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Showing posts with label patient. Show all posts
Showing posts with label patient. Show all posts

Tuesday, 27 September 2011

HIPAA Allows for Regular Email Communication Between Patients and Physicians

Posted on 13:48 by Unknown
There is a widespread mistaken belief that HIPAA prohibits physicians from communicating with patients using regular un-encrypted email as well as with other physicians about patient care.

HIPAA, for those who don't know, is a law that requires patient information to be kept private with safeguards. Email (such as yahoo, gmail, aol, etc) is not considered a secure form of communication.

However, HIPAA does allow for such un-secured email communication under certain circumstances. I quote from the horse's mouth:
"Patients may initiate communications with a provider using e-mail. If this situation occurs, the health care provider can assume (unless the patient has explicitly stated otherwise) that e-mail communications are acceptable to the individual. If the provider feels the patient may not be aware of the possible risks of using unencrypted e-mail, or has concerns about potential liability, the provider can alert the patient of those risks, and let the patient decide whether to continue e-mail communications."
As such, it may be worthwhile for a patient to acknowledge the following statements before an email can be sent from a practice website using un-secured email:
"I understand email is not considered secure and as such, is not considered a confidential method of communication."  
"By your sending an email to us, you are giving permission for us to reply by email."
Even if private health information may be included, that's fine if, I quote from the horse's mouth:
"Further, while the Privacy Rule does not prohibit the use of unencrypted e-mail for treatment-related communications between health care providers and patients, other safeguards should be applied to reasonably protect privacy, such as limiting the amount or type of information disclosed through the unencrypted e-mail."
Read more about un-secured email communication as it relates to HIPAA here from the Department of Health & Human Services.
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Posted in allowed, communication, electronic, email, encrypted, hipaa, law, patient, Physician, secure, security | No comments

Thursday, 16 December 2010

Patient Experience Just As Important As Clinical Expertise

Posted on 15:35 by Unknown
I read with great interest an article in the New York Times "How Does Your Hospital Room Make You Feel?" regarding how a patient room... how a hospital appears... private rooms... may play just as important a role in where a patient goes for treatment as the clinical expertise of its doctors.

Indeed, amenities are a critical part of the patient experience and possibly even a more valuable component of patient-centered care as reported in the New England Journal of Medicine. A patient’s nonclinical experience inspires clinical productivity, drives improved clinical outcomes, and improves overall patient satisfaction.

Not that such reports are a big surprise. It's something I think all major non-healthcare corporations have already realized for decades. Just walk into any Abercrombie & Fitch or Toyota car showroom. Such businesses hit all of our senses to the 10th degree... There's the visual stimulation of models (human or otherwise). Popular music playing in the background to stimulate the ears. Lovely perfume smells in a clothing store or fresh leather in a car showroom to stimulate the nose. And oh yes... freshly baked cookies or candies to bring some zing to the taste buds.

How can you NOT like what you see/hear/taste/smell??? And, buy some things along the way given you have been stimulated into such a good mood?

Indeed, it's surprising why hospitals weren't the FIRST institutions to maximize the senses to bring peace to mind/body/soul and... to also provide medical treatment.

SO... it is with great satisfaction that our practice is affiliated with a hospital that subscribes to the importance of these non-clinical factors. Fauquier Hospital has:

• Private patient hospital rooms
• Family and friends can drop by any time, day or middle of the night
• Food that's actually good
• Patient friendly architectural features including:

  • built-in sleeping accommodations for family members
  • carpeted corridors and additional windows
  • lamps have replaced overhead lighting
  • halls have been carpeted to keep down noise or are finished in faux wood for a warmer feel
  • community artwork hangs on the walls
  • barriers between patients and staff, such as those sliding-glass windows that close nurses off from patients and the public, have been removed
  • elevators for patients and the public are separate
  • no constant paging over the intercom system, either; instead, unobtrusive music plays all the time.

• Also, a culture fostering patient care is presented.

Come check out Fauquier Hospital here!

Read the NYT article here.

Read the New England Journal of Medicine Article here.
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Posted in experience, fauquier, health, Hospital, nice, patient, positive | No comments

Friday, 10 December 2010

Dr. House Video Clip Illustrating Doctor-Patient Communication Problems

Posted on 14:46 by Unknown
In this classic video clip, Dr. House interviews a patient with asthma. Their interaction illustrates the problem of communication between doctor and patient that unfortunately too often occurs.

Errors in doctor-patient communication as shown by this video clip:
  • Doctors assume that patients know how to use medications (or understand treatments) when they don't.
  • Patients assume that they know how to use medications (or understand treatments) even if they don't.
  • Doctors can be intimidated by patients who appear to know/understand their medical treatments when they truly don't.
  • Patients can feel insulted when a doctor assumes they don't know how to use medications (or understand treatments) when they shouldn't because they really don't.
I feel Dr. House perfectly handled this particular situation... though it is unclear what he said AFTER the patient demonstrated how she uses inhalers.

Watch the video on YouTube here.

Read More
Posted in communication, doctor, error, house, miscommunication, patient, Physician | No comments

Saturday, 13 November 2010

Are Doctors Required to Obtain Patient Permission For Posting Non-Identifiable X-Rays, CT Scans, Etc Online?

Posted on 06:03 by Unknown
The blunt answer is no... as long as there is no way the patient can be identified by looking at the image. (in other words, anonymous).

Dr. Ves Dimov at CasesBlog has written a very good article regarding this very question and the guidelines used to determine whether patient permission is required or not.

Read his blog article here.
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Posted in casesblog, consent, ct, dimov, online, patient, permission, scan, ves, x-ray | No comments

Friday, 17 September 2010

Positive Patient Feedback

Posted on 09:42 by Unknown

Dr. Chang received a bonsai tree from Fauquier Hospital for having received positive patient feedback for the past 4 consecutive quarters. How nice!

Read other patient testimonies here.


Read More
Posted in fauquier, feedback, health, Hospital, In The News, patient, positive | No comments
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  • ondine's curse
  • online
  • opera
  • operating
  • operation
  • optical
  • optima
  • optimal
  • oral
  • oral appliance
  • oral sex
  • orchestra
  • organ
  • oropyrosis
  • orthopedic
  • orthopedics
  • osa
  • otalgia
  • otc
  • otoacoustic
  • otolaryngology
  • out
  • out-of-pocket
  • outer
  • over
  • over-the-counter
  • overweight
  • oyster
  • oz
  • pa
  • pacemaker
  • packing
  • pageant
  • pain
  • painful
  • paint
  • palate
  • pandas
  • paper
  • papilloma
  • parachute
  • paradoxical vocal cord
  • paralysis
  • paralyzed
  • parathyroid
  • parents
  • participating
  • past
  • patch
  • pathologist
  • pathology
  • patient
  • pattern
  • patulous
  • pbm
  • pediatric
  • pediatrician
  • pellet
  • pen
  • peptide
  • perennial
  • perfect
  • perforation
  • perfume
  • peri
  • perichondrium
  • period
  • peritonsillar
  • permanent
  • permission
  • persistent
  • personal
  • pet
  • ph
  • ph probe
  • pharmacist
  • pharmacy
  • pharyngeal
  • pharyngitis treatment
  • pharyngocele
  • pharynx
  • phd
  • phegm
  • phelgm
  • phelgmy throat
  • phlegm
  • phlegmy
  • phlegmy throat
  • phone
  • Physician
  • pick
  • picking
  • picture
  • pictures
  • piercing
  • piezoelectric
  • pillar
  • pipe
  • pitch
  • PKCzeta
  • placebo
  • plan
  • planet
  • planetree
  • plastic surgery
  • plastics
  • plugs
  • pocket
  • police
  • policy
  • pollen
  • polly hunsberger
  • polonium
  • polyp
  • pons
  • poor
  • popping
  • popular
  • popularity
  • portable
  • portman
  • positive
  • post
  • post-nasal
  • post-nasal drainage
  • posterior
  • pouch
  • power
  • ppo
  • practice
  • predicting
  • prediction
  • prednisone
  • pregnancy
  • pregnant
  • premarin
  • prenatal
  • prescribing
  • prescription
  • prescriptions
  • pressure
  • prick
  • prilosec
  • primer
  • problem
  • problems
  • procedure
  • process
  • professional
  • propel
  • protein kinase
  • provider
  • public
  • publication
  • puck
  • pulsatile
  • pumpkin
  • punishment
  • purchase
  • purulent
  • pus
  • puzzle
  • pylori
  • quickly
  • quickmark
  • r. kelly
  • radiation
  • radio
  • radioactive
  • radioactivity
  • radiological
  • radiology
  • raft
  • ragweed
  • random
  • rapid
  • raspy
  • RAST
  • reaction
  • reader
  • real-time
  • rebound
  • reckitt
  • record
  • recording
  • records
  • recurrent
  • red eyes
  • reduction
  • referral
  • reflux
  • regurgitation
  • rehm
  • removal
  • renovation
  • renovations
  • repair
  • repellant
  • replacement
  • reporter
  • research
  • residency
  • resident
  • resistance
  • response
  • resurface
  • resurfacing
  • review
  • rhinitis
  • rhinoplasty
  • richmond
  • right
  • ringing
  • rinse
  • risk
  • robert
  • robot
  • robotic
  • rock
  • roger
  • roof
  • room
  • rotating
  • routine
  • rubber
  • runny nose
  • rupture
  • ryan
  • safe
  • sale
  • saline
  • saliva
  • salivary stone
  • saltwater
  • santa claus
  • scan
  • scans
  • scar
  • scheduling
  • science
  • scientist
  • SCIT
  • scopolamine
  • scramble
  • scratch
  • screening
  • SD
  • seafood
  • search
  • seasonal
  • seaweed
  • secondhand
  • secure
  • security
  • sedated
  • sedation
  • self-pay
  • sensory
  • sepsis
  • septal
  • septo
  • septoplasty
  • septum
  • sermo
  • service
  • set
  • severe
  • sex
  • shampoo
  • shape
  • shark
  • shenandoah university
  • shop
  • shortness of breath
  • shot
  • shots
  • show
  • shrimp
  • sialadenitis
  • sialendoscopy
  • sialoadenitis
  • sickness
  • side
  • side effect
  • silent
  • silver nitrate
  • singer
  • singing
  • singing cat
  • singulair
  • singultus
  • sinuneb
  • sinuplasty
  • sinus
  • sinus fracture
  • sinus infection
  • sinus lift
  • sinus surgery
  • sinusitis
  • skating
  • skin
  • skin cancer
  • skull
  • sleep
  • sleep disorder
  • SLIT
  • sluder
  • small
  • smartphone
  • smell
  • smoke
  • smoking
  • sms
  • sneeze
  • sneezing
  • snore
  • snoring
  • snot
  • snotty nose
  • social
  • social media
  • social networking
  • soda
  • sodium
  • soft
  • song
  • sore
  • sore throat
  • sour
  • spa
  • spam
  • spanish
  • spasmodic
  • spasmodic dypshonia
  • spasmodic dysphonia
  • spasms
  • special
  • specialist
  • speech
  • speech therapy
  • spinal
  • spinning
  • spit
  • splints
  • split tube
  • spray
  • spur
  • ssnhl
  • staph
  • starvation
  • stat
  • station
  • stem
  • stereoisomer
  • sterile
  • steroid
  • steroids
  • sticky
  • stink
  • stone
  • stones
  • stops
  • storybooks
  • strange
  • strep
  • strep throat
  • stridor
  • strobe
  • stroboscopy
  • stroke
  • stuck
  • stud
  • student
  • study
  • stuffed animals
  • stuttering
  • sublingual
  • submandibular
  • submaxillary
  • sudden
  • sudden hearing loss
  • sun
  • sunblock
  • sunscreen
  • sunshine
  • superbill
  • superbowl
  • superbug
  • support
  • surgeon
  • surgery
  • surgical
  • survey
  • suture
  • swallow
  • swallowing
  • swelling
  • sword
  • symbicort
  • symphony
  • symptom
  • symptoms
  • syndrome
  • T-tube
  • tablet
  • talk
  • talking
  • tall
  • target
  • taste
  • tea
  • teacher
  • technology
  • teen
  • teenager
  • teeth
  • television
  • temperature
  • terrorism
  • terrorist
  • test
  • testing
  • tests
  • text messaging
  • the doctors
  • the onion
  • theory
  • therapy
  • thick
  • throat
  • throat cancer
  • throat clearing
  • throat-clearing
  • thrombosis
  • thrombus
  • throwing
  • thyroid
  • thyroidectomy
  • tia
  • tic
  • tic cough
  • tick
  • tilt
  • time
  • times
  • tinnitus
  • tiny
  • Tionne
  • TLC
  • TMJ
  • tobacco
  • TOCPM
  • today
  • tongue
  • tonsil
  • tonsil stones
  • tonsillectomy
  • tonsilliits
  • tonsillitis
  • tonsilloliths
  • tonsillotomy
  • tonsilolith
  • tonsiloliths
  • tony
  • tooth
  • tooth pain
  • top
  • topical
  • TORD
  • torres
  • tors
  • torticollis
  • tour
  • toxin
  • toyota
  • trach
  • tracheostomy
  • training
  • trans
  • translation
  • transmedics
  • transmission
  • transplant
  • transplantation
  • transportation
  • trauma
  • treating
  • treatment
  • tremor
  • trend
  • triangle
  • trombone
  • trouble
  • tube
  • tubes
  • tucci
  • tumor
  • turbinate coblation
  • turbinate hypertrophy
  • turbinate reduction
  • turning
  • tutorial
  • TV
  • tween
  • tweet
  • twitching
  • twitter
  • two
  • tylenol
  • tympanic
  • type
  • ulcer
  • ulpa
  • ulrich
  • ultrasound
  • unable
  • unclog
  • under
  • uninsured
  • united kingdom
  • university
  • Update
  • upper
  • upper respiratory infection
  • uppp
  • urgent
  • URI
  • urine
  • urticaria
  • usa
  • USA today
  • uva
  • uvula
  • uvulectomy
  • uvulopalatopharyngoplasty
  • vaccination
  • vaccine
  • vagal neuropathy
  • vascular
  • vasomotor
  • vasomotor rhinnitis
  • vcd
  • ventilation
  • versus
  • vertigo
  • ves
  • vessel
  • viagra
  • vibration
  • video
  • viral
  • virginia
  • virus
  • viruses
  • vit d
  • vitamin
  • vitamin A
  • vitamin d
  • vivosonic
  • vlog
  • vocal
  • vocal cord
  • vocal cord dysfunction
  • vocal cord paralysis
  • vocal cord paresis
  • vocal cords
  • vocal process
  • voice
  • voice therapy
  • voicebox
  • voicelift
  • volume
  • vomit
  • vs
  • wait
  • waiting
  • wall
  • wall street journal
  • warm
  • warrenton
  • washes
  • washington
  • washington dc
  • washington post
  • water
  • watkins
  • wax
  • wearable
  • web
  • web 2.0
  • webapp
  • Website
  • Website Update
  • wedge
  • weight gain
  • whale
  • what to do
  • wheezing
  • where
  • whisperer
  • whispering
  • white
  • who
  • whooping
  • wierd
  • wifi
  • will.i.am
  • wind
  • windows 7
  • winter
  • wire
  • wireless
  • withdrawal
  • without
  • woman
  • word
  • world
  • world voice day
  • world's
  • worlds
  • wound center
  • wp
  • wrestling
  • wrong
  • wsj
  • x-ray
  • xeomin
  • xray
  • xylitol
  • xyzal
  • youtube
  • zenker's
  • zenkers
  • zeta
  • zicam
  • zinc
  • zyrtec

Blog Archive

  • ▼  2011 (190)
    • ▼  September (26)
      • Cat with Two Faces (Literally)
      • Cigarettes Contain Radioactive Polonium
      • Not All Spinning Motions Cause Dizziness
      • HIPAA Allows for Regular Email Communication Betwe...
      • MRI Scans CAN Cause Vertigo
      • Oral Exam Using a Finger
      • United Kingdom Ends $17 Billion Electronic Medical...
      • New Webpage on Vocal Cord Granuloma
      • Singer John Mayer Diagnosed with Vocal Cord Granuloma
      • Tongue Acrobatics
      • World's Longest Human Tongue
      • Another Rock Singer With Injured Voice
      • World Record Large Ears
      • Keychain Emergency Airway Device (Video)
      • Smoker's Kids Have More Ear Infections
      • 100 Years of Style and Dance
      • Carbon Dioxide Helps with Nasal Allergies
      • Intranasal Treatment for Clogged Ears
      • Best Ballpoint Pen for Emergency Cricothyroidotomy?
      • Beating Heart in a Box
      • The Healthcare Dilemma Simplified
      • Man Chokes to Death During Air Flight... Preventable?
      • Best Medication for Dizziness
      • Surgery Without Wires
      • Movie Sets are Dangerous to Ears!
      • Hearing Loss Can Can Accelerate Brain Volume Loss
    • ►  August (22)
    • ►  July (20)
    • ►  June (15)
    • ►  May (10)
    • ►  April (18)
    • ►  March (12)
    • ►  February (33)
    • ►  January (34)
  • ►  2010 (267)
    • ►  December (23)
    • ►  November (18)
    • ►  October (32)
    • ►  September (30)
    • ►  August (35)
    • ►  July (16)
    • ►  June (27)
    • ►  May (22)
    • ►  April (27)
    • ►  March (11)
    • ►  February (13)
    • ►  January (13)
  • ►  2009 (43)
    • ►  December (11)
    • ►  November (13)
    • ►  October (19)
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