We are an acute care facility that will be implementing both an automated
process & a manual process.  After completing an extensive analysis and
several brainstorming sessions, we found that a lot of what we are required
to track is already documented in the patient's medical record. Those items
that are not will be submitted from the individual disclosing the
information to a centralized location (contact person) where the disclosure
will be logged into an ACCESS database. 

When the patient requests an accounting, the contact person will pull the
patient's chart to review for the disclosures that are documented & add to
the database.  In turn, the database will print the report to give to the
patient. The database will also track any suspension requests received from
law enforcement, etc. and all requests that have been received from the
patient.  I created this database for our organization and I know enough
about ACCESS to be dangerous (did not cost me thousands of dollars to
develop).

Employees who disclose patient information in error will have to complete an
incident report that will also be provided for tracking purposes. Any other
disclosures made via telephone to public health, coroner, etc. will be
documented and emailed to the contact person to add to the tracking
database.

Will this work? I hope so! I have thought about every way possible.
Obtaining the majority of disclosures from the patient's chart will get
better compliance than to add another step for our clinical staff to handle
while they are trying to take care of our patients. Patient Care comes
first! 

Hope this information has helped some of you... email me directly if you
would like additional information. 

Tina C. Lamb
HIPAA and Corporate Compliance Coordinator
St. Francis Hospital, Inc. 
706/596-4411 x 5657 


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Monday, January 27, 2003 5:01 PM
To: WEDI SNIP Privacy Workgroup List
Subject: RE: Accounting for disclosures


I work with a large healthcare system in New Mexico.

We also would like to know if other CE's are considering automated or manual
solutions for tracking disclosures and producing an "accounting" as required
by law.

Also, how are other CE's handling the issue of being able to report not only
their own disclosures, but also those made by Business Associates:

 - do you plan to survey business associates each time a request for an
accounting comes in?
 - do you plan to ask business associates to proactively report any
disclosures they make?
 - how will you keep track of this?

Thanks!
Julie Fulcher
HIPAA Project Manager
Presbyterian Healthcare Services
Albuquerque, New Mexico 87125-6666
(505) 923-6397
[EMAIL PROTECTED]


-----Original Message-----
From: Halterman, Anita [mailto:[EMAIL PROTECTED]]
Sent: Friday, January 24, 2003 6:16 PM
To: WEDI SNIP Privacy Workgroup List
Subject: Accounting for disclosures


The NMEH HIT sub workgroup intends to discuss accounting for disclosures
during the next HIT call. During our last call the topic came up for
discussion and I offered to post an email to a couple of listservs to
generate some discussion regarding this topic. 

How have CE's been dealing with HIPAA's accounting requirements? 

Do CE's have tools that they would be willing to share that might make it
easier for those who are still struggling with this subject to use to assist
them with sorting this requirement out? 

Are CE's approaching the accounting requirements by using paper tracking
systems or through the use of electronic tracking systems? 

If anyone has best practices that they would be willing to share about how
to address these issues, please share them. 

Thank you, 
Anita Halterman
HIPAA Integration and Transition (HIT) Co-Chair,
Health Policy Analyst & 
HIPAA Privacy and Security Coordinator
State of Alaska, 
Department of Health and Social Services, 
Division of Medical Assistance, 
4501 Business Park Blvd., Suite 24
Anchorage, AK 99503-7167
(907)334-2431
 


---
The WEDI SNIP listserv to which you are subscribed is not moderated. The
discussions on this listserv therefore represent the views of the individual
participants, and do not necessarily represent the views of the WEDI Board
of Directors nor WEDI SNIP. If you wish to receive an official opinion, post
your question to the WEDI SNIP Issues Database at
http://snip.wedi.org/tracking/.   These listservs should not be used for
commercial marketing purposes or discussion of specific vendor products and
services.  They also are not intended to be used as a forum for personal
disagreements or unprofessional communication at any time.

You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED]
To unsubscribe from this list, go to the Subscribe/Unsubscribe form at
http://subscribe.wedi.org or send a blank email to
[EMAIL PROTECTED]
If you need to unsubscribe but your current email address is not the same as
the address subscribed to the list, please use the Subscribe/Unsubscribe
form at http://subscribe.wedi.org



--- PRESBYTERIAN HEALTHCARE SERVICES DISCLAIMER ---

This message originates from Presbyterian Healthcare Services or one of its
affiliated organizations. It contains information, which may be confidential
or privileged, and is intended only for the individual or entity named
above. It is prohibited for anyone else to disclose, copy, distribute or use
the contents of this message. All personal messages express views solely of
the sender, which are not to be attributed to Presbyterian Healthcare
Services or any of its affiliated organizations, and may not be distributed
without this disclaimer. If you received this message in error, please
notify us immediately at [EMAIL PROTECTED] 

---
The WEDI SNIP listserv to which you are subscribed is not moderated. The
discussions on this listserv therefore represent the views of the individual
participants, and do not necessarily represent the views of the WEDI Board
of Directors nor WEDI SNIP. If you wish to receive an official opinion, post
your question to the WEDI SNIP Issues Database at
http://snip.wedi.org/tracking/.   These listservs should not be used for
commercial marketing purposes or discussion of specific vendor products and
services.  They also are not intended to be used as a forum for personal
disagreements or unprofessional communication at any time.

You are currently subscribed to wedi-privacy as: [EMAIL PROTECTED]
To unsubscribe from this list, go to the Subscribe/Unsubscribe form at
http://subscribe.wedi.org or send a blank email to
[EMAIL PROTECTED]
If you need to unsubscribe but your current email address is not the same as
the address subscribed to the list, please use the Subscribe/Unsubscribe
form at http://subscribe.wedi.org


Confidentiality Notice 
This email and any files transmitted with it may contain confidential and /or 
proprietary information in the possession of St. Francis Hospital, Inc. and is 
intended only for the individual or entity to whom addressed.  This email may contain 
information that is held to be privileged, confidential, and exempt from disclosure 
under applicable law. This information is intended only for the use of the individual 
or entity named above.  If you are not the intended recipient, you are hereby notified 
that any unauthorized access, dissemination, distribution or copying of any 
information from this email is strictly prohibited, and may subject you to criminal 
and/or civil liability. If you have received this email in error, please notify the 
sender by reply email and then delete this email and its attachments from your 
computer. Thank you.



---
The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions 
on this listserv therefore represent the views of the individual participants, and do 
not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If 
you wish to receive an official opinion, post your question to the WEDI SNIP Issues 
Database at http://snip.wedi.org/tracking/.   These listservs should not be used for 
commercial marketing purposes or discussion of specific vendor products and services.  
They also are not intended to be used as a forum for personal disagreements or 
unprofessional communication at any time.

You are currently subscribed to wedi-privacy as: archive@mail-archive.com
To unsubscribe from this list, go to the Subscribe/Unsubscribe form at 
http://subscribe.wedi.org or send a blank email to 
[EMAIL PROTECTED]
If you need to unsubscribe but your current email address is not the same as the 
address subscribed to the list, please use the Subscribe/Unsubscribe form at 
http://subscribe.wedi.org

Reply via email to