It looks like I've touched a live wire here! I certainly have no problem
with the NPP as a pedagogical tool to inform patients and members of
their HIPAA privacy protections. The few that I've seen seem to be short
and "readable" re-hashes of the privacy rule. For example: We may
disclose for TPO, Where Required by Law or for Public Health Activities,
To Avert a Serious Threat to Health or Safety, For Law Enforcement or
Specific Government Functions, etc. And that we'll get a written
authorization from you for certain other things not allowed by the law -
and you have a right to inspect and amend records, get disclosures, file
complaints, and so on.

Since distributing the NPP and gathering acknowledgements is expensive,
I doubt many (providers or payers) would have done it unless compelled
by the law. But at the end of the day, how would a patient be "harmed"
by not having received the NPP on her first visit? Even if the patient
is not (now) familiar with the law, the provider (or insurance company)
is! She's still protected (somewhat) by the law, whether or not she
knows of its existence.

And most anyone has some intuition that she's been wronged if the
hospital gives away her most intimate health information to just anyone
(the press?) - which explains why Congress thought it was important to
codify this stuff into law. Now when she complains, her lawyer has an
additional tool to work with. But her HIPAA privacy protections don't
simply disappear because she couldn't read the notice. And, assuming the
provider (or insurance company) is otherwise diligent in obeying the law
(e.g., he actually protects PHI), how is he more vulnerable because he
didn't have the notice printed in 16 different languages and Braille?

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: "Ribelin, Donald" <[EMAIL PROTECTED]>
To: "WEDI SNIP Privacy Workgroup List" <[EMAIL PROTECTED]>
Sent: Monday, 27 January, 2003 08:11 AM
Subject: RE: NPP and illiterate population


Yes William I do believe that some will read my company's NPP.  Let me
list a few.

* Some patients
* Some patient's lawyer
* OCR after some patient files a complaint with HHS
* The jurors at the trial over the harm caused to some patient
* Some employee who also becomes a "some patient"

Donald L. Ribelin
HIPAA Project Manager
Firsthealth of the Carolinas
(910) 215-2668
[EMAIL PROTECTED]

 -----Original Message-----
From: William J. Kammerer [mailto:[EMAIL PROTECTED]]
Sent: Friday, January 24, 2003 6:25 PM
To: WEDI SNIP Privacy Workgroup List
Subject: Re: NPP and illiterate population

Why agonize over it? Do you really believe anyone is going to read these
things? I'm literate - with full command of the English language - yet
I've never read one of those stupid GLB privacy notices from banks and
credit card companies, and probably would not have the patience to keep
track of all the subparts and insofar as'es.  And what's with that tiny
type they always use?

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: "Jennifer Peters" <[EMAIL PROTECTED]>
To: "WEDI SNIP Privacy Workgroup List" <[EMAIL PROTECTED]>
Sent: Friday, 24 January, 2003 05:49 PM
Subject: RE: NPP and illiterate population


How is everyone handling a situation where a patient is literate, but
unable to comprehend the NPP?


-----Original Message-----
From: Bentz-Miller, Judith [mailto:[EMAIL PROTECTED]]
Sent: Friday, January 24, 2003 11:10 AM
To: WEDI SNIP Privacy Workgroup List
Subject: RE: NPP and illiterate population


We will be RECORDING it as a voice mail message (our system
handles over 12 minutes!) and having an extension, with access on both
the local line and 800 line.     We are also having a privacy (800
number) hotline set up and both numbers will be listed on business
cards.  Business cards will be located at each receptionist desk.

-----Original Message-----
From: Traci Winter [mailto:[EMAIL PROTECTED]]
Sent: Friday, January 24, 2003 10:38 AM
To: WEDI SNIP Privacy Workgroup List
Subject: NPP and illiterate population


I know our NPP is supposed to be easy to read and
understand, but one of our committee members brought up an interesting
thought. What do we do with our illiterate population and our patients
who are legally blind. In the area we service this a definite issue.
Should we put the NPP on an audio cassette so the patients whom are
unable to read it can listen to it?

Opinions appreciated.

Traci Winter
Hospitals Home Health Care, Inc.


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