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HIPAA Section

HIPAA Section. Polytrauma can effect. Mental Health Social interactions, relationships Emotional stability Physical Body Multiple organs or systems. Possible Involved Professionals. Speech and Language Pathologists Physical Therapists Psychiatrists Social Workers, Family Counselors

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HIPAA Section

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  1. HIPAA Section

  2. Polytrauma can effect • Mental Health • Social interactions, relationships • Emotional stability • Physical Body • Multiple organs or systems

  3. Possible Involved Professionals • Speech and Language Pathologists • Physical Therapists • Psychiatrists • Social Workers, Family Counselors • Vocational Rehabilitation Counselors • Medical, e.g. • Audiologist, neurologist, pain specialist, prosthetic specialist, gastroenterologists, ENT, cardiologists, orthopedists, vein specialists, etc.

  4. Best Practices • Accurate, detailed information shared in a timely manner- to improve patient outcomes • HIPAA and privacy ethics closely followed

  5. HIPAA • Protects “individually identifiable health information” • Name, address, DOB, SSN, etc. • Regardless of media: e.g. electronic, paper, verbal, etc. • Past, present and future • Physical/mental health status, condition, diagnosis, etc.

  6. “Covered Entity” • Provide or pay for medical/mental health care • Must have a “written authorization” to disclose protected information • Cannot base payment or treatment on getting authorization to release information • Must make reasonable efforts to disclose only minimum information, only as needed

  7. Penalty for noncompliance • $50,000 per offense • Criminal penalties up to $250,000 • Up to 10 years in prison

  8. Exceptions • Limited data set for research purposes • Public interest • E.g. disease reporting (CDC) • Imminent harm • Self • others

  9. Collaboration Necessary for best possible outcomes

  10. Potential Benefits • Information sharing • Uniform treatment • Scheduling • Not wasting resources by overlapping or duplicating services • Filling gaps in service

  11. Potential Benefits Continued… • Boundary Spanning • New and creative solutions • Innovation • Interactive and synergistic • Knowledge management/sharing • Using something that works in one field in another

  12. Potential Pitfalls • Difficult to develop and maintain collaboration • Reduction of individual effort: “social loafing” • Conformity/obedience • Groupthink • Risky Shift or Group Polarization • Privacy: share only “need to know” info • Devaluing input from “lesser professionals” • Not clearly identifying roles and boundaries

  13. To Avoid Pitfalls • Each professional understand and respect others expertise and “value” to team • Respect patient’s autonomy: let him/her govern care to extent possible • Collaborate frequently • Transfer information to other professionals as patient moves (e.g. “back home” after being in a military hospital)

  14. VA/VR: Urban • 5 yrs experience in a VA clinic • Vets like having a “one stop shop” • Client travel: not an issue • Excellent collaboration • Easy access to all team members • Easy access to records/plans/schedules, etc. • Easy to follow up on outside referrals

  15. VA/VR: Urban • Issue: Problem • Case loads are too big • Could give better service if smaller case loads • More individual attention • So, relies on client, family, etc. to create solid plans

  16. VA SW Case Study • VA social worker • 10 years experience: VA hospital • Good collaboration: • Easy access to treating professionals • Easy access to records/treatment plans/schedules, etc. • Good team culture

  17. VA SW Case Study Cont… • Issues and Problems • Active duty clients need services coordinated with DOD • Added level of complexity and bureaucracy • Can delay treatment and funding approval • After release from VA Hospital • Seamless transition and coordination with new providers • Rural issues • Travel • Availability of specialists/experts

  18. VA/VR: Rural • 18 yrs experience in rural state • Over 300 in caseload, most over an hour away • Collaboration basically consists of: • Initial assessments and eligibility (not much ongoing) • Except for: • Cognitive delay and • Mental Health issues • Done mainly through technology • Phone, fax, email, etc.

  19. VA/VR: Rural: toward solutions • More funding overall • More counselors • Lighter case loads • More emphasis on the client- agency allows more individual time • Technology: • Video conferencing • Medical record database access

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