Ahhhh 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]

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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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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
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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 
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