Re: NPP and recurrent patients

2003-01-27 Thread Kelli Knuckles
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: 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 
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  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 
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RE: NPP and recurrent patients

2003-01-27 Thread Dan Kelsey
Actually, the December 2002 FAQ's addressed changes in the privacy notice
and state the following: 

Question:  Does the HIPAA privacy rule require a health care provider to
obtain a new acknowledgment of receipt of the notice from patients if the
facility changes its privacy policy?

Answer:  No.  A covered health care provider with a direct treatment
relationship with individuals is required to make a good faith effort to
obtain an individual's acknowledgment of receipt of teh notice only at the
time the provider firts gives the notice to the individual -- that is, at
first service delivery.  See 45 CFR 164.502(c)(2).

Hope this helps 

Dan Kelsey
Practice Advisor
Indiana State Medical Association

-Original Message-
From: Kelli Knuckles [mailto:[EMAIL PROTECTED]]
Sent: Monday, January 27, 2003 12:16 PM
To: WEDI SNIP Privacy Workgroup List
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.


---
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 products
and services.  They also are not intended to be used as a forum for
personal disagreements or unprofessional communication at any time.

You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] 
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[EMAIL PROTECTED] 
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---
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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 products and
services.  They also are not intended to be used as a forum for personal
disagreements or unprofessional communication at any time.

You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED]
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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 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: NPP and recurrent patients

2003-01-27 Thread Noel Chang
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.
 
 ---
 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 products and services.  They also are not intended 
 to be used as a forum for personal disagreements or unprofessional 
 communication at any time.
 
 You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] 
 To unsubscribe from this list, go to the Subscribe/Unsubscribe form 
 at http://subscribe.wedi.org or send a blank email to leave-wedi-
 [EMAIL PROTECTED] If you need to unsubscribe but your 
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 ---
 The WEDI SNIP listserv to which you are subscribed is not moderated. 
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 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 products and services.  They also are not 
 intended to be used as a forum for personal disagreements or 
 unprofessional communication at any time.
 
 You are currently subscribed to wedi-privacy as: 
 [EMAIL PROTECTED] To unsubscribe from this list, go to the 
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on this listserv therefore represent the views of the individual participants, and do 
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Database at http://snip.wedi.org/tracking/.   These listservs should not be used for 
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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.
 
 ---
 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 products and services.  They also are not intended 
 to be used as a forum for personal disagreements or unprofessional 
 communication at any time.
 
 You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] 
 To unsubscribe from this list, go to the Subscribe/Unsubscribe form 
 at http://subscribe.wedi.org or send a blank email to leave-wedi-
 [EMAIL PROTECTED] If you need to unsubscribe but your 
 current email address is not the same as the address subscribed to 
 the list, please use the Subscribe/Unsubscribe form at 
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 ---
 The WEDI SNIP listserv to which you are subscribed is not moderated. 
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 the individual participants, and do not necessarily represent the 
 views of the WEDI Board of Directors nor WEDI SNIP. If you wish to 
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 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.
 
 You are currently subscribed to wedi-privacy as: 
 [EMAIL PROTECTED] To unsubscribe from this list, go to the 
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your question to the WEDI SNIP Issues Database at
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RE: NPP and recurrent patients

2003-01-27 Thread Beth . Kranda
The citation Noel references below is true and can be found at 164.520 (c)
(3) (i)
An entity that maintains a web site ... must prominently post its notice on
the web site and make the notice available electronically through the web
site.

Thanks
BK
-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.
 
 ---
 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 products and services.  They also are not intended 
 to be used as a forum for personal disagreements or unprofessional 
 communication at any time.
 
 You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED] 
 To unsubscribe from this list, go to the Subscribe/Unsubscribe form 
 at http://subscribe.wedi.org or send a blank email to leave-wedi-
 [EMAIL PROTECTED] If you need to unsubscribe but your 
 current email address is not the same as the address subscribed to 
 the list, please use the Subscribe/Unsubscribe form at 
http://subscribe.wedi.org
 
 ---
 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 products and services.  They also are not 
 intended to be used as a forum for personal disagreements or 
 unprofessional communication at any time.
 
 You are currently subscribed to wedi-privacy as: 
 [EMAIL PROTECTED] To unsubscribe from this list, go to the 
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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
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