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, 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 --- 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 [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: archive@mail-archive.com To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [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
Re: HIPAA privacy and telephone
The OCR guidance at http://www.hhs.gov/ocr/hipaa/privacy.html under incidental disclosures indicates that leaving information with family members or on an answering machine or mailing information is allowed, but also cautions that professional judgment should be used to assure that the information is limited to what is necessary and assure that its in the interests of the patient. Regards, lhc Leah Hole-Curry, JD FOX Systems, Inc. 602.708.1045 Information transmitted is confidential and may be proprietary to FOX Systems, Inc. It is intended only for the person or entity to which it is addressed. Anyone else is prohibited from disclosing, copying, or disseminating the contents or attachments. If you receive this in error, please notify sender immediately, or us at www.foxsys.com and delete from your system. Doug Webb [EMAIL PROTECTED] 01/17/03 06:38 AM 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 --- 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 [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: archive@mail-archive.com To unsubscribe from this list, go to the
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, 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 --- The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual
RE: HIPAA privacy and telephone
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
RE: HIPAA privacy and telephone
This is exactly what my physician does. When I have lab work at his office, I am given a slip of paper that has dial-in instructions, the pin number and my code number and when I can expect for the results to be available. I dial-in and listen to my physician's pre-recorded message to me regarding the results of my lab work and any comments about it. Only if the results are really bad does the doctor or nurse personally call and discuss the results (and this is prior to the results being available on the dial-in system). I like the system since there is no phone tag, I can listen to the results when convenient for me, don't have to worry about family members accidently erasing the message and I can listen to it again (for up to so many days). The only down side is when the doctor does call you know immediately that it is not good news. -Original Message- From: Ribelin, Donald [mailto:[EMAIL PROTECTED]] Sent: Friday, January 17, 2003 11:47 AM To: WEDI SNIP Privacy Workgroup List Subject: RE: HIPAA privacy and telephone 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
RE: HIPAA privacy and telephone
Can anyone point me towards vendors of systems like this (off list, please) Thank you, Bruce Bradigan Healthcare Consultant -Original Message- From: Lawson, Pam [mailto:[EMAIL PROTECTED]] Sent: Friday, January 17, 2003 1:03 PM To: WEDI SNIP Privacy Workgroup List Subject: RE: HIPAA privacy and telephone This is exactly what my physician does. When I have lab work at his office, I am given a slip of paper that has dial-in instructions, the pin number and my code number and when I can expect for the results to be available. I dial-in and listen to my physician's pre-recorded message to me regarding the results of my lab work and any comments about it. Only if the results are really bad does the doctor or nurse personally call and discuss the results (and this is prior to the results being available on the dial-in system). I like the system since there is no phone tag, I can listen to the results when convenient for me, don't have to worry about family members accidently erasing the message and I can listen to it again (for up to so many days). The only down side is when the doctor does call you know immediately that it is not good news. (prior messages snipped) --- 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: archive@mail-archive.com To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [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
RE: HIPAA privacy and telephone
Title: RE: HIPAA privacy and telephone Be careful - If you say that an authorization is required, a y/n question will not fill the void even if you track it. If you say that an authorization is required, it must be a HIPAA valid authorization and there are a list of about 10 required components to be a valid auth. I happen to agree that an auth would be required with one exception - an authorizedpersonal representative could be given the patient's info. There is also the paragraph about exceptions in the treatment relationship when the family member is involved in the carebut this may be an area that is too gray for this type of situation. BK -Original Message-From: Clay, Roy III (NO) [mailto:[EMAIL PROTECTED]]Sent: Friday, January 17, 2003 4:09 PMTo: WEDI SNIP Privacy Workgroup ListSubject: RE: HIPAA privacy and telephone My feeling is that unless you have authorization from the patient, anything other than giving the results directly to the patient is not allowed. You wish you can have an opt-in question on the order of "Do we have your permission to leave medical information with your spouse?(Y/N) These responses would have to be tracked and adhered to. -Original Message- From: Doug Webb [mailto:[EMAIL PROTECTED]] Sent: Friday, January 17, 2003 8:51 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 --- 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 [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
RE: HIPAA privacy and telephone
Title: RE: HIPAA privacy and telephone 164.510 allows, but does not require covered entities to disclose or use protected health information to: Family members, close friends, or others assisting in an individuals care. Rule requires that the individual be notified in advance and given the opportunity to agree or prohibit or restrict the use or disclosure. This can be oral agreement. So this is a matter of #1 Notification and #2 during the office visit obtaining permission to inform the spouse or other family members who are involved in the medical care of the individual. Gerry Friberg Client Service Manager Professional Business Services 7700 A Street Lincoln, NE 68510 402-489-7131 www.pbssite.com -Original Message-From: Clay, Roy III (NO) [mailto:[EMAIL PROTECTED]]Sent: Friday, January 17, 2003 3:09 PMTo: WEDI SNIP Privacy Workgroup ListSubject: RE: HIPAA privacy and telephone My feeling is that unless you have authorization from the patient, anything other than giving the results directly to the patient is not allowed. You wish you can have an opt-in question on the order of "Do we have your permission to leave medical information with your spouse?(Y/N) These responses would have to be tracked and adhered to. -Original Message- From: Doug Webb [mailto:[EMAIL PROTECTED]] Sent: Friday, January 17, 2003 8:51 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 --- 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 [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
