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Confidentiality Policies in Dr's Off Site Office
More and more hospitals are linking referring and attending physician
offices to their Hospital Information System or Integrated Health Network
(IHN) through PC based networks. The benefits are obvious, physicians can
see the latest clinical data without having to call the Hospital. In a very
real sense the walls of the Hospital are breaking down and with that the
"normal level" of control a Hospital would have on a patients medical record.
How can a Hospital or IHN control unathorized physician office staff access
to its medical records?
What is to stop a secretary/clerk from cruising the Master Patient Index and
finding her Uncle Joe, viewing his latest lab results, discovering that he
has a positive VDRL or whatever and blabbing it to the family over
Thanksgiving turkey. Uncle Joe would have a very interesting legal case
regarding a breech of records confidentiality and would create a liability
issuer not only for the physician and Hospital but also the whole IHN.
Does anyone have any successful experience in dealing with this question?
Marc Carter <firstname.lastname@example.org>
Carter Consulting Group, Inc.