It is not a breech of privacy to send unencrpyted email...

the healthcare provider , i.e. the doc, establishes the standards for protecting privacy of records. You (or your service) is the Business Associate who COMPLIES with whatever standards the doctor sets. Some docs send files by email, some want encryption. Hospitals, obviously, generally do more locking down on their stuff, as they are more open to lawsuits. All YOU have to do to be HIPAA compliant is to COMPLY witih the standards the doc sets. It is not up to you to set them. Also what you and everyone else forgets about HIPAA is it is a two part process. Not only does the patient's medical records have to be disclosed BUT the patient must also suffer a loss because of the disclosure. So even if your doc stands out on the street and tells passers-by about Mrs. So and So and her athlete's foot, unless she incurs a loss from that, it's not a HIPAA violation. Remember this whole thing came about because a pharmacy tech went home and told her high school son that another classmate's father was coming in for HIV drugs...get the picture? Something private was disclosed inappropriately and that's how the girl found out her father was HIV positive.

• Privacy standards? - mtgirl
  • sounds like there's a lot you don't know... - mtboy
  • Also, sm - mtgirl
    • It is not a breech of privacy to send unencrpyted email... - Old MT
      • It wasn't a high schooler that motivated HIPAA's invention - It was the disclosure of HIV
        • Excuse me, but who was the health care worker who then disclosed the HIV status? - you are completely wrong
          • Above post is correct, see link - Ashe disclosed himself... - HIPAAPOTAMUS
            • encryption programs - judy

The messages you are viewing are archived/old.
To view latest messages and participate in discussions, select the boards given in left menu

I actually need advice on two matters:

1.  My doctor's office received a file that is too big to send by email - and I only have dial up, so even worse.  They are planning to send this to me by USB flashdrive.  I need advice on how to work with this when it comes.  How will I get it into Express Scribe so that the foot pedal will work?

2.  I am starting my planning to set up my laptop for traveling.  I have a desk PC now and will be using both, depending upon where I am at.  What do I need to do to get Express Scribe, etc. to accommodate this.  Any details are greatly appreciated. 

TIA

ask then via email, if they would mind sharing what is the lowest to the highest line rate offered, prior to test taking, resume and interview as this will save valuable time on both sides.   This is what I do, won't continue to waste my time (takes a lot of time) and end up with some ridiculous offer.  NOPE.

A few months ago, without knowing I was being hired to voice recognition until after the fact, was offered 5.7 for voice recognition and 9 for straight typing.  Of course, there was only a dribble of regular MTing, , so it averaged out making 6.7 cents a line.   It comes in as combo into the platform so 90+ was voice recognition and is broken down on the line count log.

So say had a total of 200 lines - and 90 percent (80 lines) was VR at 5.7 cents a line.= $4.56.   I bet some get even less VR rate too..

That leaves 20 percent (20 lines)  at 9 cent a line= $1.80. 

(get about a third of what you could get making no less than say 8.5/line) They want to dump the stuff into a computer to see how it reads it and you unscramble, need to put in the account specifics, it does not recognize beginning and ending of sentences correctly.  Ugh

Say you made at LEAST 8.5 a line somewhere for 200 lines= $17.00 and deserve more for sure,  One is reconstructing the ENTIRE report, could type it faster and it was exhausting (arms and shoulders, wrists, rwith all the extra key strokes to do it and of course not paid for this part.  Just an inexpensive way for them to unscramble the junk, insist on 98+ accuracy, so and so line count.  NOT ME .

detailing how disgusted you are with the fact that they are promoting offshore training and offshoring transcription.  This is the third article on this sort of topic that the magazine has done in a year. 

I find this particularly offensive because so many hospitals/medical record departments get the magazine and if they see this, then companies like Spheris, CBay, Healthscribe, and others will be getting called to come do their transcription!

So please, don't cancel your subscription, just voice your opinion and comments.  Thank you.

Has anyone else seen the news item about the man who intentionally put 12 nails into his head with a nail gun?   Isn't putting this on TV a violation of this man's privacy?  Even mentioning that he did it, or putting his x-ray/CT scan on for all of us to see?  I know it's a news item, but it is medical, and I'm sure HE didn't give his permission for this to be aired.  Any thoughts?  (He is doing well and expected to recover).

Its is all getting so frightening, the invasion by companies into peoples lives.  I have worked at nine hospitals, two trans companies on-site, three trans companies at home and never have I had a background check OR drug screen.  The policy for drug screening at the hospitals was if you seemed like you were under the influence your boss could request a drug screen but never happened to ME or any of my coworkers.  Physical exam, sure I got those when I worked at the hospitals but they paid for the physical exam and they also covered me for insurance.  The trans company I work for now does not provide medical coverage or life insurance coverage for statutory employees, so I dont see why they would be concerned about my health status.  Lets face it, they are concerned with how much we can pound away each day and that is it.  We get paid for what we produce.  So under these circumstances, they dont need to be poking their nose IN my background, my urine or my physical body.  If it is checking on my experience, well they already did that by talking to previous employers and coworkers and guess I passed the test, as I was hired.

it only cost $2/month extra - today I think it costs $19.95 but to me it's worth it because #1 it cuts all telemarketer calls (and I have been on the Do Not Call list since that began) and I can also take my phone charges off my MTSO business at tax time......

call your phone company and ask them if they offer anything like Privacy Director.  *S* 

I do occasional IC work for a provider that I have known a while now. Today i did some work for her and found something that really bothers me. The physician dictates the patient's full name, street address and home phone number in addition to her DOB. Is that HIPPA compliant? I'm sorry folks but I really don't want my street address and phone number available across the internet even if it is "so called" secure. I would like your thoughts.

...requires a covered entity to make "reasonable efforts to limit use, disclosure of, and requests for PHI to the minimum necessary to accomplish the intended purpose."  The only AHA-approved HIPAA training program, HIPAA Academy, specifically states in its training materials that HIPAA intends that personal information be limited to document headers unless absolutely required   I will quote page 4-56:

"In practice, we expect the minimum-necessary requirement to lead to compartmentalization of the medical record so that one portion of the record (the body of the report) may be readily disclosed for one purpose without compromising the privacy of the entire record."

By limiting PHI to headers, reports can easily be redacted of personal information; when the PHI is scattered throughout the reports, this information cannot be redacted.

http://www.cnn.com/2009/US/05/15/octuplet.mom.hospital/index.html

LOS ANGELES, California (CNN) -- The hospital where a California woman gave birth to octuplets in January has been fined $250,000 by the state because nearly two dozen medical workers, including doctors, illegally viewed her medical records, according to state health officials.

Nadya Suleman was the subject of controversy after giving birth to octuplets in January.

Kaiser Permanente's Bellflower hospital, where Nadya Suleman's eight babies were born, revealed in March that 15 employees lost their jobs and eight others were disciplined for improperly accessing her computerized medical records.

There was no evidence that information from the medical files was leaked to the news media, which has intensely covered Suleman's story, according to Kathleen Billingsley, deputy director of the California Public Health Department's Center for Health Care Quality.

Six of the privacy breaches happened at other Kaiser Permanente facilities, which are linked into the same computer system housing medical records.

Suleman -- already a single mother with six children -- gave birth to octuplets conceived through in vitro fertilization, fueling controversy. News of her collecting public assistance for some of her children outraged many taxpayers.

e-mail address because it is not revealed when they send mail because we have spam protection in place.  The only way they would know what your email address is, is if you reply to the email they send you.  If you don't want to receive any email from anyone, simply do not enter your email address in the Email field.

Administrator