HIPPA
Sandra K. Fite
regulations so I want some opinions about the information a lab puts on
its pap reports.
All of a patient's previous paps with the diagnosis are listed on the
current pap report. The patient may never have gone to the clinician
submitting the current pap, but all previous paps by other clinicians
are listed. This does not seem right to me. The lab is providing the
patient' previous medical records to a clinician that the patient has
not given them premision to do so. It this a HIPPA violation?
Sandra Fite
(no spell check when posting on the web - sorry for miss spelled words)
JSullinger
this. Want to clarify the question a bit. Is the pap history being
pulled from a LIS or is it being provided by the clinician submitting
the Pap test? We really need a good compliance person to provide
information on this issue. But, I think one probably should not pull
that information out of the LIS. If provided by the clinician on the
requisition accompanying the pap, I think that would be okay. Just my
thoughts...I am certainly no expert (heh...my hidden disclaimer).
Sandra Fite
not necessarily apply to any lab I my have a employment history with. This
is something I just ran across and it just did not seem right to me and not
really being up on HIPA I want to ask this group what they thought.)
The requisition stated "no pap in 5 yrs", but the lab's LIS had a record of
at least 5 paps the past 5 years from at least 3 different clinicians. I do
not know, but I think the patient had not been to the current physician in
over 5 years and of course did not let on that she had been to other doctors
and had numerous paps during that period. This is just a guess of mine, but
I noted that the patient was Medicare patient and I suspect she wanted a pap
every year so she would tell the current doctor she had not had any recent
paps. But, that really does not matter, I just do not think the lab's LIS
should put all of her paps in their system for any physicina she had been to
on her current pap report. The way I see it she has not given the lab
permission to release her medical records to every physician she goes to.
Sandra K. Fite, CT(ASCP)
JSullinger
provide that information on the report. If they have it available
internally in order to comply with any necessary CLIA requirements,
that is fine, but shouldn't go out on the final report. I would agree.
Perhaps we can get some other comments on this. Good question...thanks
for posting !!
Cavett, Will
Sandra:
I am in agreement with you. I would assume that this is a HIPPA
violation. Also, with out clinicians, only the HX provided by the
patient is provided on our current patient's pap smear under the
clinical history heading. If there are results of previous paps from
another lab, we do not include this on our final reports unless the
patient provided the information to her current physician where it is
usually stated "previous abnormal pap 3 years ago".
Willie H. Cavett, Jr., CT(ASCP)
Supervisor, Department of Cytopathology
c/o Methodist Dallas Medical Center
1441 N. Beckley Avenue
Dallas, Texas 75203
Office telephone number: 1-214-947-3537
Business fax number: 1-214-947-3524
Email address: WillC...@mhd.com
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