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HIPAA...jeez..hate when I flub making a point..but stil..that is one sad post!

Posted By: revolted on 2006-06-01
In Reply to:

Subject: HIPAA...jeez..hate when I flub making a point..but stil..that is one sad post!

nm


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    HIPAA
    Subject: HIPAA

    After reading all the messages under this thread, it is apparent that a couple of posters under this thread do not know what exactly HIPAA is!?

    Here are some links regarding HIPAA:

    http://www.hhs.gov/ocr/privacysummary.pdf

    http://www.mcg.edu/Research/OHRP/hac/polsect43.htm


    Excerpts from the text contained in the second link:

    The Privacy Rule establishes privacy standards to protect a person’s protected health information (PHI), including research activities.

    PHI is defined as:

    1. Names

    2. Geographic subdivisions smaller than a State, including street address, city, county, precinct, zip code and their equivalent geocodes, except for the initial 3 digits of the zip code if, according to the current policy available from the Bureau of the Census:

    a. The geographic unit formed by combining all zip codes with the same 3 initial digits contains more than 20,000 people; AND

    b. The initial 3 digits of the zip code for all geographic units containing 20,000 or fewer people is changed to 000.

    3. Dates (except year) directly related to an individual (e.g., date of birth, discharge date, date of death) and all ages over 89 and all elements of dates (including year) indicative of such age, except that such ages and elements may be aggregated into a single category of age 80 or older

    4. Telephone numbers

    5. Fax numbers

    6. Electronic mail addresses

    7. Social Security Numbers

    8. Medical Record Numbers

    9. Health plan beneficiary numbers

    10. Account numbers

    11. Certificate/license numbers

    12. Vehicle identifiers and serial numbers, including license plate numbers

    13. Device identifiers and serial numbers

    14. Web Universal Research Locators (URL)

    15. Internet Protocol (IP) address numbers

    16. Biometric identifiers, including finger and voice prints

    17. Full face photographic images and any comparable images; and

    18. Any other unique identifying number, characteristic or code


    Though the above list does not seem to be a complete list under the Privacy rule, there was NOTHING in the report that NewbieMT posted that would actually IDENTIFY the patient to say that THAT particular OP REPORT was patient John/Jane Doe's! Therefore that report she posted DID NOT fall under HIPAA violation as it was not an "individually identifiable health information" of that "anonymous patient" who CONTINUES to remain "anonymous", whom NewbieMT took every care to protect. Therefore, in my opinion, she did comply with HIPAA.

    EVERY MT was a Newbie once upon a time, and someone should give wings for the newbies and teach them how to fly instead of putting them through a court-martial.

    Having said that, I would like to point out that posters are better off seeking the permission of the Administrator before posting such reports in their entirety on this forum, as this is a privately-owned message board, and the Administrator gets to make her/his own rules of posting around here.

    I think it's time to end this thread and move on.
    you can do that. The HIPAA police won't come find you LOL
    Subject: you can do that. The HIPAA police won't come find you LOL

    x
    Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal
    Subject: Kocher's point is a common entry point for an intraventricular catheter to drain cerebral spinal fluid from the cerebral ventricles.


    Jeez i was way off! Thanks so much! nm
    Subject: Jeez i was way off! Thanks so much! nm

    x
    thank you for the rude reply. appreciate it. hope you never need help. jeez.
    Subject: thank you for the rude reply. appreciate it. hope you never need help. jeez.

    xx
    Jeez, I almost wanna say miconazole troche(s)
    Subject: Jeez, I almost wanna say miconazole troche(s)

    ...However, I don't see a verifiable source of a dosage form using troches.  I can find it on Google, but it just doesn't jive is all.


    jeez never mind... it's "clear plan" =)) NM
    Subject: jeez never mind... it's "clear plan" =)) NM

    x
    Always typed end point. My Stedman's has end point.
    Subject: Always typed end point. My Stedman's has end point.


    Jeez you're right. I'm tired, time to quit.
    Subject: Jeez you're right. I'm tired, time to quit.

    Thank you.
    Don't you hate it when
    Subject: Don't you hate it when

    They yawn, spit, sputter, spew, mumble, eat, while they're dictating! Wake up guys! You're talking to a PERSON!

    I know. I hate when they do this.
    Subject: I know. I hate when they do this.

    They always make up their own words so I probably will give him what he said and let them figure it out. LOL

    Thanks
    i hate BOS..sm
    Subject: i hate BOS..sm

    sometimes you just have to tell yourself, "if it doesn't change the sentence/meaning, don't worry about it.
    Yeah, I know, I just hate...
    Subject: Yeah, I know, I just hate...

    to leave a blank. I just picked up for someone on vacation and I hate to have a blank on the first dictation      ...ah well. Thanks anyhow!
    Ha! I hate it so much I gave away the
    Subject: Ha! I hate it so much I gave away the

    only psych reference book I had. It was the old Stedman's one that had psych and neuro mixed together. HATED that book, LOL.

    Not only is psych boring, but a lot of it is actually drug rehab, and those patients' problems are 95% self-inflicted out of pure foolishness.


    I hate cardiology!
    Subject: I hate cardiology!


    T-wave inversions in V4 through V6, I and aVL


    my question is about the V6, is it I or 1? ASR had typed V6-1.


    I get confused with the Roman vs Arabic in cardiology. Anybody have a good reference website?  TIA!!!!


    to 'I hate hyphens'.........s/m
    Subject: to 'I hate hyphens'.........s/m

    After thinking it over I came to teh decision tht I would say this is the right way..

    'The patient is a 40-week, appropriate for gestational age, female infant.'


    This is the version that makes most sense.
    THANKS-don't you hate it when you doubt yourself?
    Subject: THANKS-don't you hate it when you doubt yourself?


    On a similar note, I copied and pasted a URL/Link & sent with my post, but it was absent from post.
    Subject: On a similar note, I copied and pasted a URL/Link & sent with my post, but it was absent from post.

    x
    ADMIN, can you post a perm msg to post LOTS of context when asking about WORDS?
    Subject: ADMIN, can you post a perm msg to post LOTS of context when asking about WORDS?

    thanks
    hate to disappoint you but it was moi, Beavus
    Subject: hate to disappoint you but it was moi, Beavus

    as no one else here seems to know how to do that.

    I also wanted to see what would happen once posted, and you helped underscore my point. We can be good MTs or we can continue to be mediocre and then need to shut up about work going offshore. It is one thing to know when to use disc and when to use disk and another to give the client what they want, BUT to adopt an attitude of not knowing when it is proper to use these words, we diminished our value.

    Try looking up articular d. in Stedman's Dictionary and see which d. it instructs you to use. If you use disc for ortho, you might be using the wrong one.

    Again, give the client what it wants BUT please know the difference and when people ask questions here, do not enable them. Educate them. Know how to be a proper MT, even if your client asks you to transcribe improperly.

    Milton's Red Stapler
    Dialysis hate the terms.
    Tessio Catheter is that correct?
    I hate Yellofin stirrups!
    Subject: I hate Yellofin stirrups!

    No matter how I transcribe it, QA feels it is incorrect, but Allen Medical shows Yellofin Elite Stirrups and has a Yellowfin stirrup O/R table for ordering and prices.  I'd been taught long ago that this was a commonly misunderstood term and often dictated incorrectly by doctors and that the correct term was Yellofins -- no matter how they said it.  This term is documented on another reputable MT site.  It was so much easier when I felt that was the correct term.  Arghhhh!


     


    Thanks for letting me vent!


    I hate abstracts you have to subscribe to
    Subject: I hate abstracts you have to subscribe to

    read, but if you google factor XIIc assay, there are several links about it, just have to subscribe to read it.
    thanks Neri- I hate doubting myself!
    Subject: thanks Neri- I hate doubting myself!

    thanks neri - i knew that- i hate doubting myself, it wastes so much time! thanks again


    I absolutely HATE this word!
    Subject: I absolutely HATE this word!

    In reference to urethrovesical junction, it was not patchulous.

    urethrovesical junction was neither hypermobile, patchulose, nor fibrotic...

    Why can I never find patchulous? TIA.
    sorry - ostial - hate when I turn off my expansion
    Subject: sorry - ostial - hate when I turn off my expansion

    x
    Hate those things. I put them after the body of the report. sm
    Subject: Hate those things. I put them after the body of the report. sm

    but before the signature. Makes it easier. We typed our reports on sticky paper and that way it did not get separated from the main report etc. But I did not do BOS. nm
    I have always expanded to C. difficile, hate slang. nm
    Subject: I have always expanded to C. difficile, hate slang. nm

    .
    I hate to beat a dead horse, but...
    Subject: I hate to beat a dead horse, but...

    I have searched MTStars and can't find my answer.  I have posted this question before and do not get a reply.  I promise this will be my last attempt to find this answer.  I know how to use follow up and follow-up, BUT many people are using followup per BOS.  I can't find followup as a word in any dictionary.  Can someone please tell me where this is found BESIDES BOS?  Thanks in advance.  We are possibly putting in a quality check and I want to make sure I have it correct before then.  Thank you!
    I hate to beat an old horse to death, but...
    Subject: I hate to beat an old horse to death, but...

    I have searched MTStars and can't find my answer.  I have posted this question before and do not get a reply.  I promise this will be my last attempt to find this answer.  I know how to use follow up and follow-up, BUT many people are using followup per BOS.  I can't find followup as a word in any dictionary.  Can someone please tell me where this is found BESIDES BOS?  Thanks in advance.  We are possibly putting in a quality check and I want to make sure I have it correct before then.  Thank you!
    hate it when docs make up words: gel-ish
    Subject: hate it when docs make up words: gel-ish

    maybe my brain's just too frozen to wing it.


    would it be gellish, gel-ish ??? he's talking about the consistency of myelomeningocele tissue.  i'd rather go with gel-like, but with verbatim i don't feel comfortable ad libbing...


    I hate hyphens! See message for sentence. Thanks!
    Subject: I hate hyphens! See message for sentence. Thanks!

    Next, a Bard 20-cm, 6-French, double-pigtail ureteral stent was passed over the wire and up into the right kidney.


    Are my hyphens correct?  Do I really need that many hyphens?  My QA has been pinging me on hyphens even sent me a photocopied excerpt from the BOS "for my information."


    Ugh!


    Yep, there's a Lister and a Lester lens manipulator! I hate it when that happens!
    Subject: Yep, there's a Lister and a Lester lens manipulator! I hate it when that happens!

    x
    I must be wrong then, hate it when this stuff sounds so much alike. nm
    Subject: I must be wrong then, hate it when this stuff sounds so much alike. nm


    I hate to guess on drugs, but sounds like Mobic
    Subject: I hate to guess on drugs, but sounds like Mobic

    Here's what QuickLook has to say 'bout it:


    U.S./Canadian Brand Names
    Mobic®


    Therapeutic Category



    • Nonsteroidal Anti-inflammatory Drug (NSAID)

    Use

    Relief of signs and symptoms of osteoarthritis

    Usual Dosage

    Adult: Oral: Initial: 7.5 mg once daily; some patients may receive additional benefit from an increased dose of 15 mg once daily

    Dosage Forms

    Tablet: 7.5 mg, 15 mg


    OP's post inside post says not Harrington rods
    Subject: OP's post inside post says not Harrington rods

    x
    Glad you found it. Hate those sound alike drugs!!! nm
    Subject: Glad you found it. Hate those sound alike drugs!!! nm


    hate to beat a dead horse on ileal conduit
    Subject: hate to beat a dead horse on ileal conduit

    Does anyone have a GI/GU book that lists ileoconduit?  My QA does not like to be proved wrong.  She took a large deduction for my putting ileal conduit.  I am sending a QA review to have it looked at again, but she always comes up with a reference book from somewhere that has her word listed, so I'm just trying to save myself all the headache of submitting a QA review to find out it is listed somewhere ileoconduit.
    I thought Ash also, but he is clear as bell all throughout, Alpha Split....I hate this doc...
    Subject: I thought Ash also, but he is clear as bell all throughout, Alpha Split....I hate this doc...

    nm
    I feel dumb! I hate when I overlook the simple things!!!!
    Subject: I feel dumb! I hate when I overlook the simple things!!!!


    sorry, maybe he's making it up, don't know.
    Subject: sorry, maybe he's making it up, don't know.

    x
    Hate psych, too! Only had to do a few reports in my entire career. Boring stuff! nm
    Subject: Hate psych, too! Only had to do a few reports in my entire career. Boring stuff! nm

    s
    I'll bet he's making a new (sm)
    Subject: I'll bet he's making a new (sm)

    word here. Waddell's test is an exam used to determine if someone is faking pain. If the patient has exaggerated complaints of pain it is a positive Waddell's.
    Sounds like QA is making much ado about nothing.
    Subject: Sounds like QA is making much ado about nothing.


    thanks that is it, I was making it harder than what it was!!!
    Subject: thanks that is it, I was making it harder than what it was!!!


    Making progress
    Subject: Making progress

    He said the first 3 letters again and spelled them:

    I, B as in Bictor (meaning V as in Victor), F Laboratory.

    So now we have IVF icksee Laboratory.
    ESL making me nuts
    Subject: ESL making me nuts

    I was taught to never change a transcription, even if it's blatantly wrong.  I would leave as dictated and leave a note for the doctor (if you have a place to do it)


    making a little progress
    Subject: making a little progress

    with this one, thanks to your answers... still hearing something like "Pradus" but instead of obturate, was saying on THE RIGHT. definitely NOT piriformis or sure does not sound like it, then goes on to gluteus medius and maximus.
    thank you, think doc was making up the word...nm
    Subject: thank you, think doc was making up the word...nm

    x
    know how the docs are... making up as they go sm
    Subject: know how the docs are... making up as they go sm

    They are two separate ligaments but he is probably putting them together.
    2 more (I think doctor is making this up as he goes along!)
    Subject: 2 more (I think doctor is making this up as he goes along!)

    What is FUV1, used along with FEV1??  Never heard of it and cannot find.  Also he also states FVC as being forced ventiltory capacity, which I know is called forced vital capacity; wonder if I should transcribe a non-word.