A Physician’s New Reality: Patients A...

“Don't trust the internet!”

Since: Jan 12

Location hidden

#81 Nov 25, 2012
Wait what wrote:
Since my posts like the above tend to go missing, I had to pull an e-Bob! Copied and pasted.
Seems like HHS, an agency of the US government, is the one pushing for tighter security. Just sayin.

“Don't trust the internet!”

Since: Jan 12

Location hidden

#82 Nov 25, 2012
Wait what wrote:
<quoted text>
Because medical record breaches aren't routinely released to the public, I'm guessing it's 6 of one and a half dozen of the other.
I ask you - if my medical information was secure, why was it sent along with my name and address to receive solicitations from third party vendors? There was an article recently in the Columbus Dispatch about just such a thing. Your health information is sold - make no mistake about it.
You keep switching the subject. The original charge was that information was being collected by doctors (asking required questions about such things as seat beld use) for use by the government--and that this is something that has come about due to Obamacare.

Then you drifted off into breaches or loss of records--an altogether different kettle of fish.

Now you are on to information being sold.

1. Patient medical records are protected under HIPAA and FERPA. You sign an acknowledgement of this when you are seen, granting permission for billing information to be sent to your insurance company. This generally amounts to Dx and CPT codes summarizing your visit--although the actual record might be consulted during an audit.

2. If you suspect that a health care provider is selling your information, you should ask.

3. There are lots and lots of folks who compile lots and lots of public information about us these days (ever get one of those little confirmation quizzes over the phone about which state you lived in in 1982--or whatever). Take a look at your keyring--every one of those loyalty tags means that someone is tracking your purchasing looking for useful patterns--either to lure you with coupons, or peg you as a likely customer for some other company willing to pay. Ever swipe a card when you get a prescription filled? Again--nothing to do with Obama or Obamacare.

“Don't trust the internet!”

Since: Jan 12

Location hidden

#83 Nov 25, 2012
notlocal wrote:
<quoted text>
Bingo. Which is why it was only the MSM making a big deal about Romney's tax returns. The government ahd them for years and knew they were squeaky clean.
If and when I'm questioned by my Dr., I'll refuse to answer.
The issue in Romney's returns wasn't about how clean they are. It was about how much he had made and how.

But the government having them and Obama having access and being able to use the information are two completely different things.

“Don't trust the internet!”

Since: Jan 12

Location hidden

#84 Nov 25, 2012
Wait what wrote:
Hmmmmmmm

"OhioHealth has used such data to send messages to patients who are diabetic or have a history of heart disease. In other cases, officials said, the birth of a baby or a mammogram can put a patient on a list for future mailings.

"Mount Carmel has turned to its patient data to send out reminders about mammograms, colorectal screenings, health fairs and seminars on joint replacement."

AND

"But officials with both organizations said their use of the tactics complies with health-care privacy laws, including the 1996 Health Insurance Portability and Accountability Act, known as HIPAA. And they said data are encrypted so an individual’s health data can’t be viewed by marketing officials.

"“I never see any individual’s patient information,” said Laura McCoy, a vice president of marketing and communications at OhioHealth.“We’re very protective and respectful of patient data."

"“That is sacred to us, to maintain that confidentiality,” said Teri Watson, Mount Carmel’s vice president of planning and marketing."

I got some similar sorts of reminders from my insurance company recently. Horrors!
Wait what

Columbus, OH

#85 Nov 25, 2012
FKA Reader wrote:
<quoted text>
You keep switching the subject. The original charge was that information was being collected by doctors (asking required questions about such things as seat beld use) for use by the government--and that this is something that has come about due to Obamacare.
Then you drifted off into breaches or loss of records--an altogether different kettle of fish.
Now you are on to information being sold.
1. Patient medical records are protected under HIPAA and FERPA. You sign an acknowledgement of this when you are seen, granting permission for billing information to be sent to your insurance company. This generally amounts to Dx and CPT codes summarizing your visit--although the actual record might be consulted during an audit.
2. If you suspect that a health care provider is selling your information, you should ask.
3. There are lots and lots of folks who compile lots and lots of public information about us these days (ever get one of those little confirmation quizzes over the phone about which state you lived in in 1982--or whatever). Take a look at your keyring--every one of those loyalty tags means that someone is tracking your purchasing looking for useful patterns--either to lure you with coupons, or peg you as a likely customer for some other company willing to pay. Ever swipe a card when you get a prescription filled? Again--nothing to do with Obama or Obamacare.
I go to stores where the cards aren't necessary. I don't do anything online which asks for my information, including anything as simple as an email address. I never do any kind of survey on the phone or anywhere else. I don't put in a card for something free at an event. I'm not a fan of tracking people so I don't knowingly participate.

Your medical information does, indeed, go all kinds of places using all kinds of loopholes. If you don't want to accept that it's your choice - but I won't stop posting.

Did you hear about the man who found out his daughter was pregnant through the ads that arrived in the mail from Target, where she purchased a pregnancy test? Only you would make fun of those who are concerned that things are going too far.
Wait what

Columbus, OH

#86 Nov 25, 2012
FKA Reader wrote:
<quoted text>
Records compromised or lost is a far cry from health-related information being collected for the government by physicians.
You said EMRs were secure and thought it was silly to think someone's records might be pried into. I answered that statement by posting examples of breaches (and those are only the ones which reached a certain milestone). YOU are the one changing directions.
Wait what

Columbus, OH

#87 Nov 25, 2012
FKA Reader wrote:
<quoted text>
Records compromised or lost is a far cry from health-related information being collected for the government by physicians.
Then why do I have a Medical Record Number tracking all of my health issues through various providers that aren't related?
Wait what

Columbus, OH

#88 Nov 25, 2012
FKA Reader wrote:
<quoted text>
Records compromised or lost is a far cry from health-related information being collected for the government by physicians.
The Barr Code
Georgia Court: Personal medical records are fair game for government snooping

http://blogs.ajc.com/bob-barr-blog/2010/07/23...
Spookstillhere f trolls

United States

#89 Nov 25, 2012
Wait what wrote:
<quoted text>
The Barr Code
Georgia Court: Personal medical records are fair game for government snooping
http://blogs.ajc.com/bob-barr-blog/2010/07/23...
Patient doctor confidentiality seems to no longer apply to the Government or employers, only to parents / children and spouses.

“Queen of my domain”

Since: May 10

Location hidden

#90 Nov 25, 2012
Spookstillhere f trolls wrote:
<quoted text>
Patient doctor confidentiality seems to no longer apply to the Government or employers, only to parents / children and spouses.
Not too sure about that one. If your kid is on your med insurance, you get the EOBs. Been there, done that... have a college kids still on the insurance. Docs can't release the info, but I get the statements of what the treatment or office visit were... but of course, follow the money. I'm responsible for the co-payment LOL.

Strange, confused, swampland of a mess.
Wait what

Columbus, OH

#91 Nov 25, 2012
FKA Reader wrote:
<quoted text>
Records compromised or lost is a far cry from health-related information being collected for the government by physicians.
"HHS says these databases need to be developed to implement what healthcare policy experts call "risk adjustment methodologies," supposedly insuring that risk is fairly distributed across the insurance pool. And, starting in 2017 states may permit large employers to purchase coverage through exchanges in addition to small employers and individuals. However, there are already concerns that the information collected may somehow end up in some kind of national, centralized database that will include private information about virtually all insured Americans.

Onerous and intrusive on its face, the type of information to be collected and stored away include individual diagnoses, the type of care provided, the names of the healthcare providers seen, the amount paid, out-of-pocket liabilities, demographic data and encrypted social security number—all of which raise significant privacy concerns.[Read more about healthcare.]

A centralized government-controlled database—which HHS could develop as a default alternative simply by refusing to approve the approaches individual states take to the task at hand or by writing the federal requirements for the construction of the state databases that it could only be let to a single, specific contractor—would be extremely expensive to build and maintain. It would also give the government unprecedented access to private, proprietary information, such as the privately negotiated payment arrangements."

http://www.usnews.com/opinion/blogs/peter-rof...
notlocal

AOL

#92 Nov 25, 2012
Wait what wrote:
<quoted text>
The Barr Code
Georgia Court: Personal medical records are fair game for government snooping
http://blogs.ajc.com/bob-barr-blog/2010/07/23...
You're never going to get it through to her. I know you're right. And yes, your medical records will be readily available to many MORE sources because of Obamacare. Government agencies tapping them, your credit report, anything they want to know about you, has been going on for years.

Now if you're in a horrific accident, in a coma and your next of kin is there and asks a question, they can go all HIPPA on you. Always have a medical POA, and a password they can give your health provider over the telephone so they can call and speak about your condition.

As for Obamacare, I'm in a real non-compliance state of mind. And as more comes out, I think more will join me. I am very stubborn sometimes.

“Don't trust the internet!”

Since: Jan 12

Location hidden

#94 Nov 25, 2012
Wait what wrote:
<quoted text>
You said EMRs were secure and thought it was silly to think someone's records might be pried into. I answered that statement by posting examples of breaches (and those are only the ones which reached a certain milestone). YOU are the one changing directions.
The implication was plainly that physicians are being required to ask questions to feed information to the government and that this is a direct result of Obamacare.

I still see no indication that this is the case.
notlocal

AOL

#95 Nov 25, 2012
Wait what wrote:
<quoted text>
Only you would make fun of those who are concerned that things are going too far.
While I HATE the idea of the government having health records, or anything to do with the health industry....Your last sentence is what concerns me most?

What liberty or constitutional protection goes next? This is a very slippery slope and liberals will not protest any personal invasion until it is too late.

There should be no personal sacrifice of privacy for the 'greater good.'

“Don't trust the internet!”

Since: Jan 12

Location hidden

#96 Nov 25, 2012
Wait what wrote:
<quoted text>
Then why do I have a Medical Record Number tracking all of my health issues through various providers that aren't related?
The providers are related in that they are caring for the same body, yours.

Think about drug interactions for starters. Numerical IDs are more accurate than names.
Wait what

Columbus, OH

#97 Nov 25, 2012
FKA Reader wrote:
<quoted text>
The implication was plainly that physicians are being required to ask questions to feed information to the government and that this is a direct result of Obamacare.
I still see no indication that this is the case.
http://huelskamp.house.gov/index.php...
Wait what

Columbus, OH

#98 Nov 25, 2012
FKA Reader wrote:
<quoted text>
The providers are related in that they are caring for the same body, yours.
Think about drug interactions for starters. Numerical IDs are more accurate than names.
No. Each provider would have to use the exact same product from the exact same supplier in order for that to happen and for the machines to "talk" to each other. They don't, and it's one of the flaws of the reform.

More likely this:

The Medical Information Bureau May Have a File on You

http://patients.about.com/od/yourmedicalrecor...
Wait what

Columbus, OH

#99 Nov 25, 2012
notlocal wrote:
<quoted text>
While I HATE the idea of the government having health records, or anything to do with the health industry....Your last sentence is what concerns me most?
What liberty or constitutional protection goes next? This is a very slippery slope and liberals will not protest any personal invasion until it is too late.
There should be no personal sacrifice of privacy for the 'greater good.'
It's coming, and there's nothing any of us can do to stop it now. Did you know insurance companies are being asked to report to the HHS how to limit treatments to help gauge the health exchange coverages (and presumably the rest of us at a later point)?

Other countries' citizens will tell you they know more about what's going on politically in this country than Americans do. Sadly, they are often right.
VADoc

Warrenville, SC

#100 Nov 26, 2012
FKA Reader wrote:
<quoted text>
The providers are related in that they are caring for the same body, yours.
Think about drug interactions for starters. Numerical IDs are more accurate than names.
Reader I've worked at several hospitals and clinics in Ohio and the majority have EMR and they all were different. So the EMR at mount Carmel is different than the EMR at Berger which is different than the EMR interface at Adena or Fairfield or O'bleness. And they are all different than the EMR at the VA (who had the first EMR). Oh and the EMR systems are a nightmare to implement. Two hospitals had begun using an EMR 3 years before I started and they still have a quasi paper system and when the EMR goes down we had horrible problems with seeing patients and checking drug interactions. Just because you can find out a patients name room number and physician in an EMR for your social work needs, does not mean we can find everything we need for our job.

“Don't trust the internet!”

Since: Jan 12

Location hidden

#101 Nov 26, 2012
VADoc wrote:
<quoted text>
Reader I've worked at several hospitals and clinics in Ohio and the majority have EMR and they all were different. So the EMR at mount Carmel is different than the EMR at Berger which is different than the EMR interface at Adena or Fairfield or O'bleness. And they are all different than the EMR at the VA (who had the first EMR). Oh and the EMR systems are a nightmare to implement. Two hospitals had begun using an EMR 3 years before I started and they still have a quasi paper system and when the EMR goes down we had horrible problems with seeing patients and checking drug interactions. Just because you can find out a patients name room number and physician in an EMR for your social work needs, does not mean we can find everything we need for our job.
How do you handle a patient being seen at a different site?

How did you track the paper records (previously) when they were checked out?

The variety of EMR systems does tend to fly in the face of WW's assertions (and notlocal's as well) that everything is running through the feds.

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