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 
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>>> "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]

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----- 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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