/16/06, Ruben Safir [EMAIL PROTECTED] wrote: Open my records! Please open my records. Is that clear enough? How do you think your patients feel about that? I don't really care how they feel about it any more than I care how they

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-21 Thread Greg Woodhouse
--- Ruben Safir [EMAIL PROTECTED] wrote: Or do you care more how your patient feels about it then saving the life of your patients wife when you tell her that her husband has AID's. What kind of professional ethics are you displaying? Ruben I think Ruben raises some valid points

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-20 Thread Mike Lieman
On 2/16/06, Ruben Safir [EMAIL PROTECTED] wrote: The health department, as far as I'm concerned, can ask for any information it wants. Unless your showing me that this information is being miss used, or used legally, I'm ABSOLUTELY not interested. In fact, they need to flush HIPPA which is

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-20 Thread Mike Lieman
On 2/16/06, Ruben Safir [EMAIL PROTECTED] wrote: Open my records! Please open my records. Is that clear enough? How do you think your patients feel about that? --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-20 Thread Mike Lieman
Blaming the CEO isn't fair. They have every right to be compensated at ridiculous levels, being that they are in charge of such large organizations. All CEOs are ridiculously compensated. Sure, but I'm struck by the thought that if the LAW was a corporate office could have only the

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-20 Thread Mike Ginsburg
I assume that while we still have HIPAA, that the City of New York meets all HIPAA requirements and that all the appropriate paper work has been taken care of. Otherwise, would participating labs be liable for fines? -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-17 Thread JohnLeoZimmer
Mike Schrom wrote: CBF: This should definitely be legal. Why should the employer be saddled with the cost of your lowered productivity due to illness? MS: That sounds great, unless you are the one whose children can't have food or clothes or go to college because you can't get a job because

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Kevin Toppenberg
If HIS were standardized, I could anticipate a Google of the future coming up with fantastic ways of enhancing patient care by optimal presentation of patient data, i.e. scanning, filtering etc.. Already Google makes it very easy to look up quality medical information for patients on the

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Mike Schrom
As long as it's quality medical information FOR patients, not quality medical information ABOUT patients, that is not specifically authorized. Kevin Toppenberg wrote: If HIS were standardized, I could anticipate a Google of the future coming up with fantastic ways of enhancing patient care by

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Nancy Anthracite
Yes indeed. You all know I believe in VistA and what it can do, but I have ever increasing anxiety about what this is going to do to privacy and thus what impact it will have on the physician patient relationship. New York City Department of Health is getting the results of ALL A1C tests in

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 11:17, Nancy Anthracite wrote: Yes indeed. You all know I believe in VistA and what it can do, but I have ever increasing anxiety about what this is going to do to privacy and thus what impact it will have on the physician patient relationship. New York City

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread James Gray
- Original Message - From: Nancy Anthracite [EMAIL PROTECTED] Where is patient control of their information? Yes. Why can't I get the medical lab to send me a copy of my lab results? Why do I have to make special request to the lab each time to get them to send my primary care

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Nancy Anthracite
I have been working with the CDC with an eye to include in VistA the option to report deidentified data to the Biosense project to help with the early detection of disease such outbreaks, etc. Privacy does not have to be violated in order to achieve most of what you are concerned about. On

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 12:07, Nancy Anthracite wrote: I have been working with the CDC with an eye to include in VistA the option to report deidentified data to the Biosense project to help with the early detection of disease such outbreaks, etc. Privacy does not have to be violated in

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
Why do I have to fill Lipitor prescriptions without knowing the patients liver enzyme test results? Is that nuts or what Ruben On Thu, 2006-02-16 at 11:59, James Gray wrote: - Original Message - From: Nancy Anthracite [EMAIL PROTECTED] Where is patient control of their

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread James Gray
We may be wasting bandwidth, but I do agree. Jim Gray - Original Message - From: Ruben Safir [EMAIL PROTECTED] To: hardhats-members@lists.sourceforge.net Sent: Thursday, February 16, 2006 11:32 AM Subject: Re: [Hardhats-members] A Pill, a Scalpel, a Database Why do I have to fill

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Greg Woodhouse
--- James Gray [EMAIL PROTECTED] wrote: We may be wasting bandwidth, but I do agree. Jim Gray It's not an either/or situation, or at least it shouldn't be. You've both discussed valid functional requirements, and the question should be how you are to accomodate both. === Gregory

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Nancy Anthracite
Most if not all health departments require that contacts be notified. They just don't allow the contact to be told who had the positive HIV test without permission. I don't think anyone who has a positive HIV test is a priori a murderer. If someone in NYC hears the Health Department is

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Joseph Conn
I'm with you, Nancy. The road to Hell is paved with good intentions and I'm surprised I haven't heard the ACLU filing an injunction against NYC on this program. Since diabetes is not contagious, I don't think that because the city may end up paying the cost of care for some of its citizens gives

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 14:27 -0500, Nancy Anthracite wrote: Most if not all health departments require that contacts be notified. They just don't allow the contact to be told who had the positive HIV test without permission. I don't think anyone who has a positive HIV test is a priori a

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 15:49 -0400, Joseph Conn wrote: I'm with you, Nancy. The road to Hell is paved with good intentions and I'm surprised I haven't heard the ACLU filing an injunction against NYC on this program. Since diabetes is not contagious, I don't think that because the city may end

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 15:49 -0400, Joseph Conn wrote: I'm with you, Nancy. The road to Hell is paved with good intentions and I'm surprised I haven't heard the ACLU filing an injunction against NYC on this program. Since diabetes is not contagious, I don't think that because the city may end

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Nancy Anthracite
From the NYC Health Department web site http://www.nyc.gov/html/doh/html/ah/ahn1.shtml New York State began implementation of this law on June 1, 2000. ... 1 .What is this new law about, and what will it do? The new law requires doctors and laboratories to tell the Health Department about new

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, Feb 16, 2006 at 03:06:04PM -0500, Nancy Anthracite wrote: From the NYC Health Department web site http://www.nyc.gov/html/doh/html/ah/ahn1.shtml New York State began implementation of this law on June 1, 2000. ... 1 .What is this new law about, and what will it do? The new law

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Stephen Hay
Consider this. A database/patient management system exists full of rich patient data. What's being debated in this thread is policy, which translates into business rules, the data's the same, regardless. If the business rules are set up to reflect policy, they can be changed as policy

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
And people who make policy tend not to be subject to that policy - at least, where I live that's the case... Likewise, the people who demand the information be made public are usually in a position, I say usually, that doesn't require that their own records are open to public display...

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Stephen Hay
Loud and clear...! Shame I'm not a policy maker... ;-) Ruben Safir wrote: And people who make policy tend not to be subject to that policy - at least, where I live that's the case... Likewise, the people who demand the information be made public are usually in a position, I say usually, that

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Fri, Feb 17, 2006 at 09:36:02AM +1300, Stephen Hay wrote: Loud and clear...! Shame I'm not a policy maker... ;-) We're all responsible for policy although I apreciate the attempt at humor. Ruben -- __ Brooklyn Linux Solutions So many immigrant groups have

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Chris Farley
Comments are inserted below: Chris Farley -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Stephen Hay Sent: Thursday, February 16, 2006 3:31 PM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] A Pill, a Scalpel, a Database

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Kevin Toppenberg
This sounds like a discussion from an ethics course, where we have a discordance between conflicting principles. As physicians, we are trained to be patient advocates. We don't usually step back and look at the big picture--at least those in private practice. It takes researches in the CDC etc

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Stephen Hay
Likewise: Chris Farley wrote: Comments are inserted below: Chris Farley -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Stephen Hay Sent: Thursday, February 16, 2006 3:31 PM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] A

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Mike Schrom
(Snip) CBF: This should definitely be legal. Why should the employer be saddled with the cost of your lowered productivity due to illness? MS: That sounds great, unless you are the one whose children can't have food or clothes or go to college because you can't get a job because EVERY

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Stephen Hay
Sometimes a picture is worth, well, you know... ;-) http://www.claybennett.com/pages/10_29_01.html Kevin Toppenberg wrote: This sounds like a discussion from an ethics course, where we have a discordance between conflicting principles. As physicians, we are trained to be patient advocates.

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Chris Farley
Chris Farley Independent Consultant 540-722-2143 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Stephen Hay Sent: Thursday, February 16, 2006 4:32 PM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] A Pill, a Scalpel, a

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Chris Farley
Chris Farley Independent Consultant 540-722-2143 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mike Schrom Sent: Thursday, February 16, 2006 4:33 PM To: Hardhats-members@lists.sourceforge.net Subject: RE: [Hardhats-members] A Pill, a Scalpel, a

[Hardhats-members] A Pill, a Scalpel, a Database

2006-02-15 Thread Gregory Woodhouse
A Pill, a Scalpel, a Database InformationWeek (02/13/06)No. 1076, P. 38; McGee, Marianne KolbasukInformation technology is making strides in three critical areas of medicine: The filtering and delivery of information to the patient's bedside, allowing for personalized care; formatting existing