Purtilo & Doherty (2011) Chapter 10 Why Honor Confidentiality? Slides by W. Rose and C. Polek

1. Purtilo & Doherty (2011) Chapter 10 Why Honor Confidentiality? Slides by W. Rose and C. Polek College of Health Sciences University of Delaware

2. Chapter 10 Introduction The Goal: A Caring Response Six Step Process in Confidentiality Situations Confidentiality, Records, and Patient Care Information Systems Examples College of Health Sciences

3. Chapter 10 • Introduction • Cast: • Twyla Roberts, O.T. who delivers care in patients’ homes. • Mary Louis, Twyla’s patient, recovering at home after a hospital stay. College of Health Sciences

4. Chapter 10 • Introduction • The Goal: A Caring Response • Identifying Confidential Information • Confidential information = info about a patient that is harmful [to whom?], shameful, or embarrassing • Who decides? • Err on the side of caution • Confidentiality and Privacy • Notion of confidential information related to “right to privacy”, but with a twist • Exercise: Report what the code of ethics or code of conduct for the health care profession of your choice says about confidentiality. College of Health Sciences

5. The Goal: A Caring Response • Identifying Confidential Information • Confidentiality and Privacy • Confidentiality, Secrets, and the “Need to Know” • Keeping Confidences • Need to know info = info necessary to adequately perform one’s specific job responsibilities • If another professional has a need to know, it is not a breach to share that info • Maintaining confidentiality is a means to the ends of building trust and maintaining patient dignity • Breaking Confidences • Sometimes required for the most caring response • See list of acceptable reasons, P&D p. 210 • Does benefit of breaking confidence outweigh harm of damage to trust? • How can the harm be minimized? College of Health Sciences

6. Introduction • The Goal: A Caring Response • The Six Step Process in Confidentiality Situations • Gather Relevant Info • Identify the Type of Ethical Problem What kind of problem? • Use Ethical Theories or Approaches to Analyze It • Principles? • Character traits? • Explore Practical Alternatives Name some. • Act • Evaluate the Process & Outcome College of Health Sciences

7. Introduction • The Goal: A Caring Response • Six Step Process in Confidentiality Situations • Confidentiality, Records, and Patient Care Information Systems • The Medical Record • Paper & electronic • Many authors • HIPAA (1996) • Goal: Protect individual health information while allowing information flow needed to promote high quality care • Control use & disclosure of “protected health information” • HITECH (2009) • Expands & strengthens HIPAA • Requires adoption of EHRs by providers College of Health Sciences

8. Chapter 10 Introduction The Goal: A Caring Response Six Step Process in Confidentiality Situations Confidentiality, Records, and Patient Care Information Systems Examples College of Health Sciences