RE: Facility Directory

2003-03-13 Thread Ribelin, Donald
Doug, while I agree it would be nice; I tend to doubt this will be the
common practice.  Asking every admission if they want to opt-out of the
facility directory would be costly.  We (providers) are already concerned
about the costs (in time and money) we will incur secondary to the
distribution of and documentation of receipt of our NPP's.  This process
will also require that we obtain a written aknowledgement of receipt of the
NPP.  If we add an addtional process, even one that seems to require only a
couple minutes of the registration staff's time, the impact will be out of
proportion to the value.  This is especially true when said process is not
required (at least I hope my interpretation of this is correct).   

Donald

 -Original Message-
 From: Doug Webb [SMTP:[EMAIL PROTECTED]
 Sent: Thursday, March 13, 2003 9:18 AM
 To:   Ribelin, Donald; WEDI SNIP Privacy Workgroup List
 Subject:  Re: Facility Directory
 
 Donald,
 I agree with your opinion that you don't have to ask, but a check-off line
 in the sign-in form would be nice.  It would also document that the option
 had indeed been offered, and since, in this game, documentation is
 everything, that would be a Good Thing.
  
 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 PROTECTED] mailto:[EMAIL PROTECTED]
  
 This electronic message may contain information that is confidential
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   - Original Message - 
   From: Ribelin, Donald mailto:[EMAIL PROTECTED] 
   To: WEDI SNIP Privacy Workgroup List
 mailto:[EMAIL PROTECTED] 
   Sent: Thursday, March 13, 2003 06:41 AM
   Subject: RE: Facility Directory
 
   As I read it, there is no requirement to ask, just to inform and
 this is done via your Notice of Privacy Practice.  Should the patient ask
 for clarification you would be obliged to assist them in understanding
 their rights but I do not think you have to ask the patient if they want
 to opt out.

   Donald L. Ribelin
   HIPAA Project Manager
   Firsthealth of the Carolinas
   (910) 215-2668
   [EMAIL PROTECTED]

   -Original Message-
   From: Cindy Stroud [mailto:[EMAIL PROTECTED]
   Sent: Wednesday, March 12, 2003 7:54 PM
   To: WEDI SNIP Privacy Workgroup List
   Subject: Facility Directory

   For some reason I have been under the assumption that when a patient
 registers we, an acute care hospital, need to explain the right to opt-out
 of the facility directory. Is this something we need to explain verbally
 or is the fact that explanation in the NPP is sufficient? I really
 appreciate any feedback
   Cindy
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RE: NPP

2003-03-09 Thread Ribelin, Donald









Traci,
only providers are required to make a good faith effort to obtain a written
acknowledgement. 



Donald L. Ribelin

HIPAA Project Manager

Firsthealth of the Carolinas

(910) 215-2668

[EMAIL PROTECTED]



-Original
Message-
From: Traci Winter
[mailto:[EMAIL PROTECTED]
Sent: Friday, March 07, 2003 2:19
PM
To: WEDI SNIP Privacy Workgroup
List
Subject: NPP



Interesting
occurrence just took place..



I
just received a NPP from Guardian Life Insurance Co. It was put in my
inter-office mailbox by our HR staff person. There is no acknowledgement form
for me to sign.. Do they think by having my employer distribute
them that they are not required to make a good faith effort to get an
acknowledgement signed? Just seems a little off to me. Does anyone else find
this a little lacking? 



Traci
Winter 

Hospitals
Home Health Care, Inc.

Fulton,
NY

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RE: Fundraising Question

2003-03-05 Thread Ribelin, Donald
IMHO, if you are not going to use your patient's PHI for fundraising, do not
include it in your NPP.  Should you decide to change your practice, you will
need to change your NPP and announce the change before your practice is
changed.

Donald L. Ribelin
HIPAA Project Manager
Firsthealth of the Carolinas
(910) 215-2668
[EMAIL PROTECTED]

 -Original Message-
From:   Patricia Conroe [mailto:[EMAIL PROTECTED] 
Sent:   Wednesday, March 05, 2003 9:59 AM
To: WEDI SNIP Privacy Workgroup List
Subject:Fundraising Question

Our hospital foundation is responsible for fundraising.  For about 5 years
they have not used patient information for their fundraising.  They purchase
lists through other companies and they have created their own donor base
based on who's donated before.  They send information to the donor base
because their donors and not because their patients.  So, since the donors
and patient's are different do we need to worry about the fundraising opt
out requirement?  I hope I made myself clear with what I was explaining and
trying to ask.


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RE: NPP the short form???

2003-02-06 Thread Ribelin, Donald








My
understanding of the Privacy Rules requirements re: the NPP are as
follows. 


 Each patient
 must be provided a copy of the entire NPP upon their first contact after
 4/13/2003
 We
 must post our NPP on line if we have a web-page
 We
 must attempt to obtain written acknowledgment that the patient (or his/her representative) has
 received a copy of the NPP
 We
 can layer our NPP (provide a one page bulleted summary as part of the NPP)
 but the patient must receive
 the entire NPP
 The
 NPP must use simple language and be comprehensible to the patient or the
 patients representative
 The
 entire NPP must be prominently posted 




Are any of
you aware of any national movement etc. toward a change in the Privacy Rule
that would allow the distribution of a one pager NPP summary in lieu of the
entire NPP? If so, in your opinion is there a
reasonable possibility this could happen prior to 4/24/03? 



Donald L. Ribelin

HIPAA Project Manager

Firsthealth of the Carolinas

(910) 215-2668

[EMAIL PROTECTED]








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RE: Email Usage

2003-01-31 Thread Ribelin, Donald









Time for a
quick survey. Please reply just to
me. I will post the final results
to the group next Tuesday (Feb 4).
Thanks in advance.



Please
respond with the single number that best describes your organizations use of
Email in relationship to PHI.
External Email is defined as Email sent to an address outside of your
firewall.



One   It
is against our policy to transmit PHI via Email externally but okay to send PHI
internally.

Two   It
is against our policy to transmit PHI via Email internally and externally.

Three PHI
can be transmitted via Email externally as long as it is encrypted but can be
sent internally without encryption.

Four Any
transmission of PHI via Email must be encrypted but we do not use any Email
Security management tools.

Five Any
transmission of PHI via Email must be encrypted and we do use Email Security
management tool(s).

Six We
do not use Email.

Seven  Other: Please explain





Organization Type:

A:  provider

B:  vendor

C:  payer

D:  provider/payer

E:  other





Donald L. Ribelin

HIPAA Project Manager

Firsthealth of the Carolinas

(910) 215-2668

[EMAIL PROTECTED]



-Original
Message-
From: Line, Phyllis
[mailto:[EMAIL PROTECTED]]
Sent: Tuesday, January 28, 2003
4:12 PM
To: WEDI SNIP Privacy Workgroup
List
Subject: RE: Some Questions that
I've asked before



Jim, 



Here is
a site that contains a document regarding designated record set that might
useful to you.



http://www.nchica.org/HIPAAResources/Samples/DesRecSets.pdf



Phyllis Line 
HIPAA Privacy Officer 
HEREIU Welfare Pension Funds 
630-236-5114 
[EMAIL PROTECTED] 



-Original Message-
From: Deborah Campbell
[mailto:[EMAIL PROTECTED]]
Sent: Tuesday, January 28, 2003
12:36 PM
To: WEDI SNIP Privacy Workgroup
List
Subject: RE: Some Questions that
I've asked before

Here goes my
opinion. 

1) We haven't
decided if we will release any info to the subscriber on one of their members.
So couldn't you use this as an excuse? Say, I'm sorry, according to the
new HIPAA regulations, we are unable to release any further information without
an authorization from the member.

2)We
don't send EOB's so can't help you there.

3) Didn't the
8/14/03 revisions say when it comes to minors, we should follow state regs?
Does the state allow you to limit info to parents of underage minors?

4) Not sure
what the question is. Yes, if we turn down an amendment request, and the member
requests that we log the amendment request in the records, we must.

Sorry I
couldn't be more help. 

Deborah Campbell 
Compliance Coordinator 

Dominion Dental Services, Inc. 
115 South Union Street,
Suite 300 
Alexandria, Virginia
22314 

Phn: (703) 518-5000 ext. 3035 
Fax: (703) 518-8849 
Toll Free:
888-518-5338 
Email:
[EMAIL PROTECTED] 

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-Original
Message-
From: Jim Moores
[mailto:[EMAIL PROTECTED]]
Sent: Tuesday, January 28, 2003
10:06 AM
To: WEDI SNIP Privacy Workgroup
List
Subject: Some Questions that I've
asked before

Hi All,



 I've
asked these questions before, but didn't get much response (or any at all on
some). Since we're all getting close to THE DATE, I thought
re-asking might get more/better response, so I'm re-postinga digest of
the questions. Any discussions of what you are doing and / or suggestions
are welcome.



_ Private
Communications 



 These
questions are about Private Communications (PC)  Customer Service:

1) How do you
respond to a Customer Service Inquiry fromthe contract holder
(subscriber) when someone on that contract has invoked PC? Do you
just say, I can't give any further information or I've released
all the information to which you are entitled or  some other
sentence/phrase with similar meaning? I realize you can't just say,
Someone on your contract has requested Private
Communications. 

Possible
scenario: Jane, the wife of Joe Contractholder requests PC, primarily
because she's going to a psychologist. Because Jane has requested PC, the
insurance company (or provider) routes ALL her claim EOBs (or
bills)to an alternate address. Joe calls customer service to ask
where the Explanation of Benefits (EOB) is for his wife's recent visit to the
Emergency Room for a twisted ankle. How should the customer service
rep answer? 

2) How do you
send out the EOB when you have a non-custodial and custodial parent getting
EOBs and one of the children has invoked PC? We have a number of these
situations where we have received a Domestic Relations Court Order 

RE: NPP and recurrent patients

2003-01-27 Thread Ribelin, Donald



Tracy, you must provide the NPP at first contact (with 
some exceptions) or upon future request (for example after the NPP has been 
modified.) There is no requirement to provide it at every visit. You 
only need to make a good faith effort to obtain acknowledgement at that first 
contact issuance.


Donald L. Ribelin, RN, MHS, BSN HIPAA Project Manager FirstHealth of the Carolinas [EMAIL PROTECTED] (910) 
215-2668 

  -Original Message-From: Traci Winter 
  [mailto:[EMAIL PROTECTED]]Sent: Monday, January 27, 2003 11:38 
  AMTo: WEDI SNIP Privacy Workgroup ListSubject: NPP and 
  recurrent patients
  OK time to open another can of worms.
  
  It is not unusual for us to discharge a patient and have them return to 
  our services multiple times. Do have to give them a copy of the NPP each time 
  we admit them to services? Their medical records are only maintained on site 
  for the past year and current year, after that they are sent to an off site 
  storage facility. Should we just add a statement to the acknowledgement 
  stating a copy of the NPP wasn't provided or was declined due to receipt at a 
  previous time of admission. I know we had this option with our patients rights 
  booklet we gave out at time of admission to hospital patients.
  
  Traci Winter
  Hospitals Home Health Care, Inc.---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 
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RE: NPP and recurrent patients

2003-01-27 Thread Ribelin, Donald
Noel, that is also my understanding.

-Original Message-
From: Noel Chang [mailto:[EMAIL PROTECTED]]
Sent: Monday, January 27, 2003 12:59 PM
To: WEDI SNIP Privacy Workgroup List
Subject: Re: NPP and recurrent patients


The obligations of health care providers (there are different ones for
health 
plans) to distribute your NPP if you revise it after initially disitributing

it to individuals are limited to making the revised NPP abailable to them 
upon request, and posting the revised notice in your facility (see section 
164.520(c)(2)(iv).  I would also infer from the regs. that you are obliged
to 
post the updated version on you website, if you have one, but I cannot find 
an explicit statement about this.

Noel Chang  

--
Open WebMail Project (http://openwebmail.org)


-- Original Message ---
From: Kelli Knuckles [EMAIL PROTECTED]
To: WEDI SNIP Privacy Workgroup List [EMAIL PROTECTED]
Sent: Mon, 27 Jan 2003 10:15:36 -0700
Subject: Re: NPP and recurrent patients

 Traci-
 
 You only have to provide your patients with the NPP once.  You need 
 to somehow track that you have provided the patient with a copy. 
  One thing to keep in mind, however, is that if you change or update 
 your NPP new copies need to be provided to your patients.  At least 
 that's my understanding.
 
 Kelli Knuckles
 Apps Analyst
 MCDHS
 
  Traci Winter [EMAIL PROTECTED] 01/27/03 09:37AM 
 OK time to open another can of worms.
 
 It is not unusual for us to discharge a patient and have them return 
 to our services multiple times. Do have to give them a copy of the 
 NPP each time we admit them to services? Their medical records are only
 maintained on site for the past year and current year, after that 
 they are sent to an off site storage facility. Should we just add a 
statement
 to the acknowledgement stating a copy of the NPP wasn't provided or was
 declined due to receipt at a previous time of admission. I know we 
 had this option with our patients rights booklet we gave out at time 
 of admission to hospital patients.
 
 Traci Winter
 Hospitals Home Health Care, Inc.
 
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RE: who holds the power?

2003-01-24 Thread Ribelin, Donald
I strongly agree with Leslie.

Donald L. Ribelin
HIPAA Project Manager
Firsthealth of the Carolinas
(910) 215-2668
[EMAIL PROTECTED]

 -Original Message-
From:   Harpe, Leslie [mailto:[EMAIL PROTECTED]] 
Sent:   Friday, January 24, 2003 9:44 AM
To: WEDI SNIP Privacy Workgroup List
Subject:RE: who holds the power?

Look at section 164.504 (e)(2)(i) Establish the permitted and required uses
and disclosures of such information by the business associate.  Vendors
are not required by law to have a BAA, you as a provider are.

I think the agreement should come from the entity that is responsible for
the patient information.  

Leslie Harpe

-Original Message-
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Friday, January 24, 2003 7:50 AM
To: WEDI SNIP Privacy Workgroup List
Subject: who holds the power?


I understand the desire of a vendor not to sort through hundreds of BAA's 
from different CEs but I also know that the CE does not want to deal with 
hundreds of different BAA's from different BAs either.  

So, is it simply a matter of who blinks first?  That is, if the CE insists 
you sign my agreement but the BA refuses, then must the CE sever their 
relationship with the BA? Or vice versa?  It seems like we have stubborn CEs

that only want their BAA signed and we have stubborn BAs that only want
their 
BAA signed.  So what happens when the two shall meet?? Does the rule state 
who has the upper hand here or does it simply state, Work it out or find a 
different partner  As a small provider (20 physician office), do we just 
roll over an accept what the big vendor wants?  It seems like we have to 
accept their BAA if no competition exists or if we do not want the hassle of

finding a different BA.  I think I got this right. I just wanted
confirmation 
that we must accept the BA's version of the BAA when they present it as a 
take it or leave it proposition since we do not have the resources to look

for a different BA (in many circumstances).

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RE: EMS and the NPP

2003-01-23 Thread Ribelin, Donald








Chris, thanks for the feedback. Biggest problem, our NPP is five pages
(front and back) long. Attaching
it becomes an issue secondary to its bulk. Good point about 911 calls. We are less worried about them. 



Donald L. Ribelin

HIPAA Project Manager

Firsthealth of the Carolinas

(910) 215-2668

[EMAIL PROTECTED]



-Original
Message-
From: Chris Brancato
[mailto:[EMAIL PROTECTED]]
Sent: Wednesday, January 22, 2003
10:20 AM
To: Ribelin, Donald; WEDI SNIP
Privacy Workgroup List
Subject: RE: EMS and the NPP



Don,

I consult with some of the nations largest Fire/EMS departments for
HIPAA.

I advise several different ways. Non-transports require a treat and
release signature from a patient.

A copy of NPP can be printed on the back or separately, but they should
make a reasonable attempt to provide the NPP. What you dont say is how they
are activated. If they are activated via 911, this is an emergency response,
not requiring an NPP as the call is emergency, not routine, in nature.



I also advise departments that do the billing to include the NPP in the
billing statement, just like the Credit Card companies do.



Hope that helps.



Chris Brancato



-Original
Message-
From: Ribelin, Donald
[mailto:[EMAIL PROTECTED]]
Sent: Tuesday, January 21, 2003
8:03 AM
To: WEDI SNIP Privacy Workgroup
List
Subject: RE: EMS and the NPP



An interesting question from our EMS HIPAA rep
yesterday: 



When EMS treats and transports an accident victim to
another hospital (one not part of our enterprise), should we give them a copy
of our NPP? One of the underlying
issues centers on our management of EMS in several counties. While most of the patients
involved end up at FirstHealth facilities (where they would receive a copy of
the NPP once their condition allowed), a significant minority are transported
to other hospitals. On first look my response is that the receiving facility
would be responsible for providing the patient with a copy of their NPP. But is that the case? I would like the groups comments,
opinions and citations re: the whole ems issue. I am also looking forward to OCRs clarifications on these
issues.





Donald L. Ribelin

HIPAA Project
Manager

Firsthealth of
the Carolinas

(910) 215-2668

[EMAIL PROTECTED]





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WEDI SNIP. If you wish to receive an official opinion, post your question to
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listservs should not be used for commercial marketing purposes or discussion of
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RE: EMS and the NPP

2003-01-21 Thread Ribelin, Donald








An
interesting question from our EMS HIPAA rep yesterday: 



When EMS
treats and transports an accident victim to another hospital (one not part of
our enterprise), should we give them a copy of our NPP? One of the underlying issues centers on
our management of EMS in several counties. While most of
the patients involved end up at FirstHealth facilities (where they would receive
a copy of the NPP once their condition allowed), a significant minority are
transported to other hospitals. On first look my response is that the receiving
facility would be responsible for providing the patient with a copy of their
NPP. But is that the case? I would like the groups comments,
opinions and citations re: the whole ems issue. I am also looking forward to OCRs clarifications on these
issues.





Donald L. Ribelin

HIPAA Project Manager

Firsthealth of the Carolinas

(910) 215-2668

[EMAIL PROTECTED]








---
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RE: HIPAA privacy and telephone

2003-01-17 Thread Ribelin, Donald
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 PROTECTED]

This electronic message may contain information that is confidential and/or
legally privileged. It is intended only for the use of the individual(s) and
entity(s)  named as recipients in the message. If you are not an intended
recipient of the message, please notify the sender immediately,  delete the
material from any computer, do not deliver, distribute, or copy this
message, and do not disclose its contents or take action in reliance on the
information it contains. Thank you.



- Original Message - 
From: [EMAIL PROTECTED]
To: WEDI SNIP Privacy Workgroup List [EMAIL PROTECTED]
Sent: Thursday, January 16, 2003 04:04 PM
Subject: HIPAA privacy and telephone


 I would like the lists opinion on this topic.
 
 Patient comes to the office to have their potassium checked because they
are on a diuretic.  Later, the physician's nurse calls the patient at home
with results but the patient is not home.  Spouse answers the phone.  Can
you tell the spouse that the potassium was fine and that he/she should tell
the spouse to continue the same dose of diuretic and potassium supplement?
If you say no, this type of disclosure is not allowed, would it matter
that we put a statment in our Notice of Privacy Practices that stated  (in
the section on Payment, treatment and  health care operations) On occasion,
we call test results to your home and leave the results with a family member
if you are not present.  Now, obviously, we would not do this with a HIV
result but it seems like such a waste of everyone's time to play phone tag
to accommodate the one patient in a million that is actually upset because
you told the spouse what the potassium result was.  Thank you.
 
 Rich Fairley, 
 Dubuque, IA


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on this listserv therefore represent the views of the individual participants, and do 
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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 products and services.  
They also are not intended to be used as a forum for personal disagreements or 
unprofessional communication at any time.

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RE: HIPAA privacy and telephone

2003-01-17 Thread Ribelin, Donald
A but who said anything about calling back and getting a human?  Call
back, get the robot, type in the secret code (pin), get the recording with
the nurse and/or physician's message about my lab work.  

Donald 

 -Original Message-
From:   Benjamin W. Tartaglia [mailto:[EMAIL PROTECTED]] 
Sent:   Friday, January 17, 2003 12:17 PM
To: WEDI SNIP Privacy Workgroup List
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 PROTECTED]

This electronic message may contain information that is confidential and/or
legally privileged. It is intended only for the use of the individual(s) and
entity(s)  named as recipients in the message. If you are not an intended
recipient of the message, please notify the sender immediately,  delete the
material from any computer, do not deliver, distribute, or copy this
message, and do not disclose its contents or take action in reliance on the
information it contains. Thank you.



- Original Message -
From: [EMAIL PROTECTED]
To: WEDI SNIP Privacy Workgroup List [EMAIL PROTECTED]
Sent: Thursday, January 16, 2003 04:04 PM
Subject: HIPAA privacy and telephone


 I would like the lists opinion on this topic.

 Patient comes to the office to have their potassium checked because they
are on a diuretic.  Later, the physician's nurse calls the patient at home
with results but the patient is not home.  Spouse answers the phone.  Can
you tell the spouse that the potassium was fine and that he/she should tell
the spouse to continue the same dose of diuretic and potassium supplement?
If you say no, this type of disclosure is not allowed, would it matter
that we put a statment in our Notice of Privacy Practices that stated  (in
the section on Payment, treatment and  health care operations) On occasion,
we call test results to your home and leave the results with a family member
if you are not present.  Now