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Best Way To Get Cialis - Buy Online! This would be my take as well having been a HIPAA Compliance Officer in the past (though not at the level of a hospital system). From a HIPAA stand point, if a hospital has given access to their data base, you're following minimum necessary guidelines, and providing direct pt care, I think the criteria has been met. It's important to remember that there is specific language in the law (though I can't recall it verbatim) stating HIPAA should not be a barrier to patient care.

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  • Gravity13

    Gravity13

    March 10, 2015, 6:35 pm

    Of course we know it is at times but as far as it being used retroactively against the patient's doctor in a case like this, no chance that happens. I would document in the chart where the patient is admitted that it was done (that way it's clear no effort was being made to conceal the act) and be done with it.

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  • Tlide

    Tlide

    March 11, 2015, 8:33 am

    This is important. HIPAA is not intended to be an impediment to access of information, although it functions that way all the time. It is intended that you can look up information in systems. It's also perfectly fine for you to call a friend and say, "Hey, you have records at your hospital about this patient and I don't have time to wait for medical records on Monday. Can you give me meds, allergies, and a surgical history?"

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  • chromacolor

    chromacolor

    March 10, 2015, 7:19 pm

    All excellent, accurate points! I would add that hospitals often decide to over-enforce HIPAA to increase switching costs for patients. In other words, I am less likely to visit the hospital across the street if the across-the-street hospital will not have access to my medical records. Funny enough, this strategy runs entirely against the P in HIPAA -- Portability (which, I might point out, is listed *before* Accountability in the HIPAA acronym). One of many problems we have to fix in healthcare!

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  • UnificationDotCom

    UnificationDotCom

    March 11, 2015, 3:51 am

    My only thought, is they may want the records separate. Perhaps they go to institution A to see a therapist because they know Dr. X,Y, and Z at your institution B in their personal lives. If they told you they went to the institution A for something related their visit at your institution though they probably don't have a problem with it.

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  • EmpiresCrumble

    EmpiresCrumble

    March 10, 2015, 6:47 pm

    If the history of what happened on prior admission is relevant to patient care and the patient gives you permission it would be okay to do, especially if your EMR has the capacity to find other spots.

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  • Gedrah

    Gedrah

    March 11, 2015, 12:00 am

    Bear in mind that the scrutinizing organization likely has no legal means to verify that you are on the care team at the other org, and you furnishing such proof yourself could potentially be a HIPAA violation as an unauthorized disclosure not related to patient care, though I'm not sure on that.

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  • marblelion

    marblelion

    March 10, 2015, 11:07 am

    No, I don't. This is purely my speculation because I don't actually work in compliance or info sec, I'm just sharing the fact that Epic has canned reports that I know my information security team uses to pull naughty lists, because they're active in the system and are run on a regular basis. I am not privy to the outcome of those activities.

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  • Snorple

    Snorple

    March 10, 2015, 8:13 pm

    I’d leave records from other institutions alone. While, as many have mentioned here before me, it isn’t unethical, institutions tend to be quite nasty when it comes to their “confidentiality”. You could get into trouble if you don’t request said records via official channels between institutions. Probably associated with some form of payment, as usual, but I’d rather file the paperwork and wait or ask the family or the patient to request them for me. There’s usually a log of people who read electronic medical records and risking one of your jobs by overseeing internal regulations its not worth it.

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  • megatom0

    megatom0

    March 10, 2015, 6:47 am

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  • mredd

    mredd

    March 11, 2015, 1:58 am

    Not only are you allowed to access these records, but you’re required to. HIPPA requires providers from other institutions to share PHI necessary for treatment. I’m an ICU attending. If I’m caring for a pt, and reach out to another hospital for records that I think I need for treatment decisions, the other hospital’s providers are required to share them with me. Consent is not required for release. Same applies to you in the ED if you think something is necessary for treatment.

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  • corby10

    corby10

    March 11, 2015, 5:50 am

    “Ready access to treatment and efficient payment for health care, both of which require use and disclosure of protected health information, are essential to the effective operation of the health care system ... To avoid interfering with an individual’s access to quality health care or the efficient payment for such health care, the Privacy Rule permits a covered entity to use and disclose protected health information, with certain limits and protections, for treatment, payment, and health care operations activities.”

    Reply

  • backpackwayne

    backpackwayne

    March 10, 2015, 10:51 pm

    I'm not sure if it's technically a HIPAA violation, but if you're accessing one entity's computer system during hours you're not actually working for them, that might be a violation of their policies and if they get audited and that gets flagged, it would not surprise me if they threw you under a bus.

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  • Gravity13

    Gravity13

    March 10, 2015, 6:48 am

    Maybe, but I've never heard of this even being noticed, let alone punished. The only HIPAA violations that I see leading to someone being fired are if Britney Spears is in the ER for a rectal foreign body and someone from L&D and med/surg has the chart pulled up. They're going to get fired.

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  • sonicon

    sonicon

    March 11, 2015, 9:10 am

    When I was supervising new residents I would always tell them during their first week of training - "I am expecting stupid questions, so don't be afraid to ask them. I would rather have you ask a stupid question and learn something than to pretend you know the answer and repeatedly make mistakes."

    Reply

  • Chaoticmass

    Chaoticmass

    March 10, 2015, 2:21 pm

    When my credentials were set to expire at the local HCA hospital I told them I explicitly wanted to keep them for continuity of care/access to records on my patients in the post-acute setting even though I wasn't actively admitting or rounding anymore. They were fine with that and changed my privileges to non-admitting. Moreover, I get prompted when I access patient charts to choose why I'm accessing and there are several options like "follow-up visit". I feel fairly confident my use is covered.

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