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. 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