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Re: HIPAA VIOLATION
Posted by RCW on 1/28/07

    On 1/27/07, employee wrote:
    > A Medical Director, (employed by a hospital) of a
    specialty
    > clinic has the the responsibility of the overall running
    > and building of a this clinic which is located inside the
    > hospital building- an integrated health care facility. It
    > came to the Medical director's attention that the clinic
    > was not being used to capacity, as some docs (also
    > employees of the hospital) were referring patients other
    > institutions. To investigate one such case, the Medical
    > director reviewed the records of a patient who was
    referred
    > to a similar specialty clinic of another institution, to
    > ascertain the reason for the referral and underutilization
    > of the services of the specialty clinic located within the
    > hospital. The patient had not been seen by the medical
    > director of this clinic for treatment or consult. When no
    > valid reason was found for such a referral (eg, patient
    > request, continuity of care if previously seen at other
    > facility for the smae problem), the Medical Director
    raised
    > the concern of under-utilization of the specialty clinic
    in
    > a internal meeting so that this problem would cease if the
    > issue of under-utilization was ackowledged and corrected.
    >
    > HIPAA provides for exceptions to the privacy rules for
    > clinical treatment and certain healthcare administrative
    > functions. Did the Medical Director commit a HIPAA
    > violation?
    >
    >

    Do your own school work!

     
     

 
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