RE: Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

[Guest guest]

Um, , I hope that you don’t

think that we are advertising our charts to the government simply because we

choose to put into the patient chart note (accessible only to our office staff)

a CPT code for a lab order. MU does NOT in any way transmit

HIPAA-protected information. It is based on % of patients who meet

certain criteria (for example, we will run a report that shows what % of our

patients that we saw in a given year we tracked whether or not they are smokers).

Our charts are still our charts. Percentages are the only thing right now

that will be transmitted to the government for meaningful use tracking.

The patients are as much to blame for

having information out there for the world to see. Patients want (and

often expect) their healthcare to be 100% paid for by either their insurance

company or the government. If you, as a patient, want your health history

to be completely private and you do not ever want any insurance company or

government agency to know your health history, then you need to NEVER, and I

mean NEVER ask you insurance to pay for your health care. You can still

keep your health information private if and only if you don’t have

insurance or you never submit a claim to insurance.

The onus shouldn’t be only on health

care providers, but on patients who expect and desire free health care.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Bleiweiss

Sent: Tuesday, January 11, 2011

8:37 AM

To:

Subject:

Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

Folks,

and I are still

extremely worried and concerned about what is in the fine details of

" Meaningful Use " both right now no less as it moves forward into the

future. This is a hot topic that some people get while a majority seem to play

" Head in the Sand " and " Na, Na, Na, Na, Naaaaah I can't hear

you " about how the coming storm of two way interfaces are going to allow

carriers and the gov't as the carriers of Medicare and Medicaid to riffle thru

all of our charts all the time, any time they gosh darn feel like it. In

today's day of increasingly intelligent software and cheap mass amounts of data

storage, we are all the more concerned about the Brave New World of Meaningful

Use carrot and stick influence to allow full time chart reviews on any and all

visits and chart notes...

It concerns me all the

more because I don't even hear or see anyone besides myself attempting to bring

up this HUGE and Truely Important issue of protection of medical privacy and

the use of our own office notes (what are Charts REALLY supposed to be for,

insurance systems or a system of maintaining a good note to always remember the

details of any given visit encounter?) against us and our coding and billing

for the rest of time, no less as a means of using policy terms and conditions

against our patients and their access to certain drugs, treatments and

therapies...

At some point just

because on part of the system is supposed to finance the payment for care and

therapies does it always give them the right to complete and unfeddered access

to all US Citizen's medical histories? And does ONE not so on the ball doc get

to label any and all citizens with his or her concept of disease or mental

defect, NEVER to be removed from one centralized medical record that will be

used and turned into a " Criminal like Record " to be produced and used

against any give citizen possibly for the rest of his life? And before you all

once again say that I am Chicken Little screaming about the Sky Falling Down,

just remember who back in the day, 40 years ago thought that credit scores

would be used against people, with access to their personal financial

information in the hands, BY LAW, no recourse or protections, objections

allowed today, by the likes of your employers, a Landlord and other less than

medical level protection and ethical conduct standard like people and

organizations. You have a lot of Credit Card Debt because you have been stuck

in the terrible Post Bush economy for the past four years struggling to make

end meet and pay heathcare bills you lost your insurance for, so now we get to

use that against you in our hiring practices as a private corporation and you

have NO Legal Recourse what so ever????

We are living in the

future and Orwell was all too right. We in our profession need to take a

stand, with our patients against the corporate and gov't invassion of our

Medical Privacy and our right to not have any practioner's or hospital's or

clinic's notes attached to, and to become a never to be removed part of our

medical history for any and all caregivers to see for the rest of our lives.

And we must take a stand that a Chart Review is a Triggered and only with Due

Cause 1 in a few thousand kind of event, not an everyday, every visit corporate

police state Zig Heil kind of Perverse, Insane, Anti-Privacy, The Nuts are

Running the Assilym kind of NEW Normal that we all go quietly into

the Good Night lamely accepting without so much as a good strong wimper or

fight....

Won't anyone out there

in this more march to the beat of another Drummer group even join the cause and

speak out against this maddness with us???? Or are all of you too, just so

hyper focused on getting the crumbs being carrot hung out in front of you, no

less scared of the coming stick to beat you that is promised to follow, too

deaf and to tunnel vision to even understand that you are cooperating with your

own ruin both as practioners of your Knoble trade no less as citizens and

consumers of healthcare all???? What a sad and sorry sight this is turning

into... PLEASE restore my hope in in

IMP'ness and in the US of A in general and let me hear some voices joining in

here on this all too important issue... Thanks for listening and reading....

[Guest guest]

Um, , I hope that you don’t

think that we are advertising our charts to the government simply because we

choose to put into the patient chart note (accessible only to our office staff)

a CPT code for a lab order. MU does NOT in any way transmit

HIPAA-protected information. It is based on % of patients who meet

certain criteria (for example, we will run a report that shows what % of our

patients that we saw in a given year we tracked whether or not they are smokers).

Our charts are still our charts. Percentages are the only thing right now

that will be transmitted to the government for meaningful use tracking.

The patients are as much to blame for

having information out there for the world to see. Patients want (and

often expect) their healthcare to be 100% paid for by either their insurance

company or the government. If you, as a patient, want your health history

to be completely private and you do not ever want any insurance company or

government agency to know your health history, then you need to NEVER, and I

mean NEVER ask you insurance to pay for your health care. You can still

keep your health information private if and only if you don’t have

insurance or you never submit a claim to insurance.

The onus shouldn’t be only on health

care providers, but on patients who expect and desire free health care.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Bleiweiss

Sent: Tuesday, January 11, 2011

8:37 AM

To:

Subject:

Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

Folks,

and I are still

extremely worried and concerned about what is in the fine details of

" Meaningful Use " both right now no less as it moves forward into the

future. This is a hot topic that some people get while a majority seem to play

" Head in the Sand " and " Na, Na, Na, Na, Naaaaah I can't hear

you " about how the coming storm of two way interfaces are going to allow

carriers and the gov't as the carriers of Medicare and Medicaid to riffle thru

all of our charts all the time, any time they gosh darn feel like it. In

today's day of increasingly intelligent software and cheap mass amounts of data

storage, we are all the more concerned about the Brave New World of Meaningful

Use carrot and stick influence to allow full time chart reviews on any and all

visits and chart notes...

It concerns me all the

more because I don't even hear or see anyone besides myself attempting to bring

up this HUGE and Truely Important issue of protection of medical privacy and

the use of our own office notes (what are Charts REALLY supposed to be for,

insurance systems or a system of maintaining a good note to always remember the

details of any given visit encounter?) against us and our coding and billing

for the rest of time, no less as a means of using policy terms and conditions

against our patients and their access to certain drugs, treatments and

therapies...

At some point just

because on part of the system is supposed to finance the payment for care and

therapies does it always give them the right to complete and unfeddered access

to all US Citizen's medical histories? And does ONE not so on the ball doc get

to label any and all citizens with his or her concept of disease or mental

defect, NEVER to be removed from one centralized medical record that will be

used and turned into a " Criminal like Record " to be produced and used

against any give citizen possibly for the rest of his life? And before you all

once again say that I am Chicken Little screaming about the Sky Falling Down,

just remember who back in the day, 40 years ago thought that credit scores

would be used against people, with access to their personal financial

information in the hands, BY LAW, no recourse or protections, objections

allowed today, by the likes of your employers, a Landlord and other less than

medical level protection and ethical conduct standard like people and

organizations. You have a lot of Credit Card Debt because you have been stuck

in the terrible Post Bush economy for the past four years struggling to make

end meet and pay heathcare bills you lost your insurance for, so now we get to

use that against you in our hiring practices as a private corporation and you

have NO Legal Recourse what so ever????

We are living in the

future and Orwell was all too right. We in our profession need to take a

stand, with our patients against the corporate and gov't invassion of our

Medical Privacy and our right to not have any practioner's or hospital's or

clinic's notes attached to, and to become a never to be removed part of our

medical history for any and all caregivers to see for the rest of our lives.

And we must take a stand that a Chart Review is a Triggered and only with Due

Cause 1 in a few thousand kind of event, not an everyday, every visit corporate

police state Zig Heil kind of Perverse, Insane, Anti-Privacy, The Nuts are

Running the Assilym kind of NEW Normal that we all go quietly into

the Good Night lamely accepting without so much as a good strong wimper or

fight....

Won't anyone out there

in this more march to the beat of another Drummer group even join the cause and

speak out against this maddness with us???? Or are all of you too, just so

hyper focused on getting the crumbs being carrot hung out in front of you, no

less scared of the coming stick to beat you that is promised to follow, too

deaf and to tunnel vision to even understand that you are cooperating with your

own ruin both as practioners of your Knoble trade no less as citizens and

consumers of healthcare all???? What a sad and sorry sight this is turning

into... PLEASE restore my hope in in

IMP'ness and in the US of A in general and let me hear some voices joining in

here on this all too important issue... Thanks for listening and reading....

[Guest guest]

I think the only time you have to submit something personal is for syndromic surveillance ..e.g. TB cases etc, and even then you can choose to suppress the patient details.

Um, , I hope that you don’t

think that we are advertising our charts to the government simply because we

choose to put into the patient chart note (accessible only to our office staff)

a CPT code for a lab order.  MU does NOT in any way transmit

HIPAA-protected information.  It is based on % of patients who meet

certain criteria (for example, we will run a report that shows what % of our

patients that we saw in a given year we tracked whether or not they are smokers). 

Our charts are still our charts.  Percentages are the only thing right now

that will be transmitted to the government for meaningful use tracking. 

 

The patients are as much to blame for

having information out there for the world to see.  Patients want (and

often expect) their healthcare to be 100% paid for by either their insurance

company or the government.  If you, as a patient, want your health history

to be completely private and you do not ever want any insurance company or

government agency to know your health history, then you need to NEVER, and I

mean NEVER ask you insurance to pay for your health care.  You can still

keep your health information private if and only if you don’t have

insurance or you never submit a claim to insurance.

 

The onus shouldn’t be only on health

care providers, but on patients who expect and desire free health care.

 

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Bleiweiss

Sent: Tuesday, January 11, 2011

8:37 AM

To:

Subject:

Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

 

 

Folks,

    and I are still

extremely worried and concerned about what is in the fine details of

" Meaningful Use " both right now no less as it moves forward into the

future. This is a hot topic that some people get while a majority seem to play

" Head in the Sand " and " Na, Na, Na, Na, Naaaaah I can't hear

you " about how the coming storm of two way interfaces are going to allow

carriers and the gov't as the carriers of Medicare and Medicaid to riffle thru

all of our charts all the time, any time they gosh darn feel like it. In

today's day of increasingly intelligent software and cheap mass amounts of data

storage, we are all the more concerned about the Brave New World of Meaningful

Use carrot and stick influence to allow full time chart reviews on any and all

visits and chart notes...

 

    It concerns me all the

more because I don't even hear or see anyone besides myself attempting to bring

up this HUGE and Truely Important issue of protection of medical privacy and

the use of our own office notes (what are Charts REALLY supposed to be for,

insurance systems or a system of maintaining a good note to always remember the

details of any given visit encounter?) against us and our coding and billing

for the rest of time, no less as a means of using policy terms and conditions

against our patients and their access to certain drugs, treatments and

therapies...

 

    At some point just

because on part of the system is supposed to finance the payment for care and

therapies does it always give them the right to complete and unfeddered access

to all US Citizen's medical histories? And does ONE not so on the ball doc get

to label any and all citizens with his or her concept of disease or mental

defect, NEVER to be removed from one centralized medical record that will be

used and turned into a " Criminal like Record " to be produced and used

against any give citizen possibly for the rest of his life? And before you all

once again say that I am Chicken Little screaming about the Sky Falling Down,

just remember who back in the day, 40 years ago thought that credit scores

would be used against people, with access to their personal financial

information in the hands, BY LAW, no recourse or protections, objections

allowed today, by the likes of your employers, a Landlord and other less than

medical level protection and ethical conduct standard like people and

organizations. You have a lot of Credit Card Debt because you have been stuck

in the terrible Post Bush economy for the past four years struggling to make

end meet and pay heathcare bills you lost your insurance for, so now we get to

use that against you in our hiring practices as a private corporation and you

have NO Legal Recourse what so ever????

 

    We are living in the

future and Orwell was all too right. We in our profession need to take a

stand, with our patients against the corporate and gov't invassion of our

Medical Privacy and our right to not have any practioner's or hospital's or

clinic's notes attached to, and to become a never to be removed part of our

medical history for any and all caregivers to see for the rest of our lives.

And we must take a stand that a Chart Review is a Triggered and only with Due

Cause 1 in a few thousand kind of event, not an everyday, every visit corporate

police state Zig Heil kind of Perverse, Insane, Anti-Privacy, The Nuts are

Running the Assilym kind of NEW Normal that we all go quietly into

the Good Night lamely accepting without so much as a good strong wimper or

fight....

 

    Won't anyone out there

in this more march to the beat of another Drummer group even join the cause and

speak out against this maddness with us???? Or are all of you too, just so

hyper focused on getting the crumbs being carrot hung out in front of you, no

less scared of the coming stick to beat you that is promised to follow, too

deaf and to tunnel vision to even understand that you are cooperating with your

own ruin both as practioners of your Knoble trade no less as citizens and

consumers of healthcare all???? What a sad and sorry sight this is turning

into... PLEASE restore my hope in in

IMP'ness and in the US of A in general and let me hear some voices joining in

here on this all too important issue... Thanks for listening and reading....

 

 

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

I think the only time you have to submit something personal is for syndromic surveillance ..e.g. TB cases etc, and even then you can choose to suppress the patient details.

Um, , I hope that you don’t

think that we are advertising our charts to the government simply because we

choose to put into the patient chart note (accessible only to our office staff)

a CPT code for a lab order.  MU does NOT in any way transmit

HIPAA-protected information.  It is based on % of patients who meet

certain criteria (for example, we will run a report that shows what % of our

patients that we saw in a given year we tracked whether or not they are smokers). 

Our charts are still our charts.  Percentages are the only thing right now

that will be transmitted to the government for meaningful use tracking. 

 

The patients are as much to blame for

having information out there for the world to see.  Patients want (and

often expect) their healthcare to be 100% paid for by either their insurance

company or the government.  If you, as a patient, want your health history

to be completely private and you do not ever want any insurance company or

government agency to know your health history, then you need to NEVER, and I

mean NEVER ask you insurance to pay for your health care.  You can still

keep your health information private if and only if you don’t have

insurance or you never submit a claim to insurance.

 

The onus shouldn’t be only on health

care providers, but on patients who expect and desire free health care.

 

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Bleiweiss

Sent: Tuesday, January 11, 2011

8:37 AM

To:

Subject:

Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

 

 

Folks,

    and I are still

extremely worried and concerned about what is in the fine details of

" Meaningful Use " both right now no less as it moves forward into the

future. This is a hot topic that some people get while a majority seem to play

" Head in the Sand " and " Na, Na, Na, Na, Naaaaah I can't hear

you " about how the coming storm of two way interfaces are going to allow

carriers and the gov't as the carriers of Medicare and Medicaid to riffle thru

all of our charts all the time, any time they gosh darn feel like it. In

today's day of increasingly intelligent software and cheap mass amounts of data

storage, we are all the more concerned about the Brave New World of Meaningful

Use carrot and stick influence to allow full time chart reviews on any and all

visits and chart notes...

 

    It concerns me all the

more because I don't even hear or see anyone besides myself attempting to bring

up this HUGE and Truely Important issue of protection of medical privacy and

the use of our own office notes (what are Charts REALLY supposed to be for,

insurance systems or a system of maintaining a good note to always remember the

details of any given visit encounter?) against us and our coding and billing

for the rest of time, no less as a means of using policy terms and conditions

against our patients and their access to certain drugs, treatments and

therapies...

 

    At some point just

because on part of the system is supposed to finance the payment for care and

therapies does it always give them the right to complete and unfeddered access

to all US Citizen's medical histories? And does ONE not so on the ball doc get

to label any and all citizens with his or her concept of disease or mental

defect, NEVER to be removed from one centralized medical record that will be

used and turned into a " Criminal like Record " to be produced and used

against any give citizen possibly for the rest of his life? And before you all

once again say that I am Chicken Little screaming about the Sky Falling Down,

just remember who back in the day, 40 years ago thought that credit scores

would be used against people, with access to their personal financial

information in the hands, BY LAW, no recourse or protections, objections

allowed today, by the likes of your employers, a Landlord and other less than

medical level protection and ethical conduct standard like people and

organizations. You have a lot of Credit Card Debt because you have been stuck

in the terrible Post Bush economy for the past four years struggling to make

end meet and pay heathcare bills you lost your insurance for, so now we get to

use that against you in our hiring practices as a private corporation and you

have NO Legal Recourse what so ever????

 

    We are living in the

future and Orwell was all too right. We in our profession need to take a

stand, with our patients against the corporate and gov't invassion of our

Medical Privacy and our right to not have any practioner's or hospital's or

clinic's notes attached to, and to become a never to be removed part of our

medical history for any and all caregivers to see for the rest of our lives.

And we must take a stand that a Chart Review is a Triggered and only with Due

Cause 1 in a few thousand kind of event, not an everyday, every visit corporate

police state Zig Heil kind of Perverse, Insane, Anti-Privacy, The Nuts are

Running the Assilym kind of NEW Normal that we all go quietly into

the Good Night lamely accepting without so much as a good strong wimper or

fight....

 

    Won't anyone out there

in this more march to the beat of another Drummer group even join the cause and

speak out against this maddness with us???? Or are all of you too, just so

hyper focused on getting the crumbs being carrot hung out in front of you, no

less scared of the coming stick to beat you that is promised to follow, too

deaf and to tunnel vision to even understand that you are cooperating with your

own ruin both as practioners of your Knoble trade no less as citizens and

consumers of healthcare all???? What a sad and sorry sight this is turning

into... PLEASE restore my hope in in

IMP'ness and in the US of A in general and let me hear some voices joining in

here on this all too important issue... Thanks for listening and reading....

 

 

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Folks,

Last I and a number of good well respected doctor friends and I investigated this it was part of the CCHIT standards that were adopted and required to meet getting their stamp of approval and this was a couple of years ago. The regional health exchanges are not completely up and running yet to start compiling the lifetime singular records, but even here in upstate, CNY they are up, running, and being used by the local hospitals and a few of the largest test case practices and groups... Big Brother is coming and he has already arrived.

I agree with the last ditch effort to protect your health information is to pay out of pocket and actually my family and I are already doing such in certain cases as somethings are OURS to protect and not any business of anybody elses just because they happen to be the finance Mechanism. Ya see once we could all choose to cover all healthcare then there is no longer any need to complete Big Brother invassions of healthcare to Police doctors and patients because there is no longer this is covered and this is not and the other thing needs a stupid managed care prior auth...

The gov't and the carriers are colluding to create huge centralized regional health information exchanges and servers to have single centralized charts. They speak of a doc in an ER immediately having access to your doctor's charts on the other side of the country should you have a car accident while on vacation... How else is this going to be happening without almost a completely wide open door into our servers in our offices and or one singular chart kept in these huge well funded as part of the stimulous package regional centers that are required to interface and seamlessly share info across the nation????

Sorry guys but that day Orwell spoke of is right here and on our doorstep and nobody cared to heed the call to action... Lastly, just go review the info at the main website and the NYC one for the ACLU and what is going on in terms of invassions of privacy of medical records since good old and Dick gutted HIPPA and the Constitution and slammed thru the Patriot Act... These are dark times in deed...

Gotta run and go fight my own local School Board and Town Gov't who are attempting to silence their opposition with harrassment of perjurous charges against yours truly....

To: Sent: Tue, January 11, 2011 1:31:42 PMSubject: Re: Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

I think the only time you have to submit something personal is for syndromic surveillance ..e.g. TB cases etc, and even then you can choose to suppress the patient details.

Um, , I hope that you don’t think that we are advertising our charts to the government simply because we choose to put into the patient chart note (accessible only to our office staff) a CPT code for a lab order. MU does NOT in any way transmit HIPAA-protected information. It is based on % of patients who meet certain criteria (for example, we will run a report that shows what % of our patients that we saw in a given year we tracked whether or not they are smokers). Our charts are still our charts. Percentages are the only thing right now that will be transmitted to the government for meaningful use tracking.

The patients are as much to blame for having information out there for the world to see. Patients want (and often expect) their healthcare to be 100% paid for by either their insurance company or the government. If you, as a patient, want your health history to be completely private and you do not ever want any insurance company or government agency to know your health history, then you need to NEVER, and I mean NEVER ask you insurance to pay for your health care. You can still keep your health information private if and only if you don’t have insurance or you never submit a claim to insurance.

The onus shouldn’t be only on health care providers, but on patients who expect and desire free health care.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of BleiweissSent: Tuesday, January 11, 2011 8:37 AMTo: Subject: Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

Folks,

and I are still extremely worried and concerned about what is in the fine details of "Meaningful Use" both right now no less as it moves forward into the future. This is a hot topic that some people get while a majority seem to play "Head in the Sand" and "Na, Na, Na, Na, Naaaaah I can't hear you" about how the coming storm of two way interfaces are going to allow carriers and the gov't as the carriers of Medicare and Medicaid to riffle thru all of our charts all the time, any time they gosh darn feel like it. In today's day of increasingly intelligent software and cheap mass amounts of data storage, we are all the more concerned about the Brave New World of Meaningful Use carrot and stick influence to allow full time chart reviews on any and all visits and chart notes...

It concerns me all the more because I don't even hear or see anyone besides myself attempting to bring up this HUGE and Truely Important issue of protection of medical privacy and the use of our own office notes (what are Charts REALLY supposed to be for, insurance systems or a system of maintaining a good note to always remember the details of any given visit encounter?) against us and our coding and billing for the rest of time, no less as a means of using policy terms and conditions against our patients and their access to certain drugs, treatments and therapies...

At some point just because on part of the system is supposed to finance the payment for care and therapies does it always give them the right to complete and unfeddered access to all US Citizen's medical histories? And does ONE not so on the ball doc get to label any and all citizens with his or her concept of disease or mental defect, NEVER to be removed from one centralized medical record that will be used and turned into a "Criminal like Record" to be produced and used against any give citizen possibly for the rest of his life? And before you all once again say that I am Chicken Little screaming about the Sky Falling Down, just remember who back in the day, 40 years ago thought that credit scores would be used against people, with access to their personal financial information in the hands, BY LAW, no recourse or

protections, objections allowed today, by the likes of your employers, a Landlord and other less than medical level protection and ethical conduct standard like people and organizations. You have a lot of Credit Card Debt because you have been stuck in the terrible Post Bush economy for the past four years struggling to make end meet and pay heathcare bills you lost your insurance for, so now we get to use that against you in our hiring practices as a private corporation and you have NO Legal Recourse what so ever????

We are living in the future and Orwell was all too right. We in our profession need to take a stand, with our patients against the corporate and gov't invassion of our Medical Privacy and our right to not have any practioner's or hospital's or clinic's notes attached to, and to become a never to be removed part of our medical history for any and all caregivers to see for the rest of our lives. And we must take a stand that a Chart Review is a Triggered and only with Due Cause 1 in a few thousand kind of event, not an everyday, every visit corporate police state Zig Heil kind of Perverse, Insane, Anti-Privacy, The Nuts are Running the Assilym kind of NEW Normal that we all go quietly into the Good Night lamely accepting without so much as a good strong wimper or fight....

Won't anyone out there in this more march to the beat of another Drummer group even join the cause and speak out against this maddness with us???? Or are all of you too, just so hyper focused on getting the crumbs being carrot hung out in front of you, no less scared of the coming stick to beat you that is promised to follow, too deaf and to tunnel vision to even understand that you are cooperating with your own ruin both as practioners of your Knoble trade no less as citizens and consumers of healthcare all???? What a sad and sorry sight this is turning into... PLEASE restore my hope in in IMP'ness and in the US of A in general and let me hear some voices joining in here on this all too important issue... Thanks for listening and reading....

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

Folks,

Last I and a number of good well respected doctor friends and I investigated this it was part of the CCHIT standards that were adopted and required to meet getting their stamp of approval and this was a couple of years ago. The regional health exchanges are not completely up and running yet to start compiling the lifetime singular records, but even here in upstate, CNY they are up, running, and being used by the local hospitals and a few of the largest test case practices and groups... Big Brother is coming and he has already arrived.

I agree with the last ditch effort to protect your health information is to pay out of pocket and actually my family and I are already doing such in certain cases as somethings are OURS to protect and not any business of anybody elses just because they happen to be the finance Mechanism. Ya see once we could all choose to cover all healthcare then there is no longer any need to complete Big Brother invassions of healthcare to Police doctors and patients because there is no longer this is covered and this is not and the other thing needs a stupid managed care prior auth...

The gov't and the carriers are colluding to create huge centralized regional health information exchanges and servers to have single centralized charts. They speak of a doc in an ER immediately having access to your doctor's charts on the other side of the country should you have a car accident while on vacation... How else is this going to be happening without almost a completely wide open door into our servers in our offices and or one singular chart kept in these huge well funded as part of the stimulous package regional centers that are required to interface and seamlessly share info across the nation????

Sorry guys but that day Orwell spoke of is right here and on our doorstep and nobody cared to heed the call to action... Lastly, just go review the info at the main website and the NYC one for the ACLU and what is going on in terms of invassions of privacy of medical records since good old and Dick gutted HIPPA and the Constitution and slammed thru the Patriot Act... These are dark times in deed...

Gotta run and go fight my own local School Board and Town Gov't who are attempting to silence their opposition with harrassment of perjurous charges against yours truly....

To: Sent: Tue, January 11, 2011 1:31:42 PMSubject: Re: Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

I think the only time you have to submit something personal is for syndromic surveillance ..e.g. TB cases etc, and even then you can choose to suppress the patient details.

Um, , I hope that you don’t think that we are advertising our charts to the government simply because we choose to put into the patient chart note (accessible only to our office staff) a CPT code for a lab order. MU does NOT in any way transmit HIPAA-protected information. It is based on % of patients who meet certain criteria (for example, we will run a report that shows what % of our patients that we saw in a given year we tracked whether or not they are smokers). Our charts are still our charts. Percentages are the only thing right now that will be transmitted to the government for meaningful use tracking.

The patients are as much to blame for having information out there for the world to see. Patients want (and often expect) their healthcare to be 100% paid for by either their insurance company or the government. If you, as a patient, want your health history to be completely private and you do not ever want any insurance company or government agency to know your health history, then you need to NEVER, and I mean NEVER ask you insurance to pay for your health care. You can still keep your health information private if and only if you don’t have insurance or you never submit a claim to insurance.

The onus shouldn’t be only on health care providers, but on patients who expect and desire free health care.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of BleiweissSent: Tuesday, January 11, 2011 8:37 AMTo: Subject: Doctor, Patient Privacy, Chart Reviews, Give Backs & Meaningful Use

Folks,

and I are still extremely worried and concerned about what is in the fine details of "Meaningful Use" both right now no less as it moves forward into the future. This is a hot topic that some people get while a majority seem to play "Head in the Sand" and "Na, Na, Na, Na, Naaaaah I can't hear you" about how the coming storm of two way interfaces are going to allow carriers and the gov't as the carriers of Medicare and Medicaid to riffle thru all of our charts all the time, any time they gosh darn feel like it. In today's day of increasingly intelligent software and cheap mass amounts of data storage, we are all the more concerned about the Brave New World of Meaningful Use carrot and stick influence to allow full time chart reviews on any and all visits and chart notes...

It concerns me all the more because I don't even hear or see anyone besides myself attempting to bring up this HUGE and Truely Important issue of protection of medical privacy and the use of our own office notes (what are Charts REALLY supposed to be for, insurance systems or a system of maintaining a good note to always remember the details of any given visit encounter?) against us and our coding and billing for the rest of time, no less as a means of using policy terms and conditions against our patients and their access to certain drugs, treatments and therapies...

At some point just because on part of the system is supposed to finance the payment for care and therapies does it always give them the right to complete and unfeddered access to all US Citizen's medical histories? And does ONE not so on the ball doc get to label any and all citizens with his or her concept of disease or mental defect, NEVER to be removed from one centralized medical record that will be used and turned into a "Criminal like Record" to be produced and used against any give citizen possibly for the rest of his life? And before you all once again say that I am Chicken Little screaming about the Sky Falling Down, just remember who back in the day, 40 years ago thought that credit scores would be used against people, with access to their personal financial information in the hands, BY LAW, no recourse or

protections, objections allowed today, by the likes of your employers, a Landlord and other less than medical level protection and ethical conduct standard like people and organizations. You have a lot of Credit Card Debt because you have been stuck in the terrible Post Bush economy for the past four years struggling to make end meet and pay heathcare bills you lost your insurance for, so now we get to use that against you in our hiring practices as a private corporation and you have NO Legal Recourse what so ever????

We are living in the future and Orwell was all too right. We in our profession need to take a stand, with our patients against the corporate and gov't invassion of our Medical Privacy and our right to not have any practioner's or hospital's or clinic's notes attached to, and to become a never to be removed part of our medical history for any and all caregivers to see for the rest of our lives. And we must take a stand that a Chart Review is a Triggered and only with Due Cause 1 in a few thousand kind of event, not an everyday, every visit corporate police state Zig Heil kind of Perverse, Insane, Anti-Privacy, The Nuts are Running the Assilym kind of NEW Normal that we all go quietly into the Good Night lamely accepting without so much as a good strong wimper or fight....

Won't anyone out there in this more march to the beat of another Drummer group even join the cause and speak out against this maddness with us???? Or are all of you too, just so hyper focused on getting the crumbs being carrot hung out in front of you, no less scared of the coming stick to beat you that is promised to follow, too deaf and to tunnel vision to even understand that you are cooperating with your own ruin both as practioners of your Knoble trade no less as citizens and consumers of healthcare all???? What a sad and sorry sight this is turning into... PLEASE restore my hope in in IMP'ness and in the US of A in general and let me hear some voices joining in here on this all too important issue... Thanks for listening and reading....

-- Graham Chiuhttp://www.compkarori.co.nz:8090/Synapse - the use from anywhere EMR.

[Guest guest]

The way I see this happening is by

allowing patients to have access into their own charts….via web or on a

flash drive or other similar electronic method….and the patient provides

that information to the treating provider. It’s still secure and

not a violation of HIPAA because the patient is the one directly releasing

their information. At least here in CA, where we have huge consumer

protection laws, one singular patient chart that any physician can access will

be fought tooth-and-nail.

Pratt

Office Manager

Oak Tree Internal Medicine P.C

www.prattmd.info

From: [mailto: ] On Behalf Of Bleiweiss

Sent: Tuesday, January 11, 2011

1:08 PM

To:

Subject: Re:

Doctor, Patient Privacy, Chart Reviews, Give Backs &

Meaningful Use

The gov't and the carriers are colluding

to create huge centralized regional health information exchanges and servers to

have single centralized charts. They speak of a doc in an ER immediately having

access to your doctor's charts on the other side of the country should you have

a car accident while on vacation... How else is this going to be happening

without almost a completely wide open door into our servers in our offices and

or one singular chart kept in these huge well funded as part of the stimulous

package regional centers that are required to interface and seamlessly share

info across the nation????