Privacy Officer's Roundtable

  • 1.  Pediatricians Accessing Moms' Charts

    Posted 01-20-2014 08:00 AM
    This message has been cross posted to the following eGroups: Privacy Officer's Roundtable and HIPAA .
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    Our OB Nurse Manager has posed the following:  "The Pediatricians insist that they cannot access mothers' charts to obtain birth information, e.g. infection status, etc. because "it is a HIPAA violation". Is that the case? The Pediatricians are caring for the baby so the mother's health concerns affect the baby."


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    Cinda Kropka MHA
    Compliance/Ethics & Privacy Officer
    Avita Health System
    Galion,OH
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  • 2.  RE:Pediatricians Accessing Moms' Charts

    Posted 01-21-2014 08:54 AM
    This seems a little sticky. One could argue that the access is for treatment purposes. However, if the Drs. want to be prudent about it, have mom sign a release of her records to the Drs.  

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    Charlotte Nafziger
    Director of Compliance
    The T-System
    Dallas,TX
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  • 3.  RE:Pediatricians Accessing Moms' Charts

    Posted 01-22-2014 02:01 PM
    Thank you for the feedback.  I think I'll say that moms need to sign a release so that the peds can access their charts for the minimum necessary information they need to do their jobs!

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    Cinda Kropka MHA
    Compliance/Ethics & Privacy Officer
    Avita Health System
    Galion,OH
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    SCCE Membership


  • 4.  RE:Pediatricians Accessing Moms' Charts

    Posted 01-23-2014 06:55 AM
    Cindy,

    I would suggest that it seems reasonable for a pediatrician to access the mom's record to care for the newborn in order to obtain pregnancy, delivery, and other pertinent information to care for the baby. I think it might be an undue burden to require the physicians to obtain an auth... Just my thoughts. It is also not unusual for nursing staff taking care of a newborn to refer to the mother's record for the same reasons.

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    Nancy O'Neill, RN, MBA, CHC
    Manager, Corporate Compliance/Privacy Officer
    Bayfront Health System
    St. Petersburg , Florida
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  • 5.  RE:Pediatricians Accessing Moms' Charts

    Posted 01-23-2014 08:32 AM

    OK, now I think I'm going to change my mind.  I found the following on the HHS website, and am thinking it may pertain to peds accessing a new mother's chart to care for her baby...

    Does the HIPAA Privacy Rule permit doctors, nurses, and other health care providers to share patient health information for treatment purposes without the patient's authorization?

    Answer:

    Yes. The Privacy Rule allows those doctors, nurses, hospitals, laboratory technicians, and other health care providers that are covered entities to use or disclose protected health information, such as X-rays, laboratory and pathology reports, diagnoses, and other medical information for treatment purposes without the patient's authorization. This includes sharing the information to consult with other providers, including providers who are not covered entities, to treat a different patient, or to refer the patient.


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    Cinda Kropka MHA
    Compliance/Ethics & Privacy Officer
    Avita Health System
    Galion,OH
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    SCCE Membership


  • 6.  RE:Pediatricians Accessing Moms' Charts

    Posted 01-23-2014 11:12 AM
    Cinda,

    I was waiting on the sidelines to see if you might consider another position beyond the one you posted originally.  After seeing your posting below, I see that you did.  The one you recently posted which is below is consistent with my position on this question as well.

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    Frank Ruelas
    Privacy, Security, and Compliance Officer
    Gila River Health Care
    Sacaton,AZ
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