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41. CRACKCast E068 – Intimate Partner Violence

? For our US friends: HIPAA you can release information to government authorities or social service however patients may specifically request non release. It’s complicated, know your local laws. Informed consent and autonomy IPV victims are free to disclose or not However, some states (California) require physicians to report patients with injuries suspected to be assault related to law enforcement 10) Describe the key elements in documentation for IPV patients Like sexual assault patients, these have

2017 CandiEM

42. The Learning Healthcare System and Cardiovascular Care: A Scientific Statement From the American Heart Association

extensive regulation, including institutional review board oversight, informed consent, and HIPAA (Health Insurance Portability and Accountability Act) requirements. In contrast, quality improvement activities aimed at improving processes or patient management are generally exempted from these activities, primarily because they generally address factors occurring at a local level and thus do not meet a key criterion of clinical research: producing generalizable knowledge. Because the LHS uses its data

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2017 American Heart Association

44. 2017 AHA/ACC Clinical Performance and Quality Measures for Adults With ST-Elevation and Non?ST-Elevation Myocardial Infarction: A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures

not offering a referral to a patient.If documentation in the medical record exists noting that the provider has informed and discussed referral to cardiac rehabilitation/secondary prevention program with the patient, but that the patient refuses a referral, then the healthcare provider would not be expected to send communication about the patient to the cardiac rehabilitation/secondary prevention program. This is consistent with HIPAA confidentiality regulations and shared decision making, and performance (...) in addition to aspirin (as part of a dual antiplatelet regimen) to reduce recurrent ischemic events after AMI. AACVPR indicates American Association of Cardiovascular and Pulmonary Rehabilitation; ACC, American College of Cardiology; ACCF, American College of Cardiology Foundation; AHA, American Heart Association; AMI, acute myocardial infarction; FDA, US Food and Drug Administration; HIPAA, the Health Insurance Portability and Accountability Act; LVEF, left ventricular ejection fraction; NSTEMI, non–ST

2017 American Heart Association

45. Oral Health Care for the Pregnant Adolescent

. If a pregnant adolescent’s parents are unaware of the pregnancy, and state laws require parental consent for dental treatment, the practitioner should encour- age the adolescent to inform them so appropriate informed consent for dental treatment can occur. The Health Insurance Portability and Accountability Act (HIPAA) specifically addresses minor confidentiality. 98 References 1. Martin JA, Hamilton BE, Osterman MJK, Curtin SC, Mathews TJ. Births: Final Data for 2013. National vital statistics reports; vol (...) for using fluoride to prevent and control dental caries in the United States. Centers for Disease Control and Prevention. MMWR Recomm Rep 2001;50(RR-14): 1-42. 97. Linnett V, Seow WK. Dental erosion in children: A literature review. Pediatr Dent 2001;23(1):37-43. 98. English A, Ford CA. The HIPAA privacy rule and ado - lescents: Legal questions and clinical challenges. Perspect Sex Reprod Health 2004;36(2):80-6.

2016 American Academy of Pediatric Dentistry

46. Recommendations for the Implementation of Telehealth in Cardiovascular and Stroke Care: A Policy Statement From the American Heart Association

, and data security as they relate to telehealth. The Health Insurance Portability and Accountability Act (HIPAA) regulates the privacy and security of health information. HIPAA regulations provide protection for identifiable health information but only when it is collected and shared by “covered entities,” which include healthcare plans, healthcare clearinghouses, and any healthcare provider who transmits healthcare information electronically. HIPAA regulates provider-to-provider communication (...) and requires that providers implement appropriate security safeguards. However, in some telehealth models in which communication may be directly with the patient, this transmission may fall outside of the scope of HIPAA. Although the Health Information Technology for Economic and Clinical Health Act extended HIPAA to “business associates,” many questions remain about the adequacy of the protections of this law pertaining to telehealth. In addition, in the case when a provider communicates directly

2016 American Heart Association

47. MDCT of the liver in obese patients: evaluation of a different method to optimize iodine dose. (PubMed)

MDCT of the liver in obese patients: evaluation of a different method to optimize iodine dose. To prospectively compare two different approaches for estimating the amount of intravenous contrast media (CM) needed for multiphasic MDCT of the liver in obese patients.This single-center, HIPAA-compliant prospective study was approved by our Institutional Review Board. Ninety-six patients (55 men, 41 women), with a total of 42 hypovascular liver lesions, underwent MDCT of the liver. The amount

2018 Abdominal radiology (New York)

48. Enterprise Microblogging to Augment the Subinternship Clinical Learning Experience: A Proof-of-Concept Quality Improvement Study (PubMed)

community across geographically disparate sites via enterprise microblogging to increase subintern exposure to the CDIM curriculum.Internal medicine subinterns used Yammer, a Health Insurance Portability and Accountability Act (HIPAA)-secure enterprise microblogging platform, to post questions, images, and index conversations for searching. The subinterns were asked to submit 4 posts and participate in 4 discussions during their rotation. Faculty reinforced key points, answered questions, and monitored (...) HIPAA compliance.In total, 56 medical students rotated on an internal medicine subinternship from July 2014 to June 2016. Of them, 84% returned the postrotation survey. Over the first 3 months, 100% of CDIM curriculum topics were covered. Compared with the pilot year, the scale-up year demonstrated a significant increase in the number of students with >10 posts (scale-up year 49% vs pilot year 19%; P=.03) and perceived educational experience (58% scale-up year vs 14% pilot year; P=.006). Few

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2018 JMIR medical education

49. Protecting patient privacy and security while exploiting the utility of next generation digital health wearables

violated. In considering privacy, the current protections in the US under the Health Insurance Portability and Accountability ACT (HIPAA) are limited, complex, and outmoded for the volume, velocity, and variety of new digital data. [2] Specifically, HIPAA does not cover data generated by entities such as commercial technology vendors and is limited to direct identifiers, such as date of birth, address, and social security number, etc. Looking more closely at biometrics parameters collected (...) uniquely to identify an individual. Biometric identifiers such as facial recognition are especially difficult to secure and protect as they can be captured without notice, are easy to tamper with, are easily compared to faces scraped from the web and social media sites and therefore can be easily weaponized. None of these data streams are explicitly covered under HIPAA, but they are likely protected under General Data Protection Regulations (GDPR) in Europe. The question is whether any

2019 The BMJ Blog

51. Agreement between region-of-interest- and parametric map-based hepatic proton density fat fraction estimation in adults with chronic liver disease (PubMed)

Agreement between region-of-interest- and parametric map-based hepatic proton density fat fraction estimation in adults with chronic liver disease To compare agreement between region-of-interest (ROI)- and parametric map-based methods of hepatic proton density fat fraction (PDFF) estimation in adults with known or suspected hepatic steatosis secondary to chronic liver disease over a range of imaging and analysis conditions.In this IRB approved HIPAA compliant prospective single-site study, 31

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2017 Abdominal radiology (New York)

52. Optimizing the Use of Electronic Health Records to Identify High-Risk Psychosocial Determinants of Health (PubMed)

programs. Psychosocial risk factors, including social determinants of health, mental health disorders, and substance abuse disorders, are less amenable to rapid and systematic data analyses, as these data are often not collected or stored as formatted data, and due to US Health Insurance Portability and Accountability Act (HIPAA) regulations are often not available as claims data.The objective of our study was to develop a systematic approach using word recognition software to identifying psychosocial

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2017 JMIR medical informatics

53. Value of pelvis CT during follow-up of patients with pancreatic adenocarcinoma (PubMed)

Value of pelvis CT during follow-up of patients with pancreatic adenocarcinoma The purpose of this study was to determine the frequency in which the pelvis component of an abdominopelvic CT provides information that would influence clinical management in two separate groups of patients: those with previously resected pancreatic ductal adenocarcinoma (PDA) and those with locally advanced unresectable PDA.This institutional review-board approved HIPAA compliant retrospective study with waived

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2017 Abdominal radiology (New York)

54. Late Effects of Treatment for Childhood Cancer (PDQ®): Health Professional Version

inhibit the early detection of late effects.[ ] Overall, lack of health insurance remains a significant concern for survivors of childhood cancer because of health issues, unemployment, and other societal factors.[ , ] Legislation, including the Health Insurance Portability and Accountability Act (HIPAA),[ , ] has improved access and retention of health insurance among survivors, although the quality and limitations associated with these policies have not been well studied. Transition to Survivor Care

2018 PDQ - NCI's Comprehensive Cancer Database

55. Why increasing patient volume won’t work

that 90 percent of the attempts to reach patients were unsuccessful. For many patients, the phone numbers we had listed were incorrect. Many patients just weren’t home, and the system cannot leave a message on voicemail, since that would be a HIPAA privacy violation (“Don’t forget you have an appointment with Dr. Pelzman tomorrow to get that STD treated!”). And I suspect that a lot of patients use caller ID that probably identifies this phone call as coming not from me — their trusted primary care

2019 KevinMD blog

56. Digital Mammography in Breast Cancer: Additive Value of Radiomics of Breast Parenchyma. (PubMed)

the addition of radiomic analysis of contralateral breast parenchyma to the characterization of breast lesions with digital mammography improves lesion classification over that with radiomic tumor features alone. Materials and Methods This HIPAA-compliant, retrospective study included 182 patients (age range, 25-90 years; mean age, 55.9 years ± 14.9) who underwent mammography between June 2002 and July 2009. There were 106 malignant and 76 benign lesions. Automatic lesion segmentation and radiomic analysis

2019 Radiology

57. Patient Dignity (Formerly: Patient Modesty): Volume 95

and training of staff in handling all types of medical records. Medical records have all your information for anyone to see and hear. HIPAA violations of the smaller variety are likely to go unpunished by fines but really these are the ones that are most likely occurring on a more frequent basis. There also needs to be notification and approval by the patient before any of your information is used for other than government purposes. You should be aware of who has your info. I do not intend to make (...) and Testicles. I did some probing a couple years back and found out more "dirty" things she reportedly did but fear to broadcast it because of a frivolous suit. It was also reported to me that there were people fired other than the nurse who reported Sparks. It's telling that the latter was fired because of a HIPAA violation but apparently Sparks behavior did not rise to that level, as far as the authorities at the hospital were concerned. -- Ray At , Ray B. said... I emailed Covrmedical almost two weeks

2019 Bioethics Discussion Blog

58. A physician’s addiction to social media

in these policies can lead to serious consequences. HIPAA ; providing just enough patient detail without a name has led to termination. Since starting my blog, I’ve adhered to a personal policy similar to that summarizes how physicians should behave online. But I’ve never set up boundaries for time spent on social media. In the last year, the compulsion to pick up my phone and click through my three most-used apps (Instagram, Twitter, Facebook) has continued to grow. Even when I know I’ve already seen most

2019 KevinMD blog

59. HIPPA Compliance and SSE Patient Reports

reading reports on handheld as well as desktop computers and last but not least, human error, there is likely to be some complications along the way. Our recent upgrade to TDO endodontic software was significant technology investment was meant to improve our HIPAA compliance. What is HIPAA? Title II of the 1996 Health Insurance Portability and Accountability Act (HIPAA) has broad implications in health care - which includes dentistry. This law created multiple rules & regulations for various purposes (...) . These regulations include a privacy rule, security rule, breach notification rule and an enforcement rule with civil authority to levy monetary penalties for HIPAA violations. The Privacy Rule: You are likely most familiar with this rule. This rule gives patients certain rights over their personal health information which includes dental records and billing records. This rule gives patients the right to ask for a change in their records, ask health care provider not to disclose their health information

2019 The Endo Blog

60. The discrimination against nurse practitioners must stop

of their continued belief that nursing training is inferior to theirs. How could nurses ever be considered as equal members of the health care team? These group of physicians, will require intense new education, education not too dissimilar to learning about EMRs, HIPAA, IRBs, etc. Learning may need to be accomplished through CME courses and should be required by health care corporations as well as hospitals so that physicians can be allowed to continue to practice. Certainly we, as physicians, put limitations

2019 KevinMD blog

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