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Privacy standards?

Posted By: mtgirl on 2006-05-23
In Reply to:

Who actually do you contact to report a breech of privacy standards in this business?  I probably should know this by now, but I don't. 


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You really need to ask for standards,
examples, proof. Any company worth its salt should be able to provide you with standards for scoring and reports that have been scored, preferably against AAMT standards (sorry, anti-AAMT folks, but someone has to create standards). Better yet, post the name of the company and I'll bet they wake up and get a little more proactive!
Standards...
If you just name your "standard" report an abbrev, like Metropolitan Memorial Dr. Smith's Echo...MetroMemSmithEcho (I don't know if it's case sensitive or not) you should be able to make that work...if you try to "save" it as a "standard" it won't "keep."  I think you have to have certain "rights" in DEP to be able to create/modify a "standard."  Please let me know if this works!
standards not the same
If standards are exactly the same for working at home vs. going OUT to work, does that mean you dress the exact same way, only take one coffee break and half hour for lunch? Would you also be working in the evening like we do at home? I think not! One of the big advantages of working at home is that we can sit there in our comfy bathrobes, have a glass of wine, tie our kids' shoes, drop in a load of laundry, listen to a CD, watch TV, take time out to walk the dog. We are not in a public place like a laboratory or dry cleaners. We are in our own homes and entitled to do what we want as long as we are turning out work of good quality. OK, I feel better now. My wine glass is chillin in the freezer and the Chardonnay is about to be uncorked. Ciao ladies. And let's stop all the bickering. There are so many other really sad problems in the world!!!
do you get a lot of standards? That's
281 lines an hour. That's great. Yesterday I did 144 lines an hour. I don't get standards, have lousy dictators because I won't do ASR reports. You must have really good dictators and long reports. How do you do it?
Standards

It's definitely a good thing to have standards.  I'm addicted to Judge Judy and I'm amazed at how many women are taken in by free-loading men.  Far better to be lonely than to get hooked up with one of those.  OTOH if your standards are honesty, integrity and faithfulness, that's  good but if you start adding on must look a certain way, have a certain kind of job, no smoking and the list could go on forever, then the fact is:  There is probably no one out there for you.  So quit "looking," get out of the pity party (pity parties are VERY lonely)  and start moving.  Take yourself where other single people in your age group go and are likely to have interests similar to yours, with the objective of just enjoying life in general.  You may be surprised at the people you'll meet  who also have standards.


all has to do with everyone's right to privacy--sm
and possible identity theft. We are not living *back before politically correct* any long and we need to protect ourselves in ALL areas of our lives, including the privacy of our medical records. Your grandparents' medical records and information are not yours to give away. That is up to them. Perhaps they do not want your child's school knowing all of their information. What if someone at that school happened to know those grandparents, found out about their medical history, and started blabbing it all over the place. This is what medical record privacy is for..to protect those that do not want it divulged to just anyone who asks for it. It may not bother you, but it bothers others, and that should be a protected right. This is just my take on privacy.
Oh and keep the standards/normals for themselves

Enough with invasion of privacy

Its is all getting so frightening, the invasion by companies into peoples lives.  I have worked at nine hospitals, two trans companies on-site, three trans companies at home and never have I had a background check OR drug screen.  The policy for drug screening at the hospitals was if you seemed like you were under the influence your boss could request a drug screen but never happened to ME or any of my coworkers.  Physical exam, sure I got those when I worked at the hospitals but they paid for the physical exam and they also covered me for insurance.  The trans company I work for now does not provide medical coverage or life insurance coverage for statutory employees, so I dont see why they would be concerned about my health status.  Lets face it, they are concerned with how much we can pound away each day and that is it.  We get paid for what we produce.  So under these circumstances, they dont need to be poking their nose IN my background, my urine or my physical body.  If it is checking on my experience, well they already did that by talking to previous employers and coworkers and guess I passed the test, as I was hired.


Willow...re standards
There is a way to edit them once you have saved them but it is a major pain, you have to click on the entry with your mouse and then scroll through and click "modify" when you're done. But it is such a pain that I never do it that way with a long block of text because you can only see one line at a time. If I want to change something, let's say, a ROS template, I just go to a blank screen, type the short form to get the expansion, edit it from there, then block it and re-save it. Just remember to delete the one you don't want. Does that make sense? It's the quickest way I have found to modify something once you have already saved it. It could be much more efficient if they wanted to make it that way but oh well!!!
I think they are violating your privacy
I'd check it out on the ALCU web site if you don't find anything regarding that there email them and ask about it... or Google in workplace privacy. I think they are way out of line when it is your personal computer and not theirs. If it's theirs they are within their rights
when privacy direct first came out.....sm

it only cost $2/month extra - today I think it costs $19.95 but to me it's worth it because #1 it cuts all telemarketer calls (and I have been on the Do Not Call list since that began) and I can also take my phone charges off my MTSO business at tax time......


call your phone company and ask them if they offer anything like Privacy Director.  *S* 


Privacy question.

I do occasional IC work for a provider that I have known a while now. Today i did some work for her and found something that really bothers me. The physician dictates the patient's full name, street address and home phone number in addition to her DOB. Is that HIPPA compliant? I'm sorry folks but I really don't want my street address and phone number available across the internet even if it is "so called" secure. I would like your thoughts.


Same here...lots of standards
x
Obviously they have much looser standards
In India and elsewhere. Our records should be kept onshore to protect our patients against myriad abuses. That is a no brainer.
No you should not tell. I do believe it is a violation of privacy since you are doing the report.
The guy has to do what he has to do obviously to exist with his sorry self.
Has anyone been able to transfer their normals/standards from
nm
do you get a lot of standards with your regular dictation?
I used to make $25 before going on DQS, now struggle to make $12 or so. Do you sit 3-1/4 hours straight? I can't do that, everything starts to hurt after about an hour.
Not quite. I wasn't referring to the standards

we can use with ctrl-S.  In the expander, isn't there a standard capability?  I think what I wanted to do was save a report using that.  The report did save, but then I wanted to edit it, because I really just wanted ROS and PE.  I was doing H&Ps and she kept (very wordy) saying the same thing over and over and over.  But once I saved it I wanted to edit out the parts I didn't need and I couldn't do it, didn't know how to do it.


Does that make sense to you?  With MTs or Legacy once you saved or created your normal you could edit it.  Is it possible? 


Any help is much appreciated.  Sorry for any typos, it is so way past my bedtime!


Min QA standards - is there anyplace where these are published
I am wondering if there is some reference or expert source that holds a QA minimum standard. I understand the industry standard is 98% or better, but is this actually in print somewhere? 
Test who decides the standards

Who decides what is correct and what is not or are you just talking about medical terminology?  As far as I am concerned the BOS is just bologna or baloney.  Who decides the standards?  I can understand medical terminology but to decide how to type a date -- October 21, 2006 or 10-21-06 or 10/21/06 because they think it is correct one way but your account wants the other -- are any of them really incorrect as long as you are consistent throughout the report.  I know that there are a lot of people that do not do a good job and I think that a medical terminology test would weed some of those out but as the Book of Style, I don't agree with that and never will.   I have more of a problem with people who want the money but do not want to work or do the work in the time frame given, have more sick days that work days, and could care less that it is your name that is out there. This occupation is not like an x-ray technician that gets a certification, there are not several ways to take the x-ray and a group of people decide which one is correct and which one is not.   I have received better work from an IC that has self taught herself and had me mentor than one that has a CMT behind her name.   Anyway my two cents worth for a beautiful Sunday afternoon here in Oregon.  Patti


 


There have to be guidelines and standards in place
for every profession, including MT. While I don't like the AAMT or agree with some of its new ways, there has to be something in place for all MTs to go by so they are all on the same page. The only way to bring real professionalism back to the field is by mandatory certification or a license to practice MT. There are way too many inexperiences terrible MTs out there ruining all of our reputations! And I for one am tired of it.
lines/hour standards (sm)

What would you say is the "industry standard" for line counts in an 8-hour work day?   Where do some of the companies want you to be?   150 lines per hour?  200 lines per hour?   More? Less?


Just curious since I've been out of the loop for a while.   Thanks.


The HIPAA Privacy Rule...(sm)

...requires a covered entity to make "reasonable efforts to limit use, disclosure of, and requests for PHI to the minimum necessary to accomplish the intended purpose."  The only AHA-approved HIPAA training program, HIPAA Academy, specifically states in its training materials that HIPAA intends that personal information be limited to document headers unless absolutely required   I will quote page 4-56:


"In practice, we expect the minimum-necessary requirement to lead to compartmentalization of the medical record so that one portion of the record (the body of the report) may be readily disclosed for one purpose without compromising the privacy of the entire record."


By limiting PHI to headers, reports can easily be redacted of personal information; when the PHI is scattered throughout the reports, this information cannot be redacted.


 


If they really wanted to establish standards,
They would provide the book for free or at nominal cost so that all MTs had access and could get familiarized with it. Since not, I'd say they just want to make more $$.

There are some good folks who are trying to start an open source MT style guide. That's something I could get behind!

http://style.mtreference.com/tiki-index.php
HIPAA Privacy Rule
http://www.aafp.org/fpm/20021100/35theh.html
Rigid/Fickle QA standards
Would you please say which company did this?

I think it's somewhat standard practice at the nationals to allow up to a month of full QA for experienced MTs, and back in the day when I was a newbie (20+ years ago), I was on full listen for almost 90 days.

To expect you to digest ALL of that new information in one day is completely UNREASONABLE!!!! (yes, I just shouted the word UNREASONABLE!!!)
the problem is that this is a violation of privacy
Hope you don't think it is okay to have your family members looking in on your computer while you are working!!
Not to make light of pt privacy, but
I type on a 14 inch laptop screen that I must keep about 2 feet away from my face in order to see it. In the course of seeing my laptop, my less than petite frame obscures probably the middle 50% of the screen. On the screen, there are endless lines of text that would be rather meaningless to the average barrista/customer. The patient demographics are obtained via a link on the toolbar. A 'hotkey' is entered throughout the report where the patient name appears and in the preparing-to-send process, these are all replaced with the patient's name. The hospital I type for is 3000 miles away.

I can see where this might be problematic should someone with better vision than I manage to see around my hulking slumped body and see 25% of the text on the left and 25% of the text on the right and know enough about transcription to be able to fill in those rather large blanks on each line (and that doesn't even take into account that most laptops are made to be viewed head-on; side viewing, viewing from above, etc., distort the picture to make it all but illegible). I suppose this could still be problematic if this eagle-eyed contortionist with an intuitive knowledge of medical terminology and knowledge of random software programs to find that demographic button can psychically detect which hospital of the thousands in the country I am working on and happens to have a relative who lives in that very town ready, willing, and eager to spill the beans about Madame X's bunion. Yes, I can see where this is a danger. I guess I should thank my lucky stars that I have not run into either this fellow or chupicabra at my local coffee house.
It does violate privacy or employment laws.
I've posted about it before because there were MTSOs trashing MTs by name on some of the boards.  My mother is an HR director, so she's told me what companies legally can and can't divulge about employees or former employees.  Companies are not allowed to prevent people from securing employment, or slander/libel them.  Personal opinions cannot cloud the reference.  They can only confirm or deny the accuracy of certain items, such as employment dates, etc.  I think the most judgmental question they can answer is, "Would you rehire this person?"  Yes or no.
Guide for HIPAA PRivacy Rule
Covers for Stedman's books are designed by the graphic artist who works with them.
isnt that funny? Even with industry standards, there are so many
x
By today's appallingly lax MT standards, I suppose a few -
:D MT as a profession is turning into such a JOKE, isn't it?
Not having standards hurts. Some work types just (sm)
don't add up line wise as quick as others. For me Ops are the best line count, consults and discharge summaries are killers.
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.
HIPPA=Health Insurance Privacy and Portability Act
Yes, I saw the ad also and felt it was an insult to offer that line rate for what they wanted from an IC.  I put the definition of what the initials HIPPA mean for your benefit.
Get Steadman's Guid to the HIPAA Privacy Rule
:)
Stedman's Guide to the HIPAA Privacy Rule has one.
nm
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.


 


Retired or retarded? Anyone can retire if they set their life standards low enough
BUt if you think sitting on the couch pointing fingers at how bad the government is constitutes a wonderful successful life, good for you!

I'm not the one complaining about how bad things are, YOU are!

By the way, precious. I don't have to work, I want to, and am no longer an MT because I've gotten an education and moved on to a productive life with goals that stretch beyond the living room and the computer room.

Get over yourself. No one is impressed because your life certainly does not sound impressive in the least.


Work privacy - discussing one employee in hearing of another
I posted a question on the legal board because it is a legal question about workplace privacy and I thought somebody there might know, but please check it if you know anything about laws or agencies that protect worker privacy. 
Don't think the worker privacy acts cover discussions such as this...
more likely they cover things like credit reports, evaluations, etc. It's rude to discuss in front of others, but not illegal...of course, in the US you can sue for anything.
Most companies draw from the AAMT's standards and guidelines.
nm
It is against California Privacy Laws, and the patient can sue from what I read.
They (companies that outsource) are probably lining the pockets of the politicians!
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.


Standard minimum production standards is usually 150 lines per hour ...

You can compute from that.


Hope this helps.


maybe it's just a pure and simple invasion of privacy the poster feels they want to protect.
if you do your job, who cares if poster was released from prison. weren't companies hiring prisoners to do MT anyway and weren't they doing credit card customer service?
OpEd on Medical Records Privacy - Front Page of Yahoo
Thought this was interesting, as it pertains to us. On one hand, it could affect our ability to do our jobs at home. On the other, it could really crack down on medical information being sent to India.

--

http://news.yahoo.com/s/csm/yblevins

By Sue A. Blevins Tue Aug 26, 4:00 AM ET

Washington - How would you feel about your personal health information flowing freely over the Internet between public health officials, healthcare providers, insurance and data clearinghouse companies, and others – without your permission?
ADVERTISEMENT

If this doesn't sound like a good idea, it's time to become informed about federal health privacy law.

Today, when Americans visit a healthcare provider for services (including dental and eye exams), they receive a form with a title such as "Notification of Privacy Rights." Many assume that signing the form guarantees that personal information won't be shared with third parties. But the form offers no such guarantees. And neither does federal law.

In fact, the privacy rule established under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) legally permits healthcare providers to share patients' information with more than 600,000 health- and data-related entities – without a patient's consent. Yet the notification form doesn't clearly explain this.

Individuals control their information when they give consent; they don't with notification. When you sign a notification form, all you are doing is acknowledging its receipt. The HIPAA notification form offers no control over who sees your information and instead just tells you about some of the entities that can access your information, rather than asking for your permission.

Consequently, many physicians and other healthcare providers are urging Congress to strengthen privacy rights. They know firsthand that the HIPAA rule fails to ensure true confidentiality.

"...[T]he regulations under [HIPAA], which were intended to extend patient privacy as we moved from a paper-based system of medical records to a digital system, are a sham. HIPAA allows the routine release of personal health information without patient consent or knowledge, and even over a patient's objection…" stresses Dr. Janis G. Chester, president of the American Association of Practicing Psychiatrists.

As the ACLU put it, "HIPAA has so many medical privacy loopholes, it makes Swiss cheese look solid." The organization also points out that under existing federal regulations, the term "privacy" hasn't been well defined. The ACLU is urging Congress to define medical privacy as "patient control of electronic medical records."

Moreover, these organizations and others are lobbying for privacy amendments to key health Internet-technology (HIT) bills currently being considered in Congress.

Lack of privacy has serious consequences. It fosters making personal health information a commodity that businesses sell and trade in the marketplace, notes ACLU. Weak privacy rights also interfere with doctor-patient relationships. When drafting the HIPAA privacy rule, the US Department of Health and Human Services (HHS) noted that "Privacy violations reduce consumers' trust in the healthcare system and institutions that serve them." The ACLU noted recently that at least one third of Americans are not sharing their complete personal medical histories because they feel their privacy will be weakened in the name of efficiency. Additionally, without strong privacy rights, individuals can't take steps to adequately protect themselves from bad, lost, stolen, or misused data.

Meanwhile, more and more personal data is being collected during routine healthcare visits, including information about marital and sexual matters. A married woman (wedded for over 30 years) and mother of two adult children, said she was appalled when asked during a routine visit if she preferred men or women. She stressed that while she "has nothing to hide," she doesn't think it's anyone's business what her sexual preference is or when her first sexual encounter was (which is often asked during exams).

What's more, it is becoming easier to share healthcare information with just a click of a mouse. As HHS has noted, "Until recently, health information was recorded and maintained on paper and stored in the offices of community-based physicians, nurses, hospitals, and other healthcare professionals and institutions.... Today, however, more and more health care providers, plans, and others are utilizing electronic means of storing and transmitting health information…. In a matter of seconds, a person's most profoundly private information can be shared with hundreds, thousands, even millions of individuals and organizations at a time."

Do Americans really want the intimate details of their lives and families shared so easily without their consent? If not, they need to urge Congress to establish stronger privacy rights. Tinkering with HIPAA won't do it. That would just keep a lot of people busy rewriting regulations that don't guarantee privacy. Rather, Congress needs to pass a new law that defines "privacy" and upholds the precious ethic of consent. The new law should guarantee individuals' freedom to decide whether to be part of electronic medical-record and genetic databases for years to come.

• Sue A. Blevins is president of the Institute for Health Freedom in Washington.
Who designed the cover for Guide to HIPAA Privacy Rule published by Stedman's?

nm