Recent Changes for "HIPAA Restrictions/Talk" - Rochester Wikihttps://rocwiki.org/HIPAA_Restrictions/TalkRecent Changes of the page "HIPAA Restrictions/Talk" on Rochester Wiki.en-us https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=12&version2=13&ts=1254888347HIPAA Restrictions/Talk2009-10-07T04:05:47Zpeteb <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 55: </td> <td> Line 55: </td> </tr> <tr> <td> <span>-</span> ''2009-10-07 00:04:53'' [[nbsp]] In an appt with my chiro there was a concern that our earlier HIPAA statement narrowed the medical fields too much so I switched it to the more simpler, broader covering version <span>just abo</span>ve.<span>&nbsp;</span> --["Users/PeteB"] </td> <td> <span>+</span> ''2009-10-07 00:04:53'' [[nbsp]] In an appt with my chiro there was a concern that our earlier HIPAA statement narrowed the medical fields too much so I switched it to the more simpler, broader covering version <span>(Da</span>ve<span>'s earlier recommendation)</span>. --["Users/PeteB"] </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=11&version2=12&ts=1254888293HIPAA Restrictions/Talk2009-10-07T04:04:53ZpetebComment added. <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 54: </td> <td> Line 54: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-10-07 00:04:53'' [[nbsp]] In an appt with my chiro there was a concern that our earlier HIPAA statement narrowed the medical fields too much so I switched it to the more simpler, broader covering version just above. --["Users/PeteB"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=10&version2=11&ts=1250710863HIPAA Restrictions/Talk2009-08-19T19:41:03ZpetebComment added. <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 52: </td> <td> Line 52: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-08-19 15:41:03'' [[nbsp]] I can go with Dave's wording. Thank you for the input --["Users/PeteB"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=9&version2=10&ts=1250709730HIPAA Restrictions/Talk2009-08-19T19:22:10ZrottenchesterComment added. <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 50: </td> <td> Line 50: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-08-19 15:22:10'' [[nbsp]] I like Dave's suggested wording. Thanks for bringing this up, Brad. --["Users/RottenChester"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=8&version2=9&ts=1250707955HIPAA Restrictions/Talk2009-08-19T18:52:35ZDaveMahonComment added. <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 44: </td> <td> Line 44: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-08-19 14:52:35'' [[nbsp]] I appreciate your concern for the medical community in this context. Many people are still unfamiliar with the restrictions placed on speech by physicians and we don't want to put them at an excessive or inappropriate disadvantage when a negative review is posted, since they can't actually address the concerns of the poster.<br> + <br> + That said, verbose warnings are a big no no in web design, as I'm sure you appreciate too. If it's more than 20-25 words, it's just going to get lost and the page visitor will simply skip over the message.<br> + <br> + Could we split the difference between Pete's ~20 word message and Brad's ~50 word message: HIPAA regulations prohibit medical personnel from discussing specific patients and their care. Please keep this in mind while reading and posting comments. --["Users/DaveMahon"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=7&version2=8&ts=1250706151HIPAA Restrictions/Talk2009-08-19T18:22:31ZpetebComment added. <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 42: </td> <td> Line 42: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-08-19 14:22:31'' [[nbsp]] You said to send a PLEASE HOLD note--that's what I'm doing. --["Users/PeteB"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=6&version2=7&ts=1250705725HIPAA Restrictions/Talk2009-08-19T18:15:25ZBradMandellComment added. <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 40: </td> <td> Line 40: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-08-19 14:15:25'' [[nbsp]] Pete - it is an Include file and can be changed immediately and everywhere with one edit. It is based on the usage in the Davis Wiki. Take a BREATH!!!! --["Users/BradMandell"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=5&version2=6&ts=1250705319HIPAA Restrictions/Talk2009-08-19T18:08:39ZpetebComment added. <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 38: </td> <td> Line 38: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-08-19 14:08:39'' [[nbsp]] **PLEASE HOLD ON ANY DECISIONS HERE**--I am strongly concerned about only 2 people being involved in a serious issue. I am *insisting* that the other Admins get involved in this discussion. --["Users/PeteB"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=4&version2=5&ts=1250705029HIPAA Restrictions/Talk2009-08-19T18:03:49Zpeteb <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 37: </td> <td> Line 37: </td> </tr> <tr> <td> <span>-</span> ''2009-08-19 13:59:47'' [[nbsp]] My concern is we *don't* have medical professionals engaged here. Actually I think wording could be a big issue here. I think keeping it as you've made it above is PERFECT. Short &amp; sweet--the more info we put in, the more questions can be asked that we can't answer. If people want to look up more info on HIPAA, provide a simple link for them to click on that leads them somewhere else that can be considered a truly authentic source on HIPAA concerns. --["Users/PeteB"] </td> <td> <span>+</span> ''2009-08-19 13:59:47'' [[nbsp]] My concern is we *don't* have medical professionals engaged here<span>&nbsp;except for my father and it feels like you're discounting what he says--even though he helped CRAFT the HIPAA law</span>. Actually I think wording could be a big issue here. I think keeping it as you've made it above is PERFECT. Short &amp; sweet--the more info we put in, the more questions can be asked that we can't answer. If people want to look up more info on HIPAA, provide a simple link for them to click on that leads them somewhere else that can be considered a truly authentic source on HIPAA concerns. --["Users/PeteB"] </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=3&version2=4&ts=1250704833HIPAA Restrictions/Talk2009-08-19T18:00:33Zpetebupdated my comment <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 37: </td> <td> Line 37: </td> </tr> <tr> <td> <span>-</span> ''2009-08-19 13:59:47'' [[nbsp]] My concern is we *don't* have medical professionals engaged here. Actually I think wording could be a big issue here. I think keeping it as you've made it above is PERFECT. Short &amp; sweet--the more info we put in, the more questions can be asked that we can't answer. If people want to look up more info on HIPAA, provide a simple link for them to click on. --["Users/PeteB"] </td> <td> <span>+</span> ''2009-08-19 13:59:47'' [[nbsp]] My concern is we *don't* have medical professionals engaged here. Actually I think wording could be a big issue here. I think keeping it as you've made it above is PERFECT. Short &amp; sweet--the more info we put in, the more questions can be asked that we can't answer. If people want to look up more info on HIPAA, provide a simple link for them to click on<span>&nbsp;that leads them somewhere else that can be considered a truly authentic source on HIPAA concerns</span>. --["Users/PeteB"] </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=2&version2=3&ts=1250704787HIPAA Restrictions/Talk2009-08-19T17:59:47ZpetebComment added. <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 36: </td> <td> Line 36: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-08-19 13:59:47'' [[nbsp]] My concern is we *don't* have medical professionals engaged here. Actually I think wording could be a big issue here. I think keeping it as you've made it above is PERFECT. Short &amp; sweet--the more info we put in, the more questions can be asked that we can't answer. If people want to look up more info on HIPAA, provide a simple link for them to click on. --["Users/PeteB"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=1&version2=2&ts=1250703724HIPAA Restrictions/Talk2009-08-19T17:42:04ZBradMandellbring suggestion from pete here <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 23: </td> <td> Line 23: </td> </tr> <tr> <td> </td> <td> <span>+ ==DISCUSSION==<br> + <br> + * The following suggestion from ["Users/PeteB"] in comments on ["Wiki Community/For Editor Review/Talk" For Editor Review Talk] (Suggestion and response were also copied below for ease of reference).<br> + <br> + ||&lt;bgcolor='#FFFFAA'&gt;[[Image(HIPPAIcon.png, noborder)]]||&lt;bgcolor='#FFFFAA'&gt;Due to [http://www.hhs.gov/ocr/hipaa/ HIPAA] Medical regulations, medical personnel are prohibited from discussing anything to do with patients. Please consider this when posting.||</span> </td> </tr> <tr> <td> Line 25: </td> <td> Line 30: </td> </tr> <tr> <td> </td> <td> <span>+ ------<br> + ''2009-08-19 11:40:54'' [[nbsp]] The HIPAA idea is good but can we streamline it a bit? I would suggest cutting it down to something like, "Due to HIPAA Medical regulations, medical personnel are prohibited from discussing anything to do with patients. Please consider this when posting." I think it would be more concise and clear. Mentioning HIPAA specifics when we are not a medical site is touchy and unless we're going to post the whole entire law I think tightening it up would be a prudent consideration (this came from my father who is over here reading-he is a 60-year active physician). --["Users/PeteB"]<br> + ------<br> + ''2009-08-19 13:09:46'' [[nbsp]] Pete, I defer to Davis Wiki on this one, although I did shorten it a bit. They actually have medical professionals engaged in the wiki. They even have a dentist that monitors online questions and responds to them. This is no disrespect for your father, just that they have the combined and specific medical and wiki experience and concerns.<br> + <br> + Many pages on this wiki reference the source of material without duplication of its content, as I did to HIPAA in the Include text. Since this is a serious issue, I don't feel that we need be too concerned about a few words. I have also created a ["HIPAA Restrictions/Talk" Talk Page] with additional info. Perhaps the technique used in ["NPOV"], with a separate definition link might address your concerns. The Davis Wiki version does not even mention the posting side, but as information for the viewer of the comments. Many may assume something is true, factual, etc simply because there is no response, when that may be far from the truth. --["Users/BradMandell"]</span> </td> </tr> </table> </div> https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=recall&version=1&ts=1250703664HIPAA Restrictions/Talk2009-08-19T17:41:04ZBradMandellUpload of image <a href="https://rocwiki.org/HIPAA_Restrictions/Talk?action=Files&do=view&target=HIPPAIcon.png">HIPPAIcon.png</a>.https://rocwiki.org/HIPAA_Restrictions/Talkhttps://rocwiki.org/HIPAA_Restrictions/Talk?action=diff&version1=0&version2=1&ts=1250701079HIPAA Restrictions/Talk2009-08-19T16:57:59ZBradMandellput together some documentation and discussion <div id="content" class="wikipage content"> Differences for HIPAA Restrictions/Talk<p><strong></strong></p><table> <tr> <td> <span> Deletions are marked with - . </span> </td> <td> <span> Additions are marked with +. </span> </td> </tr> <tr> <td> Line 1: </td> <td> Line 1: </td> </tr> <tr> <td> </td> <td> <span>+ This page is for discussing the contents of ["HIPAA Restrictions"]. The page and icon were borrowed from [http://daviswiki.org/HIPAA_Restrictions Davis Wiki] on August 19, 2009, with some minor editorial changes.<br> + <br> + The standardized include will reduce possible issues revolving around patient or patient related comments on medical professional's pages resulting in administrative actions by RocWiki.<br> + <br> + The privacy issues actually extend beyond just medical practitioners to a variety of health-related providers that submit claims electronically. Further, there are added ethical issues beyond the HIPAA regulations that restrict certain public speech by providers, which place them at a disadvantage in responding to unfair, malicious, or incorrect comments. Their response to any specific comment could be construed as confirmation of the client relationship, and thus a violation.<br> + <br> + '''USAGE'''<br> + * The "Include" should be placed before the Comments macro on any provider covered by HIPAA, such as doctors, dentists, medical facilities, etc.<br> + {{{[[Include(HIPAA Restrictions)]]}}}<br> + [[Include(HIPAA Restrictions)]]<br> + * The "Include" should be placed on each medical related directory page with the text below:<br> + <br> + {{{ Our RocWiki listings for medical professionals should contain an included warning regarding comments about the professional on our wiki. We do that out of respect for the limits placed on those professionals by HIPPA regulations.<br> + ----<br> + {{{[[Include(HIPAA Restrictions)]]}}}<br> + [[Include(HIPAA Restrictions)]]<br> + }}}<br> + <br> + '''Notes and References'''<br> + * [http://www.cms.hhs.gov/HIPAAGenInfo/Downloads/CoveredEntitycharts.pdf HIPAA Covered Entity Chart] PDF<br> + * [http://www.charlotteobserver.com/karengarloch/story/757650.html Should patients post reviews of doctors?] from CharlotteObserver.com, June 2, 2009<br> + <br> + <br> + [[Comments]]</span> </td> </tr> </table> </div>