Thanking a patient for a referral

2003-11-06 Thread Catherine Lohmeier








I thought Id tell the group the
opinion I formed regarding this issue in the event it may help others. I thank everyone for their input.



I decided that the opportunity to agree or
object did not apply in this area because that is reserved for family and
friends involved in the patients care. Just because you referred someone to
your doctor doesnt make you involved in the persons care. Then, I got to thinking that this referral
program could be considered a marketing program on the part of the doctor in an
effort to get more referrals. Basically,
it is a disclosure that doesnt fit into any of the exceptions I know of,
therefore.



This disclosure simply isnt allowed
without an authorization.



Once I came to that realization, I knew
the NPP was completely out of the question. The NPP is designed to inform a patient
about allowed disclosures, not take the place of an authorization. In some cases, putting the opportunity
to agree or object in a NPP is appropriate if there is a specific mechanism to
allow the agreement or objection to be noted above, beyond and separate from
the receipt of NPP acknowledgement.



So, all this confirmed my opinion all
alongyes, take the name off the card. That is the ONLY option, other than
dropping the program. Its
the simplest thing to do. De-identify. I never saw this as a privacy mantra
before, but I certainly do now.



There may need to be some additional steps
to keep people from deducing the identity of the referral. (One can refer a friend today and get a
thank you note tomorrow, or a thank you note once a
month.)



Im thinking this is the stage where
someone saysis all this really necessary? I say yes. News travels fast whether it is good or
bad and seeing a doctor is always news.



These are just my personal opinions and I
am not a lawyer, so take it all with a grain of salt or aspirin as the case may
be!





Catherine Lohmeier

Implementations Project Lead

OD Professional Team

888.621.5751 x 15

402.423.6509 x 15










---
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






RE: Thanking a patient for a referral

2003-10-31 Thread Deborah Campbell



And if 
all else fails, couldn't the doctor send a note to the patient saying. "Thank 
you for referring your friend." With no name, there is no PHI, 
right?
Deborah Campbell

  -Original Message-From: [EMAIL PROTECTED] 
  [mailto:[EMAIL PROTECTED]Sent: Thursday, October 30, 2003 
  9:20 PMTo: WEDI SNIP Privacy Workgroup ListSubject: Re: 
  Thanking a patient for a referralA good 
  old fashioned thank you may now have to be first requested by the doctor when 
  in with the referred patient. If the patient agrees, document a verbal 
  agreement and then send the thank you note. We should not be so worried in 
  this environment, that we either forget or discontinue common courtesies. 
  Julie TomkinsonTOMKINSONHealth Consulting ---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: [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




RE: Thanking a patient for a referral

2003-10-31 Thread rachelmcass



Why does the thank 
you note have to identify the patient who was referred? Seems to me if the 
thank you note said "Our office thanks you for referring a friend to our 
office," that accomplishes the same purpose, and does not release 
PHI.

I had an eye doctor 
once who was referred to me by my aunt. I was apparently not the first 
person she referred, and he ended up giving her a discount on her next visit for 
all the business. But I do not think it would have been necessary for him 
to tell her "Rachel stated she was referred by you; that's the fourth referral 
you made, here's a 10% discount," but could say "Thank you for the four 
referrals. To show our appreciation, we are offering you a 10% discount on 
you next visit."

Rachel
---
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




Re: Thanking a patient for a referral

2003-10-30 Thread Tomkinsonhealth
A good old fashioned thank you may now have to be first requested by the doctor when in with the referred patient. If the patient agrees, document a verbal agreement and then send the thank you note. 
We should not be so worried in this environment, that we either forget or discontinue common courtesies. 
Julie Tomkinson
TOMKINSONHealth Consulting
---
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




Thanking a patient for a referral

2003-10-29 Thread Catherine Lohmeier








I would appreciate any opinions on this
one. Please use citations if you
have them since that will help me document any decisions we make.



Scenario:

Patient A refers their friend Patient B to
his/her doctor.



Patient B goes to that doctor.



The doctor wants to thank Patient A for
the referral and sends a note saying Thank you for referring Patient B
to my office and that is the extent of it



My first take on this is that it is not a
disclosure of PHI, which therefore is not affected by HIPAA. Patient A already has Patient Bs
name, otherwise how could there be a referral. But, I can also see that once Patient B
has seen the doctor the connection of Patient Bs name with having seen
the doctor becomes PHI.



a) Would this be a disclosure that Patient B should
be given the opportunity to agree or object to? It seems that would cover it without
having to do a formal authorization. This is what I am leaning toward. 

b) Should a formal authorization be required? Seems overkill.

c) Should the Thank you be sent
without identifying anyone? This
could work though it may not be as effective.

d) Should the program be dropped? Again, this seems unnecessary.



Any other opinions? Is there an OCR guideline that addresses
something like this?



Thanks in advance for any replies.





Catherine Lohmeier

Implementations Project Lead

OD Professional Team

888.621.5751 x 15

402.423.6509 x 15










---
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