Patient Confidentiality 2x

Views:
 
Category: Education
     
 

Presentation Description

Ethics education

Comments

Presentation Transcript

Patient Confidentiality It’s a matter of trust!:

Patient Confidentiality It’s a matter of trust! Linda McClintock

Patient Confidentiality:

Patient Confidentiality Confidentiality is inherent in preserving relationships. Confidentiality means that in all relationships privacy is paramount.

Patient Confidentiality:

Patient Confidentiality A hospital’s relationships include: The employee, the employee’s family Co workers Physicians Therapists Social Workers Pharmacists Volunteers Hospital Board Members Students Our patients (famous or not) Our patients’ family

Patient Confidentiality:

Patient Confidentiality Everyone has the right to have confidentiality regarding any information that is obtained from patient care records or verbal information exchanges. Everyone has the right to have personal and medical information protected by each and every: Organization that maintain protected health information (PHI) Physician Hospital employee Hospital volunteer Student Dentist Pharmacist Insurance Plan

Patient Confidentiality:

Patient Confidentiality Protected health information is any information verbal, written, recorded in any medium or forum that is created or received by a health care provider and relates to any individuals past, present or future mental health or physical treatments or medical conditions

Patient Confidentiality:

Patient Confidentiality Protected Health Information (PHI) includes demographic information or any information that is individually identifiable and is transmitted in any media form. Protected Health Information (PHI) includes demographic information or any information that is individually identifiable and is transmitted in any media form.

Protected Health Information (PHI):

Protected Health Information (PHI)

Patient Confidentiality:

Patient Confidentiality Regardless of whom you are and regardless of who they are, we must share the ethical obligation to protect all healthcare and protected information

Patient Confidentiality:

Patient Confidentiality Breaches of confidentiality in the media In 2007-40 employees investigated for accessing a celebrity’s PHI In 2007-At Park Nicollet Clinic 100 employees suspended for three days for accessing relatives and friends medical records In 2008-At Mayo Clinic hospital, the Chief Surgery resident took a picture of a patient during surgery and was placed on administrative leave

Patient Confidentiality:

Patient Confidentiality In 2008-Three employees of the UCLA Health System accessed high-profile patient medical records. UCLA cited for confidentiality deficiencies by the California Department of Health including the following law enforcement agencies: State Attorney General County District Attorney City Attorney Office of Civil Rights

Patient Confidentiality:

Patient Confidentiality The unauthorized access resulted in: 13 employees terminated An Administrative Specialist employee was indicted by the Federal Government for: Accessing records Selling the records to the media Facing incarceration

Patient Confidentiality:

Patient Confidentiality A breach of confidentiality is when information is disclosed: To a person who is not providing care Or, has no authorization to access Or, a need to access records Or a legitimate need to know.

Patient Confidentiality:

Patient Confidentiality A legitimate need to know is an employee accessing information that is pertinent to caring for patients or fulfilling the employee’s job requirements.

Patient Confidentiality:

Patient Confidentiality Confidentiality Concepts Never harm means that sensitive or healthcare information will never be disclosed to someone who has no legitimate need for the information. Honesty is always the best policy Information exchanges are irreversible and once shared, the information is shareable with others via word of mouth, the internet, media or social media Breaches may occur due to a lack of attention to detail or surroundings

Patient Confidentiality:

Patient Confidentiality Examples of breaches include, but not necessarily limited to: Leaving patient information in public accessible areas Leaving a computer unlocked or unsecured Faxing protected health information to the wrong number Giving patient information that was intended for another patient Discussing patient information in public accessible areas

Patient Confidentiality:

Patient Confidentiality Ways to Avoid Breaching Confidentiality: Shift change report should be given in areas that are not publically accessible Patient information should never be discussed in the cafeteria, halls, hallways, stairs, elevators or any public areas Patient information should only be discussed with appropriate staff Direct media inquiries to the manager or Public Relations Inquiries from law enforcement should be directed to medical records Copies should never be made of patient information Shift records should be placed in the bin for shredding; as well as, any patient identifiable information that is not part of the medical record

Patient Confidentiality:

Patient Confidentiality Patient Privacy Patients have the right to decide who they want they information share with Patients have the right to decide how and whom information should be shared with Patients have the right to physical privacy Patients have the right to decline observers watching their procedures, treatments or care

Patient Confidentiality:

Patient Confidentiality Observers are not members of the patient’s family, as long as the patient does not object. Observers are not vendors or contractors or students who are affiliated with the organization. Examples of observers, but not limited to: A hospital’s employee’s friend, such as a police officer; who, wants to observe the organizations’ custody procedures. A visiting medical student who want to observe a patient procedure or observe a physician conducting a patient interview In these circumstances, the patient must be informed and consent to be observed

Patient Confidentiality:

Patient Confidentiality A confidentiality breach may occur due to curiousness or concerns such as: Accessing addresses or birth dates of friends, relatives or fellow employees Accessing a patient record due to being curious about treatments or procedures; even when, the information is not shared with anyone Accessing a celebrity, VIP or famous persons medical records

Patient Confidentiality:

Patient Confidentiality A confidentiality breach may occur due to gain or malice. Examples of the following are severe infractions, but not limited to these examples: Downloading and selling PHI Divulging passwords or computer identifier information

Patient Confidentiality:

Patient Confidentiality Federal Law HIPPA Hospitals must ensure the confidentiality of all protected health information they create, receive, maintain or transmit [§164.306(a) (1)] Hospitals must have and apply sanctions against employees who fail to comply with privacy policies and procedures [§165.530 (e) (1)] Every healthcare provider must monitor their employees’ electronic access to medical information Breaches must be reported to the State and Patient within five days of discovery Personal fines can be levied upon employees up to $250,000 per violation Patients may sue the employee and the provider for negligent release of confidential information

Patient Confidentiality:

Patient Confidentiality Federal Law HIPPA Hospitals must ensure the confidentiality of all protected health information they create, receive, maintain or transmit [§164.306(a) (1)] Hospitals must have and apply sanctions against employees who fail to comply with privacy policies and procedures [§165.530 (e) (1)] Every healthcare provider must monitor their employees’ electronic access to medical information Breaches must be reported to the State and Patient within five days of discovery Personal fines can be levied upon employees up to $250,000 per violation Patients may sue the employee and the provider for negligent release of confidential information

Patient Confidentiality:

Patient Confidentiality Code of Ethical Conduct Employees, physicians and volunteers or other individuals who have access to confidential information are expressly prohibited from revealing or discussing protected health information in any unauthorized fashion or manner Any breach of confidentiality results in the failure to meet the professional, legal and ethical standards which constitutes a violation of the standards of confidentiality conduct; and, are subject to discipline which includes; but not limited to, termination from employment.

Patient Confidentiality:

Patient Confidentiality Confidentiality is serious and must never be broken. If you have questions or concerns, discuss them with your manager or the Compliance Officer.

Patient Confidentiality:

Patient Confidentiality References Adventist Health Care. (2010). Refresher Training. Retrieved from http://www2.bakersfieldcollege.edu/alliedhealth/studentpages/RNpages/HIPAA.RefresherTrainingRev11-2010_3.PPT Fox News. (2008, August 6). Report: Over 120 UCLA hospital staff saw celebrity health records. Retrieved from http://www.foxnews.com/story/o,2933,398787,00.html Health Insurance Portability and Accountability Act. (20http://www.hhs.gov/ocr/privacy/03). Retrieved from http://www.hhs.gov/ocr/privacy/ Oram , M. (2004). Maintaining confidentiality. Retrieved from http://excellenceinlearning.net/courses/117.doc

Thank you:

Thank you

authorStream Live Help