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Dan,
I had overlooked Leslie's mention of requiring authorization
after it hits Medical Records.
I agree with you that authorization is not necessary for
sending medical info for Treatment purposes to another Physician. I would
think that the older the information, the more questions I would ask before
releasing the information (just to be sure that the inquirier is really involved
in the patient's Treatment).
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 -----
Sent: Wednesday, March 26, 2003 08:30
AM
Subject: RE: section
164.514(d)(3)(iii)(B)
Leslie - I agree with your approach. However, let me play
devil's advocate on the last part of your message - Suppose I am a
cardiologist, and am seeing a new patient in my office. In talking to
the patient I discover the patient was recently seen at your hospital - I call
over to the hospital and ask for a copy of the EKG. I need this
information for treatment purposes - however, I was not involved in the
patient's recent hospitalization.
Based on your approach, I will
need to get an authorization from the patient, fax it over to HIM at the
hospital and then get the EKG. I fully understand your reasoning.
But this is a covered entity requesting information for treatment. The
commentary also states that information can be released to individuals to the
extent they are involved in the care of the patient. Personally, I do
not think the authorization is necessary.
My concern is that the
approach you outlined could potentially delay the delivery of care to
patients. What if the roles were reversed? What if I am a
physician and do not have staff privileges at your hospital and am not part of
an OHCA? A patient of mine is hospitalized at your facility, and the
hospital calls my office asking about medical history, etc. - I then
say, sorry you will have to get an authorization from the patient and fax it
over to get the information - It certainly will not make the busy RN or staff
physician very happy.
Like I said, I am not disagreeing with your
approach, just playing devil's advocate.
Dan Kelsey
Practice
Advisor
Indiana State Medical Association
-----Original
Message-----
From: Harpe, Leslie [mailto:[EMAIL PROTECTED]
Sent:
Tuesday, March 25, 2003 3:15 PM
To: WEDI SNIP Privacy Workgroup
List
Subject: section 164.514(d)(3)(iii)(B)
Your opinions on the
following scenario:
A patient is seen in the ER last night. Dr. A
ordered labs. Dr. B calls
the lab for the results today. Lab
only knows the ordering doctor. Based
on the fact that Dr. B knows
labs were ordered and according to section
164.514(d)(3)(iii)(B), we are
going to release the lab results without an
authorization. We believe
that this is continuum of care and we are
releasing to another covered
entity. (No disclosure is required either.) If
each department
identifies who can release the info, the minimum they can
release for
routine disclosure and develop criteria for non-routine
disclosures, this
should be an acceptable practice. Page 82545 also supports
this
interpretation. My notice also informs the patient that we will
do
this as continuum of care.
Once the chart is received by medical
records though, we will require an
authorization if the physician is not on
record.
I hope this is right, if not, we'd better start planting
more trees to
support the tremendous mounds of paperwork.
Thanks,
Leslie Harpe
Privacy Official
South Georgia Medical
Center
Valdosta, GA 31603-1727
[EMAIL PROTECTED]
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participants, and do not necessarily represent the views of the WEDI Board of
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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.
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