Re: Whiteboards

2003-03-31 Thread Nancy Jones



Our whiteboards are hanging in public hallways, and until recently, with
full patient names, etc.  I tried to justify removing them, but they
are just too much a part of the culture here.  The nurses have been
warning me for months the doctors would never stand for it, but when I
made my move to remove them, it was the nursing staff who went ballistic. 
I have agreed to let them stay, but only if the information is posted in
hieroglyphics.
"Lamb, Tina" wrote:
We
are looking for best practices with regards to the usage of 'whiteboards'. 
These are boards that are used for communication among staff and physicians
and located on nursing stations. Usually they display patient names and
their locations.  If your facility has them or does not have them,
but used to, please share me with your practice. We still use them, but
with limited information. I am trying to justify eliminating them totally
and would like to provide other options & share with our team what
other facilities have done. Thanks! 
Tina C. Lamb
Compliance
& Privacy Manger 
St. Francis Hospital, Inc.
706/596-4411 x 5657

 


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Providing NPPs at Health Fairs

2003-03-27 Thread Nancy Jones
I am concerned that at health fairs where we do screening and collect
PHI, ie. finger sticks, BP, provide flu shots, etc. that we need to give
an NPP to each person.  Is that the take of members of this listserv as
well?
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Two Unrelated Questions

2003-03-05 Thread Nancy Jones
I have come across the fact that there is a provision of CLIA, the
Clinical Laboratory Improvement Act, that is more stringent than HIPAA,
but no one in our lab can tell me anything.  I guess it has to do with
the disclosures of lab results.  Does anyone have a clue?

Now about confidential communications sent to an alternate address, fax
. . whatever.  We are located in a college town.  If a student over the
age of 18 comes into the ER for treatment, has dependent coverage under
his parent's health plan, wants us to file a claim on it, doesn't want
his folks to know about his visit to the ER, and opts to have everything
related to this claim sent to his PO Box on campus.  How is the health
plan going to know this? How do we as a provider, communicate this to
the plan?  It may be simple, but we can't figure it out.begin:vcard 
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I need a Heads Up on Who Is Preparing BAA's

2003-01-31 Thread Nancy Jones
I work for one of those hospitals that feels strongly that we will not
sign a BAA prepared by one of our business associates (except JCAHO, who
is not giving a provider much choice - Chaps my HIPAAbuttamus - I have
always held to the interpretation that accreditors are not BA's).

I continue to see warnings that BAA's will be coming our way.  We have
already received one from McKesson.  Does anyone know which companies
have sent, or are planning to send an BA agreement to providers?
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Re: Is HIPAA Individually Liable?

2003-01-24 Thread Nancy Jones
I would like to add to this question . . . I have been to several HIPAA
workshops, each taught by a different attorney or team of attorneys.  

One group will tell you that the entity can't be sued for damages if a
HIPAA violation occurs . . . . that sanctions from the OCR is punishment
enough for the covered entity and that patients may not expect damages. 
Others have said that plaintiff's attorneys are circling like buzzards
and buying the back covers of telephone books all over America with the
big question . . HAS YOUR MEDICAL PRIVACY BEEN VIOLATED?

I havent' gotten a straight answer yet!  And now I hear that "THIPAA" -
the Texas version of HIPAA that goes in to effect in 9/03 not only
allows the entity to be sued, but the individual can be held personally
liable.  I am a patient advocate and believe in the fundamental
principals of protecting health information, but this is really getting
out of hand.

Patricia Conroe wrote:
> 
> I apologize if this is listed somewhere real obvious, but I was wondering if there 
>was a definite answer as to who's liable when HIPAA has been violated?  In a hospital 
>situation, if HIPAA's violated and jail time and fines are distributed who gets that 
>fun time?  Is it the CEO, the Privacy Officer, the employee who violated the rule, 
>all of the above, etc?  Thank you!
> 
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OCHA

2003-01-22 Thread Nancy Jones
I want to find the easiest method (that complies with the law) for
documenting an OCHA with our physicians.  Does this mean I need
individual written agreements between our hospital and each physician
with privileges? If so, is anyone willing to share a sample, as I can't
find one anywhere.  

Or can this be done by simply revising the Medical Staff Bylaws and
including a declaration that an organized health care arrangement exists
between the docs and the hospital, and that we have jointly designed a
NPP?

Some area hospitals are asking their docs to sign Confidentiality
Statements on top of everything else. This seems too much to me.

Any guidance will be greatly appreciated.
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Transaction Extension Plan

2002-10-21 Thread Nancy Jones
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This is a multi-part message in MIME format.
I have just received a phone call from a frantic dentist's office who
failed to submit a Transaction Compliance/Extension Plan.  They file
Medicaid claims electronically.  The CMS site has now been disabled . .
. and they are scared.

Does any one know what they can expect in the future?  A nasty letter
from the Federal Gov't?  Denied Medicaid claims?  I understand that
exclusion will be the very last resort (after much due process) for
those who are completely defiant.

Nancy Jones, HIPAA Project Manager
Nacogdoches Memorial Hospital
[EMAIL PROTECTED]
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