I am no attorney, and maybe this is a good one for our attorneys out there,
but the yellow dot signifies SUSPECTED drug abuse. I would say that this is
not an actual diagnosis, which would be documented in the patients file.  I
would also think that releasing such information would make you liable.
Example;I have a yellow dot and apply for a position that requires my
medical history. It is reported to my potential employer that I am suspected
of drug abuse. This then causes me to lose the position. Couldn't I take a
drug screen(privately), and if clean turn around and file against you. This
is an issue that we are currently using legal to follow up on.

Comments below by Tina Lamb the legalities of handling certain disclosures:
Any disclosures made due to mandatory reporting, such as reporting of
communicable diseases
* Disclosures made to authorities, such as reporting of suspected abuse or
neglect, suspicious situations, locating suspects, crime on
premises, for law enforcement purposes, etc.
* Reports made to the Food and Drug Administration (FDA)
* Information provided to funeral directors
* Organ procurement
* Information released based on a subpoena or court order

I know this doesn't directly answer your question, it's just a little more
to ponder. I don't believe internally it would be an issue, but if they were
to release this information, without it being formally documented in the
patients file, I believe you would have violated my rights.

Anthony Mercaldi

----- Original Message -----
From: "Rebekah Savoie" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, September 17, 2002 3:14 PM
Subject: Access and Amendment to PHI Question


> This is a good one we can all ponder for a few days.  I am doing
> compliance work for a clinic and they place yellow dots on charts to
> signify suspected drug abuse.  They never document in the chart such
> suspicions.
>
> Questions:
>
> Does this have to be documented?
> If documented do we have to allow a patient to access and request
> amendment?
> What problems will this cause if they keep the same procedure?
>
> Rebekah Savoie
> Accountant/Healthcare Consultant
>
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