Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Mike Lieman
On 2/23/06, Chris Farley <[EMAIL PROTECTED]> wrote: > Dude...Special Olympics?? That was tasteless and uncalled for. You should > be ashamed of yourself. Less for the joke than forgetting that fully 50% of email is misinterperted. If I offended anyone, I apologize. While I'm at it, I apologize

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Chris Farley
@lists.sourceforge.net Subject: Re: [Hardhats-members] A Pill, a Scalpel, a Database On 2/23/06, Kevin Toppenberg <[EMAIL PROTECTED]> wrote: > Hey guys, can we agree to disagree, or move any ensuing flame war to > another venue? > > Kevin Agreed. This thread is dead. Arguing in a mailing list

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Mike Lieman
On 2/23/06, Kevin Toppenberg <[EMAIL PROTECTED]> wrote: > Hey guys, can we agree to disagree, or move any ensuing flame war to > another venue? > > Kevin Agreed. This thread is dead. Arguing in a mailing list is like competing in the Special Olympics Even if you win, ... -

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Kevin Toppenberg
Hey guys, can we agree to disagree, or move any ensuing flame war to another venue? Kevin On 2/23/06, Mike Lieman <[EMAIL PROTECTED]> wrote: > On 2/23/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > > > > > > > > > I dunno, > > > > Well that would be obvious > > > > > your duty to The State in

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Mike Lieman
On 2/23/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > > > > > > I dunno, > > Well that would be obvious > > > your duty to The State in obeying it's regulations about > > privacy and your duty to your customers seems pretty clear cut. > > Not so clear cut. First I don't have any customers. Maybe

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-23 Thread Ruben Safir
> > > > I dunno, Well that would be obvious > your duty to The State in obeying it's regulations about > privacy and your duty to your customers seems pretty clear cut. Not so clear cut. First I don't have any customers. Maybe you have customers, but as a Pharmacist I have patients, which is

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-22 Thread Mike Lieman
On 2/22/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > On Wed, 2006-02-22 at 11:35, Mike Lieman wrote: > > On 2/21/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > > On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: > > > > On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > > > > > > > > > > > > > Op

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-22 Thread Ruben Safir
On Wed, 2006-02-22 at 11:35, Mike Lieman wrote: > On 2/21/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: > > > On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > > > > > > > > > > Open my records! Please open my records. > > > > > > > > Is that c

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-22 Thread Kevin Toppenberg
Ruben is not a physician, as far as I know. I believe he is a pharmacist. Kevin On 2/22/06, Mike Lieman <[EMAIL PROTECTED]> wrote: > On 2/21/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: > > > On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: >

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-22 Thread Mike Lieman
On 2/21/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: > > On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > > > > > > > Open my records! Please open my records. > > > > > > Is that clear enough? > > > > > > > How do you think your patients feel a

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-21 Thread Greg Woodhouse
--- Ruben Safir <[EMAIL PROTECTED]> wrote: > Or do you care more how > your > patient "feels" about it then saving the life of your patients wife > when > you tell her that her husband has AID's. What kind of professional > ethics are you displaying? > > > Ruben I think Ruben raises some valid

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-21 Thread Ruben Safir
On Mon, 2006-02-20 at 08:02, Mike Lieman wrote: > On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > > > > Open my records! Please open my records. > > > > Is that clear enough? > > > > How do you think your patients feel about that? I don't really care how they feel about it any more than

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-21 Thread Ruben Safir
-members@lists.sourceforge.net > Subject: Re: [Hardhats-members] A Pill, a Scalpel, a Database > > On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > > The health department, as far as I'm concerned, can ask for any > > information it wants. Unless your showing

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-20 Thread Mike Ginsburg
Behalf Of Mike Lieman Sent: Monday, February 20, 2006 8:00 AM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] A Pill, a Scalpel, a Database On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > The health department, as far as I'm concerned, can ask for any

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-20 Thread Mike Lieman
> > Blaming the CEO isn't fair. They have every right to be compensated at > ridiculous levels, being that they are in charge of such large > organizations. All CEOs are ridiculously compensated. > Sure, but I'm struck by the thought that if the LAW was a corporate office could have only the hea

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-20 Thread Mike Lieman
On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > > Open my records! Please open my records. > > Is that clear enough? > How do you think your patients feel about that? --- This SF.net email is sponsored by: Splunk Inc. Do you grep through

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-20 Thread Mike Lieman
On 2/16/06, Ruben Safir <[EMAIL PROTECTED]> wrote: > The health department, as far as I'm concerned, can ask for any > information it wants. Unless your showing me that this information is > being miss used, or used legally, I'm ABSOLUTELY not interested. > > In fact, they need to flush HIPPA whi

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-17 Thread JohnLeoZimmer
Mike Schrom wrote: CBF: This should definitely be legal. Why should the employer be saddled with the cost of your lowered productivity due to illness? MS: That sounds great, unless you are the one whose children can't have food or clothes or go to college because you can't get a job because

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Chris Farley
Chris Farley Independent Consultant 540-722-2143 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Mike Schrom Sent: Thursday, February 16, 2006 4:33 PM To: Hardhats-members@lists.sourceforge.net Subject: RE: [Hardhats-members] A Pill, a Scalpel, a

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Chris Farley
Chris Farley Independent Consultant 540-722-2143 -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Stephen Hay Sent: Thursday, February 16, 2006 4:32 PM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] A Pill, a Scalpel, a

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Stephen Hay
Sometimes a picture is worth, well, you know... ;-) http://www.claybennett.com/pages/10_29_01.html Kevin Toppenberg wrote: This sounds like a discussion from an ethics course, where we have a discordance between conflicting principles. As physicians, we are trained to be patient advocates. We

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Mike Schrom
(Snip) CBF: This should definitely be legal. Why should the employer be saddled with the cost of your lowered productivity due to illness? MS: That sounds great, unless you are the one whose children can't have food or clothes or go to college because you can't get a job because EVERY potenti

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Stephen Hay
Likewise: Chris Farley wrote: Comments are inserted below: Chris Farley -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Stephen Hay Sent: Thursday, February 16, 2006 3:31 PM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] A

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Kevin Toppenberg
This sounds like a discussion from an ethics course, where we have a discordance between conflicting principles. As physicians, we are trained to be patient advocates. We don't usually step back and look at the big picture--at least those in private practice. It takes researches in the CDC etc t

RE: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Chris Farley
Comments are inserted below: Chris Farley -Original Message- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Stephen Hay Sent: Thursday, February 16, 2006 3:31 PM To: hardhats-members@lists.sourceforge.net Subject: Re: [Hardhats-members] A Pill, a Scalpel, a Database

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Fri, Feb 17, 2006 at 09:36:02AM +1300, Stephen Hay wrote: > Loud and clear...! > > Shame I'm not a policy maker... ;-) > We're all responsible for policy although I apreciate the attempt at humor. Ruben -- __ Brooklyn Linux Solutions So many immigrant groups have

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Stephen Hay
Loud and clear...! Shame I'm not a policy maker... ;-) Ruben Safir wrote: And people who make policy tend not to be subject to that policy - at least, where I live that's the case... Likewise, the people who demand the information be made public are usually in a position, I say usually, that

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
> > And people who make policy tend not to be subject to that > policy - at least, where I live that's the case... Likewise, > the people who demand the information be made public are > usually in a position, I say usually, that doesn't require > that their own records are open to public displ

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Stephen Hay
Consider this. A database/patient management system exists full of rich patient data. What's being debated in this thread is policy, which translates into business rules, the data's the same, regardless. If the business rules are set up to reflect policy, they can be changed as policy chang

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, Feb 16, 2006 at 03:06:04PM -0500, Nancy Anthracite wrote: > >From the NYC Health Department web site > http://www.nyc.gov/html/doh/html/ah/ahn1.shtml > > New York State began implementation of this law on June 1, 2000. ... > > 1 .What is this new law about, and what will it do? > The new

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 15:49 -0400, Joseph Conn wrote: > I'm with you, Nancy. The road to Hell is paved with good intentions and > I'm surprised I haven't heard the ACLU filing an injunction against NYC > on this program. Since diabetes is not contagious, I don't think that > because the city may

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Nancy Anthracite
From the NYC Health Department web site http://www.nyc.gov/html/doh/html/ah/ahn1.shtml New York State began implementation of this law on June 1, 2000. ... 1 .What is this new law about, and what will it do? The new law requires doctors and laboratories to tell the Health Department about new c

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 15:49 -0400, Joseph Conn wrote: > I'm with you, Nancy. The road to Hell is paved with good intentions and > I'm surprised I haven't heard the ACLU filing an injunction against NYC > on this program. Since diabetes is not contagious, I don't think that > because the city may

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 14:27 -0500, Nancy Anthracite wrote: > Most if not all health departments require that contacts be notified. They > just don't allow the contact to be told who had the positive HIV test without > permission. > > I don't think anyone who has a positive HIV test is a prior

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Joseph Conn
I'm with you, Nancy. The road to Hell is paved with good intentions and I'm surprised I haven't heard the ACLU filing an injunction against NYC on this program. Since diabetes is not contagious, I don't think that because the city may end up paying the cost of care for some of its citizens gives

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Nancy Anthracite
Most if not all health departments require that contacts be notified. They just don't allow the contact to be told who had the positive HIV test without permission. I don't think anyone who has a positive HIV test is a priori a murderer. If someone in NYC hears the Health Department is colle

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Greg Woodhouse
--- James Gray <[EMAIL PROTECTED]> wrote: > We may be wasting bandwidth, but I do agree. > > Jim Gray > It's not an either/or situation, or at least it shouldn't be. You've both discussed valid functional requirements, and the question should be how you are to accomodate both. === Gregory Woo

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread James Gray
We may be wasting bandwidth, but I do agree. Jim Gray - Original Message - From: "Ruben Safir" <[EMAIL PROTECTED]> To: Sent: Thursday, February 16, 2006 11:32 AM Subject: Re: [Hardhats-members] A Pill, a Scalpel, a Database Why do I have to fill Lipitor presc

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
Why do I have to fill Lipitor prescriptions without knowing the patients liver enzyme test results? Is that nuts or what Ruben On Thu, 2006-02-16 at 11:59, James Gray wrote: > - Original Message - > From: "Nancy Anthracite" <[EMAIL PROTECTED]> > > > > Where is patient control of

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 12:07, Nancy Anthracite wrote: > I have been working with the CDC with an eye to include in VistA the option > to > report deidentified data to the Biosense project to help with the early > detection of disease such outbreaks, etc. Privacy does not have to be > violated i

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Nancy Anthracite
I have been working with the CDC with an eye to include in VistA the option to report deidentified data to the Biosense project to help with the early detection of disease such outbreaks, etc. Privacy does not have to be violated in order to achieve most of what you are concerned about. On Thu

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread James Gray
- Original Message - From: "Nancy Anthracite" <[EMAIL PROTECTED]> Where is patient control of their information? Yes. Why can't I get the medical lab to send me a copy of my lab results? Why do I have to make special request to the lab each time to get them to send my primary care

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Ruben Safir
On Thu, 2006-02-16 at 11:17, Nancy Anthracite wrote: > Yes indeed. You all know I believe in VistA and what it can do, but I have > ever increasing anxiety about what this is going to do to privacy and thus > what impact it will have on the physician patient relationship. > > New York City Depa

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Nancy Anthracite
Yes indeed. You all know I believe in VistA and what it can do, but I have ever increasing anxiety about what this is going to do to privacy and thus what impact it will have on the physician patient relationship. New York City Department of Health is getting the results of ALL A1C tests in th

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Mike Schrom
As long as it's quality medical information FOR patients, not quality medical information ABOUT patients, that is not specifically authorized. Kevin Toppenberg wrote: If HIS were standardized, I could anticipate a "Google" of the future coming up with fantastic ways of enhancing patient care b

Re: [Hardhats-members] A Pill, a Scalpel, a Database

2006-02-16 Thread Kevin Toppenberg
If HIS were standardized, I could anticipate a "Google" of the future coming up with fantastic ways of enhancing patient care by optimal presentation of patient data, i.e. scanning, filtering etc.. Already Google makes it very easy to look up quality medical information for patients on the interne