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Priority #1 is breech/breach, which to use? nm

Posted By: insanity on 2009-04-18
In Reply to: This may not be a popular opinion, but I would be - tempted to report it (sm)

xx


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Breech of HIPPA??? - sm

Has anyone else seen the news item about the man who intentionally put 12 nails into his head with a nail gun?   Isn't putting this on TV a violation of this man's privacy?  Even mentioning that he did it, or putting his x-ray/CT scan on for all of us to see?  I know it's a news item, but it is medical, and I'm sure HE didn't give his permission for this to be aired.  Any thoughts?  (He is doing well and expected to recover).


Breech of HIPPA
Boy, if this is how you spend your time, you surely need to get a life.
It is not a breech of privacy to send unencrpyted email...

the healthcare provider , i.e. the doc, establishes the standards for protecting privacy of records. You (or your service) is the Business Associate who COMPLIES with whatever standards the doctor sets. Some docs send files by email, some want encryption. Hospitals, obviously, generally do more locking down on their stuff, as they are more open to lawsuits. All YOU have to do to be HIPAA compliant is to COMPLY witih the standards the doc sets. It is not up to you to set them. Also what you and everyone else forgets about HIPAA is it is a two part process. Not only does the patient's medical records have to be disclosed BUT the patient must also suffer a loss because of the disclosure. So even if your doc stands out on the street and tells passers-by about Mrs. So and So and her athlete's foot, unless she incurs a loss from that, it's not a HIPAA violation. Remember this whole thing came about because a pharmacy tech went home and told her high school son that another classmate's father was coming in for HIV drugs...get the picture? Something private was disclosed inappropriately and that's how the girl found out her father was HIV positive.


 


As MTs, our #1 priority is the patient, just

as it should be for doctors, nurses and health care professionals.  I know how frustrating it can be trying to translate broken English, etc.  I complain about it, too!!  Sometimes I get so angry, because it actually takes money out of my pocket in that I spend so much time trying to "get it right" instead of just using my knowledge and typing skills typing dictation from a clear-speaking doctor with good English.  Sometimes you want to just scream!!!    BUT, again, it is part of our job to provide an accurate  and presentable medical document.  I wish things were different, but it appears that we have to work with what we've got or learn a new profession. 


That is my humble opinion.  


Absolutely. Our relationship is first priority. sm

Otherwise our marriage would have failed years ago as so many do. Sure we both have different interests and different ways of thinking, but we respect each others space in that regard and we teach this to our children as well.


We were both married before to the types that needed to make themselves and their controlling families top priority and neither of us could ever figure out why they did that.


We were lucky though as our parents never interfered and they always made their relationship their number one priority. What happened in their private lives was none of our business.  My parents would have been married for 60 years in May, but both are gone now. His parents have been married for 51 years.


Our older two are grown and gone and thankfully live locally (by their own choice). They call to say hello, but not every day.  We watch the grandkids when we can. We do say no when we can't. We'd never dream of  interfering in their private lives unless there was an obvious issue that put any of them in danger.


We still have 2 younger teens at home and both are doing fine . . . .for teens that is!


I've no turkey left already with the teenager appetite!


Top priority to succeed in this field..sm
is a strong grasp of proper grammar (not grammer). You must first master these before you can be successful in this field. This field is very competitive and many who have been around for years and can produce the top quality and quantity work. I am not pointing fingers at you in particular, but there are many out there who believe if they are a fast typist and have a home computer, they can prosper in this profession. Even with a good MT curriculum, it takes several years to become proficient. I, like another poster, have been in this profession for 20+ years and do a variety of specialties for a teaching hospital. A day never goes by without learning something new. The building blocks of success in this profession starts with your ability to master grammar, punctuation, etc. I don't think any Editor or QA person would purposely be harsh on a blank for a medical term that a new MT or mentoree could not figure out. On the other hand, it is quite frustrating to have to correct someone for simple misspelled words or improper grammar. No one has time to deal with these issues and every person entering this field should understand this.
By the waq, it should be brEAch of HIPAA. nm
nm
PS to confidentiality breach
I should have said they "had" their confidentiality breached by others. The hospital was very apologetic of this and does not know who did it but called in federal investigators to find the source of the poster on the website.
If you priority is to make less $ in order to learn
x
Hospital confidentiality breach in RI.
A hospital in Rhode Island breached patient information of over 2000. Federal investigation underway. Patient's names, SS#, telephone, etc., put out for all to see and caught by a patient who "googled" her own name. They say it was only face sheet info and hospital offered to pay for credit check or credit fraud alert. (Which is free by the way!) So please be careful who you get involved with. I don't believe it was medical transcription or medical records since it was face sheet information but believe me, all subcontractors to this hospital are now on alert and you should be as well. It's out there! The scum bags who post info are at it again. They also had a scandal at a RI supermarket chain where the credit card swiping machines were altered by crooks who are being charged with federal crimes, two would keep the cashiers busy while another would alter the card swiping machine, put it back to collect information, then come in again, take out the swiping info and people as far away as California were charging to these poor innocent people in RI whose cards were swiped while doing their weekly shopping. So don't think your information is safe anywhere. These stories can be confirmed by the local newspaper in RI, "The Providence Journal" at their website, "projo.com". Check it out!!
Correct about breach of privacy and its NOT too late
As others have stressed on this board, both here and under the politics board, you have a voice and have the opportunity to make it heard. I personally have been e-mailing my US and state elected officials at least once a week. At the Women for Democrats website one of their goals is to bring American jobs back to America. http://democrats.senate.gov/checklistforchange/checklist.cfm The credit card processor for my bank, Heartland, recently had a huge breach in their security system. Per our local State Police this theft is way up due to 2 factors (1) Once our private information leaves the US, those entities are NOT governed by US law and there is little they can do about it; (2) the economy as more people are now willing to buy that information. He said the same goes for our medical information. If you do a search for "medical identify theft", there are over 70,000 hits on that, mind you I did it in quotes, so most likely more without it. This was published Jan 2009, so recent, with many links at the end including a US Government report. http://www.fiercehealthit.com/story/report-hhs-must-lead-medical-identity-theft-fight/2009-01-26?utm_medium=rss&utm_source=rss&cmp-id=OTC-RSS-FHI0 In the years 2000-2004, I was one of the front runners fighting mortgage servicing fraud (very complex, see MSfraud.org) We were told then that there was "nothing to be done" - well a lot of victims of that fraud banded together and did make a BIG difference. We can too by getting our voices heard, working together as a team and following the many suggestions on this very informative forum at MT Stars.
Sue him in small claims court for breach of contract
x
Hospital fined for breach of octuplet mom's privacy

http://www.cnn.com/2009/US/05/15/octuplet.mom.hospital/index.html


LOS ANGELES, California (CNN) -- The hospital where a California woman gave birth to octuplets in January has been fined $250,000 by the state because nearly two dozen medical workers, including doctors, illegally viewed her medical records, according to state health officials.



Nadya


Nadya Suleman was the subject of controversy after giving birth to octuplets in January.


"

Kaiser Permanente's Bellflower hospital, where Nadya Suleman's eight babies were born, revealed in March that 15 employees lost their jobs and eight others were disciplined for improperly accessing her computerized medical records.


There was no evidence that information from the medical files was leaked to the news media, which has intensely covered Suleman's story, according to Kathleen Billingsley, deputy director of the California Public Health Department's Center for Health Care Quality.


Six of the privacy breaches happened at other Kaiser Permanente facilities, which are linked into the same computer system housing medical records.


Suleman -- already a single mother with six children -- gave birth to octuplets conceived through in vitro fertilization, fueling controversy. News of her collecting public assistance for some of her children outraged many taxpayers.


Request that they place a stop payment on the check, reissue, and mail priority or overnight mail
If they refuse or invent unbelievable excuses, you'll know you have a problem. If MY check was a week late, there are many months I would be in deep trouble.
I realize checks occasionally do get lost in the mail. If they are 100% sure it was mailed, then they shouldn't mind issuing another.

Be firm and be persistent.