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Confidentiality

  By: Angerine McCook-Fields
What is Confidentiality
Confidentiality is a set of rules or a promise that limits access
or places restrictions on certain types of information. Within
the context of professional ethics, observing the principle of
confidentiality means keeping information given by or about
an individual in the course of a professional relationship secure and
secret from others. This confidentiality is seen as central to the
maintenance of trust between professional and service-user.

The obligation to maintain confidentiality does not normally end with
the individual's death. Confidentiality is owed equally to mature and
immature minors, and adults who lack the capacity to make
decisions for themselves. It also applies to fellow professionals and
students studying to enter one's profession. It applies to all forms of
transmission; verbal, written, digital, manual or hardcopy records,
video and illustrations etc. – wherever they can be identified with a
specific individual.
UCLA Issues:
   UCLA Medical Staff pried into and viewed
    celebrity patient medical records

   Employees Access was outside of their job
    responsibilities

   Knowingly accessed records to get
    information

   Supervisor's password was compromised
Training on Confidentiality
   Medical staff members should be trained annually
    on Confidentiality; especially for those who have
    access to personal information
   Training on HIPAA Rules and Regulations
   Staff member should know that there can be
    serious ramifications for violating a patient’s
    privacy
   Medical staff members who have access to
    personal information should be required to attend
    the annually training.
   Provide employee handbooks that address
    Confidentiality & should sign a copy for their
    personnel file.
   At end of training, employees should have an
    understanding of Confidentiality, and signed the
    Confidentiality Agreements
Guidelines
   Employees may not order, view, or copy anyone's
    chart or other patient information, except as
    required by their job responsibilities and
    according to the Medical Information Department
    guidelines.

   In certain limited circumstances, it may be
    necessary and appropriate to verify a patient's
    appointment time and date, without going into
    the patient's medical records. This should be
    discussed with the supervisor in each area to be
    sure everyone is aware of how to do this without
    violating Confidentiality Guidelines.
Lessons Learned
 Importance of detailed confidentiality
  policy
 Annual Review of Policy
 Annual Employee sign-offs on
  Confidentiality Agreements
 Training and Training Records
 Review Employee Access Roles to Limit
  their Access based on Job Responsibilities
 Adhering to your Disciplinary Policies
 Organizations are vulnerable. How do we
  monitor our employees' actions?
References
120 UCLA Hospital Staff Saw Celebrity Health Records. Retrieved
  April 5th, 2012. from
  http://www.foxnews.com/story/0,2933,398784,00.html#ixzz1rAiP58R8




Patient Confidentiality. Retrieved April 5th, 2012 from:
   http://www.ama-assn.org/ama/pub/physician-resources/legal-
   topics/patient-physician-relationship-topics/patient-
   confidentiality.page

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Confidentiality

  • 1. Confidentiality By: Angerine McCook-Fields
  • 2. What is Confidentiality Confidentiality is a set of rules or a promise that limits access or places restrictions on certain types of information. Within the context of professional ethics, observing the principle of confidentiality means keeping information given by or about an individual in the course of a professional relationship secure and secret from others. This confidentiality is seen as central to the maintenance of trust between professional and service-user. The obligation to maintain confidentiality does not normally end with the individual's death. Confidentiality is owed equally to mature and immature minors, and adults who lack the capacity to make decisions for themselves. It also applies to fellow professionals and students studying to enter one's profession. It applies to all forms of transmission; verbal, written, digital, manual or hardcopy records, video and illustrations etc. – wherever they can be identified with a specific individual.
  • 3. UCLA Issues:  UCLA Medical Staff pried into and viewed celebrity patient medical records  Employees Access was outside of their job responsibilities  Knowingly accessed records to get information  Supervisor's password was compromised
  • 4. Training on Confidentiality  Medical staff members should be trained annually on Confidentiality; especially for those who have access to personal information  Training on HIPAA Rules and Regulations  Staff member should know that there can be serious ramifications for violating a patient’s privacy  Medical staff members who have access to personal information should be required to attend the annually training.  Provide employee handbooks that address Confidentiality & should sign a copy for their personnel file.  At end of training, employees should have an understanding of Confidentiality, and signed the Confidentiality Agreements
  • 5. Guidelines  Employees may not order, view, or copy anyone's chart or other patient information, except as required by their job responsibilities and according to the Medical Information Department guidelines.  In certain limited circumstances, it may be necessary and appropriate to verify a patient's appointment time and date, without going into the patient's medical records. This should be discussed with the supervisor in each area to be sure everyone is aware of how to do this without violating Confidentiality Guidelines.
  • 6. Lessons Learned  Importance of detailed confidentiality policy  Annual Review of Policy  Annual Employee sign-offs on Confidentiality Agreements  Training and Training Records  Review Employee Access Roles to Limit their Access based on Job Responsibilities  Adhering to your Disciplinary Policies  Organizations are vulnerable. How do we monitor our employees' actions?
  • 7. References 120 UCLA Hospital Staff Saw Celebrity Health Records. Retrieved April 5th, 2012. from http://www.foxnews.com/story/0,2933,398784,00.html#ixzz1rAiP58R8 Patient Confidentiality. Retrieved April 5th, 2012 from: http://www.ama-assn.org/ama/pub/physician-resources/legal- topics/patient-physician-relationship-topics/patient- confidentiality.page