From: Leslie C Bender [mailto:[EMAIL PROTECTED]] 
Sent: Wednesday, January 15, 2003 4:04 PM
Subject: RE: Here is a good Privacy Issue that will cause problems

There is a similar fact pattern in a federal reported decision in United
States v. Sutherland (Virginia federal court case, a little over a year
ago).  In the Sutherland situation a law enforcement official was
seeking prescription records from physicians/pharmacies to prosecute an
individual who was alleged to have violated narcotics laws.  The court
ruled that in that particular situation that individuals' health privacy
rights are not "absolute" and in certain situations may have to yield to
greater public safety or policy situations.  It would seem that were the
pharmacy to enlist the assistance of law enforcement personnel section
164.512 may kick in and "permit" PHI disclosures.

Leslie C. Bender
ROI WebEd Company
1922 Greenspring Drive, Suite 7
Timonium, Maryland  21093


-----Original Message-----
From: Rebekah Savoie [mailto:[EMAIL PROTECTED]] 
Sent: Wednesday, January 15, 2003 3:53 PM

Today, a clinic that I work with received a letter from a local pharmacy
about a patient that was a "Drug Seeker" as we call them.  Over the
course of 30 days he had been to several doctors and several pharmacies
and received over 350 total pills all a controlled substance.

What happens to the pharmacy's ability to do these types of things
under Privacy?  

Clearly, pharmacist were communicated information back and forth to
each other and to physicians on this person.  They even sent letters to
all physicians in the area.

Problem? yes or no

Rebekah Savoie, CCS-P
Healthcare Consultant





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