[Date Prev][Date Next][Thread Prev][Thread Next][Date Index][Thread Index]
Redisclosure of Health Information (fwd)
Mary Brandt (AHIMA) typing at all.
---------- Forwarded message ----------
Date: Tue, 6 Aug 1996 11:27:13 -0500
From: MBRANDT <MBRANDT@MBRANDT.MHS.CompuServe.COM>
Subject: Redisclosure of Health Information
This is in response to Elizabeth from Michigan's question about
re-releasing medical records from other healthcare facilities.
The American Health Information Management Association addressed this
issue in a position statement entitled, "Redisclosure of Health
Information" published in the December 1993 issue of the Journal of AHIMA.
(We'll be publishing a practice brief on that issue later this year.)
AHIMA recommends the following:
(1) A facility may disclose health information from another facility
without authorization from the patient or his legal representative if it
is urgently needed for patient care. If time permits, authorization from
the patient or his legal representative should be obtained prior to
redisclosure of the information.
(2) If a patient requests access to health information from another
facility, any facility possessing the information should disclose it to
the patient upon written request, unless otherwise prohibited by state
law. (Some states restrict the disclosure of certain information, such as
psychiatric records, to patients.)
(3) Unless otherwise required by state law, no other redisclosures should
be made. In response to a subpoena or other request, the healthcare
provider should not disclose information from another facility, with the
exception of outside test results which have been made a part of the
provider's record. (This position is not popular with attorneys who want
to do "one-stop shopping" for patient records, but AHIMA believes this
practice is in the patient's best interest. However, some state laws
require a provider to disclose any information in his possession, so you
need to be aware of the requirements in your state laws.)
(4) If the patient brings copies of prior health information with him,
those copies should be given back to him if he asks for them. If this
information was used in the patient's diagnosis or treatment, the facility
should keep a copy of the information with the patient's record.
Hope that helps.
Mary Brandt, MBA, RRA, CHE
American Health Information Management Association
Telephone: (713) 668-3425