Who designed the cover for Guide to HIPAA Privacy Rule published by Stedman's?

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• Who designed the cover for Guide to HIPAA Privacy Rule published by Stedman's? - Annie Rhue
  • Guide for HIPAA PRivacy Rule - by Stedman's

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...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.

I can only say be careful what you wish for.  I would say the story is on a scale of 1-10 a 5 for us.  It is just like the supervisors that have never transcribed, a reporter who doesn't have a clue...well let's just say the picture doesn't come across like we would like it to.  That being said, I guess I should not look a gift horse in the mouth.  There is one bright side, there is a COMMENTS SECTION that you can add to.  Will someone please go on and explain we do much more than doctors notes and please, please mention the confidentialy aspect and the information that the general public does not know about going overseas?  Cuz this guy missed the boat on that whole aspect of the story.  ,  ,

We at Emmaus are delighted to announce a new tool for MTs who work in MS Word.

MPLite speeds along the actual transcription process. It works in conjunction with your MS Word, and makes no change whatsoever to Word, so your abbreviations, your spell check and all Word functions will work exactly as they do now. The difference is this: Adding MPLite to your work environment -- with its powerful template customization, patient database, auto naming/saving, automatic line counting and invoicing -- will shave hours off your workday.

If you work with other MTS, you can share settings, templates and data with them easily, and MPLite will even import transcription done by other MTs working with MPLite.

MPLite is available for a free, nothing-left-out  trial.  We think you'll love it and will be delighted with the time it saves you.

Best wishes,
Vann Joe Turner
Emmaus, since 1995

I used this garbage briefly when I worked in house for an oncology practice last year.  The transcription manager spent $5k on Stedman's only to find that it wasn't compatible.  She probably should have checked that out before she spent the  money, huh?  I worked there for four months typing every single character of every word.  Fortunately we were paid hourly.   Theoretically it is not compatible with Word, but we all had "normals" that we had created for the doctors that we would cut and paste into it, so I'm not sure where the incompatibility comes from.  Maybe from the fact that the transcription manager wasn't that computer literate. 

I had many of the same issues you do with the lag on the text.  We would type and then literally have to wait a full minute for it to get onto the screen.  One of the ways I found around that was to turn my computer off every night.  IT told us to just log off and leave them on and when I did that I would get the lag.  If I turned it off, no problems.  I quite frankly didn't care what IT thought at that point.

The nice part about it is you can put some decent templates in - or whoever has access to that can.  They can insert the vitals and lab work automatically if it's set up for it.

I looked at the Aria website when I was using the program and didn't see anything about transcription, so I think it's designed to truly be a point and click system with no transcription whatsoever.  Some doctors are always going to want narrative reports, so a true point and click is never going to exist, imo.   It's expensive, and I didn't think it was that great, at least from my viewpoint of using it.  When I was at the clinic last year, they were supposedly one of the first ones to have it and they had spent some horrible amount of millions to get it.  

There were ways to work around it so that we could be sort of productive - primarily with saving the normals for each individual doctor -  and I don't know if they managed to get any kind of Expander or dictionary program that worked with it.  The clinic I was at also didn't do their research on the sound files, which I don't think came with Aria.  They had to get a separate voice recording system, and then the Transcription manager and her pseudo-assistant had to actually move the work over to each transcriptonist every day.  It was horribly inefficient.

Good luck.  It has a few good points, but the bad points far outweighed them from what I saw from the transcription end.  I think from the practice management end it's a decent program.  It was just designed by someone who had never worked with the medical records division before, imo.

VISTA READY.

do you have?  If it is the medical dictionary, as far as I know it is only a reference software and can't be used as a spell checker.

If you have the spell checker, go into Word.  Click on Tools, Options, and then Spelling & Grammar tab.  Then click on the Custom Dictionaries button about half way down the window.  This will open a new window that lists your available dictionaries and one should be checked.  Mine is checked next CUSTOM.DIC (DEFAULT).  There is an ADD button to the right.  If you click it, you will be able to browse for your custom dictionary. 

Hope that helps.

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.

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.

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.

I have an account that asks that I  not use subcontractors but for vacation it is okay and I know if I had a two week illness or something they would be okay with it but for everday use, they don't want anyone but me.  But again, I only work with verbal contracts and I know that means I could be let go at any time but so could they.  I have asked my accounts every year for the past seven to ten years if they want a contract and they say no need for it.  So we just keep on plugging along with each other. 

Please read the following if you think spanking is okay.

Spanking can cause a sensitive child grave psychological damage.  You probably won't even see it, and the child may never tell anyone or even recognize what it is.  Please, please, if you insist on spanking your child, at least give that child an outlet for the anger that follows.  When I child is forced to feel anger/shame directed at the person(s) they depend on above all others, and then to suppress that anger, it can cause significant, lifelong problems in his/her ability to have healthy relationships.

Another reason to reconsider spanking is the prevalence in today's society of spanking being related to sex - it's all over the place, and unless your kids watch no TV, no movies, read no magazines, and have no access to computers, they are eventually going to come across this.  It can be very confusing, very upsetting.

From:  http://www.stophitting.com/religion/faithMaterial.php

All of the biblical quotations advocating corporal punishment of children are taken from the book of Proverbs in the King James Version of the Bible. They were written by King Solomon, and presumably reflected his parenting beliefs with respect to his own son.

Proverbs 13:24
"He that spareth his rod hateth his son; but he that loveth him chasteneth him betimes (diligently)."

Proverbs 19:18
"Chasten thy son while there is hope, and let not thy soul spare for his crying."

Proverbs 22:15
"Foolishness is bound in the heart of a child; but the rod of correction shall drive it far from him."

Proverbs 23:13
"Withhold no correction from the child: for if thou beatest him with the rod, he shall not die."

Proverbs 23:14
"Thou shalt beat him with the rod, and shalt deliver his soul from hell (Shoel)."

Proverbs 29:15
"The rod and reproof give wisdom: but a child left to himself bringeth his mother to shame."

The Bible itself records the negative effect of Solomon's parenting style on his son, Rehoboam. He became a widely hated ruler after his father's death and had to leave to avoid assassination by his own people.

What would Jesus do?

If you take the Bible seriously, you have to notice Jesus' attitude toward children. It was wise, loving, and filled with compassion. Even when anxious adults wanted to shoo the children away, Jesus rebuked the adults. "Of such," he said, "is the kingdom of heaven." Given this attitude, it's hard to conceive of Jesus hitting a child on any occasion or for any reason. It's simply not consistent with what he taught. If Jesus wouldn't hit a child, why would we? SpankOut Day is dedicated to exploring alternate means of discipline. We believe that Jesus would approve. A simple slogan for Christians to consider might be this: the next time you are tempted to hit a child, ask yourself "What would Jesus do?" Then go and do likewise.
Reverend Dr. Thomas E. Sagendorf, Senior Pastor
Bexley United Methodist Church, Bexley, Ohio

Wisdom from the Talmud

Many people who strike their children do so not because they are evil or mean, but because they believe they are doing God's will. They often cite the phrase in Proverbs: "He who spares the rod hates his son." The problem is that pulling one line out of the Bible ignores the rest of the text. Much of the Book of Proverbs is filled with good counsel on how to be a better person. In Chapter 22 we are taught, "Train a child in the way he should behave, and even when he is old, he will not depart from it." Isn't it possible that the rod Proverbs refers to is to be used to point to lessons on the wall? When we fail to properly educate our children, we not only spoil them, we show them the opposite of love. We must use the rod to point out right from wrong, not to beat our children into submission the way slaves have been beaten throughout history. Even the Talmud says, "If you must strike a child, do so only with a shoelace." When taken in its entirety, Judaism can hardly sanction the use of violence against children. Even the famous sentence in Deuteronomy to stone to death the stubborn and rebellious son, was, according to the Talmud, never carried out. Instead, while discipline was and still is crucial for raising healthy children, striking a child need never occur. The mix of discipline and love is the recipe for a good future for our sons and daughters. The Talmud suggests: "A child should be pushed aside with the left hand, and drawn closer with the right hand."
Rabbi Larry Kaplan
Temple Israel, Wilkes-Barre, Pennsylvania

The Law or the Spirit?

In the book Spare the Child, Philip Greven suggests that our readiness as fathers to strike our sons explains why we men grow up so ready not only to tolerate but to perpetrate violence in our culture. A boy picks up his moral cues from Dad: "Dad hits me when he doesn't like what I have done. Therefore, men resolve differences by violence. If Dad did it, it's OK. I can hit people myself, especially when I think they've done wrong and therefore deserve it." Often a boy who has been spanked won't respond later to love, but only to more spanking. The Law, that is, has supplanted the Spirit within him. God's story of Israel says clearly that a son lost in the Law can be restored to appreciate and respond to a relationship with the Father only though crucifixion. In this case, that might mean the father's dying to his pride and asking the child's forgiveness, then begging Jesus to show him whatever brokenness in himself has led him to resort to the Law and how to become hospitable again to his Spirit's rule.
Reverend Gordon Dalbey, Santa Barbara, CA
Author of Fight Like a Man and leader in the Christian men's movement
Quoted with permission from Fight Like a Man

Also see:  http://www.nospank.net/toc.htm