Re: Any HIPAA Humor tools out there?

2003-02-11 Thread fwdanby



The boilerplate on this missive contains the 
following "If you have received this communication 
in error, please notify us immediately by replying to the message and deleting 
it from your computer. "
 
Reminds me of the note that a young colonel freshly arrived in 
the Pentagon received from a higher-up in response to the former's initialling a 
document that crossed his desk.
 
"Your rank does not permit you to initial this document. 
Please erase your initials and initial the erasure"
 
F.W. (Bill) Danby, MD, Manchester, NH, USA

  - Original Message - 
  From: 
  Phil 
  Burns 
  To: WEDI SNIP Privacy Workgroup List 
  
  Sent: Friday, January 31, 2003 8:55 
  AM
  Subject: RE: Any HIPAA Humor tools out 
  there?
  During the intro, ask everyone to introduce themselves to the 
  person sitting next tothem, sharing their name, dept. etc. Then ask them 
  to share their age,weight, sexually transmitted diseases, drug 
  addictions -Original 
  Message-From: Benjamin W. Tartaglia [mailto:[EMAIL PROTECTED]]Sent: 
  Thursday, January 30, 2003 12:35 PMTo: WEDI SNIP Privacy Workgroup 
  ListSubject: RE: Any HIPAA Humor tools out there?Attached is a 
  newsletter with a few tidbits of humor.Enjoy!   Let me know if 
  you find any good enough to use. BenBenjamin W. Tartaglia, 
  MBA, BSIM, CSPDirector, Client ServicesBWT Associates, HealthCare 
  ConsultantsHIPAA, JCAHO, Telemedicine, Contingency Planning, 
  Telecommunications, Telephone Fraud & Abuse, Training Programs, Policy 
  & Procedures, Management Audits.PO# 4515, Shrewsbury, MA 
  01545Phone: 508-845-6000EMail: [EMAIL PROTECTED]-Original 
  Message-From: Bentz-Miller, Judith 
  [mailto:[EMAIL PROTECTED]]Sent: Wednesday, January 29, 2003 9:17 
  AMTo: WEDI SNIP Privacy Workgroup ListSubject: Any HIPAA Humor tools 
  out there? does anyone have any good HIPAA humor 
  training tools that they would be willing to share?  I am doing a 
  presentation later today and I am looking for something different.  
   Email me directly if you wish.  Thank you for 
  helping!---The WEDI SNIP listserv to which you are subscribed is 
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Re: Any HIPAA Humor tools out there?

2003-01-29 Thread fwdanby



Get an acronym-matching contest going.
Here's the first (and it's not original to 
me)
 
Healthy 
Income 
Protection for
Aggressive
Attorneys
 
F.W. (Bill) Danby, MD, Manchester, NH, 
USA

  - Original Message - 
  From: 
  Bentz-Miller, 
  Judith 
  To: WEDI SNIP Privacy Workgroup List 
  
  Sent: Wednesday, January 29, 2003 9:17 
  AM
  Subject: Any HIPAA Humor tools out 
  there?
  does anyone have any good HIPAA humor training tools 
  that they would bewilling to share?  I am doing a presentation later 
  today and I am lookingfor something different.   Email 
  me directly if you wish.  Thank you for 
  helping!---The WEDI SNIP listserv to which you are 
  subscribed is not moderated. The discussions on this listserv therefore 
  represent the views of the individual participants, and do not necessarily 
  represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish 
  to receive an official opinion, post your question to the WEDI SNIP Issues 
  Database at http://snip.wedi.org/tracking/.   These listservs should 
  not be used for commercial marketing purposes or discussion of specific vendor 
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  time.You are currently subscribed to wedi-privacy as: 
  [EMAIL PROTECTED]To unsubscribe from this list, go to the 
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Re: HIPAA privacy and people

2003-01-17 Thread fwdanby
With the same due respect, and I, too, mean it sincerely, the word
'unworkable' is very tempting to apply to the whole HIPAA scenario where
there is an interface with patients.
Take a look at what all you very bright and well-intentioned folks have been
posting over the past several months. This is a high level of confusion
among intelligent people. Now translate that to the undeniable fact that
half the people in the real world are below average intelligence (IQ < 100)
and the world we physicians live and work in is populated by patients who,
through no fault of their own, exhibit an even higher percentage of room
temperature IQs.
Sure, we will get some of the people complying some of the time, but all of
the people all of the time is, in a word, unworkable.
To have us exposed to legal liability in this situation is, in another word,
unfair.
I believe we providers should demand an umbrella of some sort to protect us
from unwarranted, arbitrary, over-zealous enforcement of an essentially
unworkable set of regulations.
I'd love to hear other opinions on this - here if you think it warranted,
privately if you think otherwise.
FWDanby, MD [EMAIL PROTECTED]

- Original Message -
From: "Benjamin W. Tartaglia" <[EMAIL PROTECTED]>
To: "WEDI SNIP Privacy Workgroup List" <[EMAIL PROTECTED]>
Sent: Friday, January 17, 2003 12:17 PM
Subject: RE: HIPAA privacy and telephone


> With all due respect, and I mean it sincerely.
>
> Good idea for privacy Based on my many years of management
> engineering and the application of voice, data and image
telecommunications
> systems in healthcare as an employee and later as a consultant I suggest
it
> is unworkable. (really long and ill structured sentence).
>
> The major premise is "When the patient calls back, someone who can accept
> the call and pin number is available".  The major premise, although well
> intentioned, is false.
>
> When I try to get to my Doctor's office, I get a call management system
99%
> of the time.  If I'm really lucky, I may get an answering service.  People
> who work for many answering services are part timers, sometimes from
> temporary employment companies, working for minimum wage, with little or
no
> healthcare background.  Try and get them HIPAA certified.
> (I have also done consulting on Doctors' answering services.)
>
> I believe such a system would simply generate round after round of call
> backs which are unsuccessful.  If anyone thinks this would actually work,
> should get another opinion and only pay for that opinion when the system
is
> proven effective.
>
> I really would like to talk to the people who have used this successfully
so
> that I might add to my professional knowledge and moderate my opinion on
he
> matter or... is this simply a "scenario" from a brainstorming session?
>
> Additional comments are welcomed and desired.  I find I learn more from
> people who disagree.
>
> Ben Tartaglia
> Benjamin W. Tartaglia, MBA, BSIM, CSP
> Director, Client Services
> BWT Associates, HealthCare Consultants
>
> HIPAA, JCAHO, Telemedicine, Contingency Planning, Telecommunications,
> Telephone Fraud & Abuse, Training Programs, Policy & Procedures,
Management
> Audits.
>
> PO# 4515, Shrewsbury, MA 01545
> Phone: 508-845-6000
> EMail: [EMAIL PROTECTED]
>
> -Original Message-
> From: Ribelin, Donald [mailto:[EMAIL PROTECTED]]
> Sent: Friday, January 17, 2003 10:09 AM
> To: WEDI SNIP Privacy Workgroup List
> Subject: RE: HIPAA privacy and telephone
>
>
> So far, the best scenario I have seen is the phone call that requests the
> patient to call back to the office.  Part of the call back involves a pin
or
> secret code that the patient was provided previously.
>
> Donald L. Ribelin
> HIPAA Project Manager
> Firsthealth of the Carolinas
> (910) 215-2668
> [EMAIL PROTECTED]
>
>  -Original Message-
> From: Doug Webb [mailto:[EMAIL PROTECTED]]
> Sent: Friday, January 17, 2003 9:51 AM
> To: WEDI SNIP Privacy Workgroup List
> Subject: Re: HIPAA privacy and telephone
>
> An extension to this -- how do you handle answering machines?
>
> My gut feeling is that either a no-no (the machine more questionable than
a
> family member) -- the information could only be released to the patient or
> his/her representative designated in a written authorizaton.  Perhaps
> another signature on your main consent/authorization form to allow these
> types of communications is what's needed???
>
> The opinions expressed here are my own and not necessarily the opinion of
> LCMH.
>
> Douglas M. Webb
> Computer System Engineer
> Little Company of Mary Hospital & Health Care Centers
> [EMAIL

Re: HIPAA-related privacy question (I think)

2002-10-22 Thread fwdanby
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KERBER, JEFF" <[EMAIL PROTECTED]> Wrote:
> Many providers are thinking that if they go paper only, they can get
around
> HIPAA... Only problem is, the federal programs are going to require
> electronic submission. At that time, the provider either opts out of
> MediCxxx programs to avoid complying with HIPAA or face becoming
compliant.

If the current worsening trend in MediCxxx reimbursement continues, the
enforcement of electronic submission will be an added stimulus to cease to
be a participant in these programs. Have any of you pointed this out to
AARP?
F. W. Danby, MD


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Re: Transaction Extension Plan

2002-10-21 Thread fwdanby
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Any idea how many of the nation's providers have complied / not complied?
I think I was 487 or something like that.
Who is counting? Nice job for somebody's electoral district, huh?
If they will allow an extension by simple application why not just move the
date back for everyone?
Administrative Simplification? I beg to differ.
F.W.Danby, MD


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Re: "Appropriate" physical safeguards

2002-10-17 Thread fwdanby
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In the last three offices I designed, I specified NO LOCKS on all exam room
doors.
Reason? To counter any suggestion that sexual harassment might have been
possible.
My staff moves freely, with a discreet knock, in and out of these areas, and
patients who might attempt a spurious harassment suit know this.
FWDanby MD

- Original Message -
From: "Noel Chang" <[EMAIL PROTECTED]>
To: "WEDI SNIP Privacy Workgroup List" <[EMAIL PROTECTED]>
Sent: Thursday, October 17, 2002 11:40 AM
Subject: "Appropriate" physical safeguards


> ---
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> I would be interested in hearing from people who deal with solo
practitioners
> or small group practices, what are some of the issues you are having to
> address in the doctor's office to ensure that "appropriate" physical
> safeguards are provided (section 164.530(c)).  Let's ignore the
> administrative and technical safeguards for now.
>
> For example:
>
> At the check in window, is a sliding, frosted glass, window always
> necessary?  As long as computer terminals are not visible, nor any other
PHI,
> I say no.
>
> Are lockable doors necessary at every point that you do not intend
non-office
> personnel to access?  Many offices I have seen have a door that separate
the
> waiting room from the rest of the office.  Once you are in the exam area,
> however, you can move freely (without any keys or combinations) from the
exam
> room to the insurance desk, to medical records area, to the referrals
area,
> etc.  I would say it is pretty obvious that these areas are not intended
for
> patients to access but what is appropriate?  Do I have to have locking
doors
> to separate these areas from the exam rooms?  Can I just post signs that
> notify patients that an area is restricted and they are not supposed to
> enter?  This is a gray area to me and without seeing the work area being
> considered I would argue it is impossible to make blanket statements about
> what is appropriate.  Do people agree or do they feel there are some hard
and
> fast rules concerning how the physical work space should be layed out?
>
> Noel Chang
>
> --
> Open WebMail Project (http://openwebmail.org)
>
>
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