Confidentiality, Privacy and Security

ROI to Patient Advocate

  • 1.  ROI to Patient Advocate

    Posted 23 days ago
    If an incapacitated patient's spouse enlists the involvement of a patient advocate, is it acceptable to provide a copy of the patient's medical record to the advocate on the spouse's authorization?  The patient does not have an advance directive.  The patient's spouse  is being provided with information related to their involvement in the care & decision-making and is listed next-of-kin.  The advocate has received information via care team/family conference but is requesting a copy of the entire medical record.

    Typically, ROI, even to family, is limited to only the information deemed by the provider's professional judgement to be in the best interest of the patient if there is no DPOA in place.  This generally may include verbal disclosure or perhaps limited copies (test result, imaging result or physician's note, if the physician approves.

    I am curious about the policies for disclosure to friends, family & others at other facilities.  Any feedback would be much appreciated!

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    Kelly Wildhaber
    Privacy Officer
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  • 2.  RE: ROI to Patient Advocate

    Posted 22 days ago
    Given the situation you have described we would honor this request by asking the spouse to sign a written authorization that directs us to release the documentation to the person named (your "advocate.")

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    Kathryn Wood, RHIA
    Assist Dir of Information Systems/Privacy Officer
    War Memorial Hospital
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  • 3.  RE: ROI to Patient Advocate

    Posted 22 days ago
    This FAQ might help you.


    https://www.hhs.gov/hipaa/for-professionals/faq/531/may-a-health-care-provider-share-information-if-the-patient-is-not-present/index.html

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    DeAnn Tucker MHA, RHIA, CHPS, CCS
    Senior Manager | Coker Group
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  • 4.  RE: ROI to Patient Advocate

    Posted 21 days ago
    Thanks for this information!

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    Kelly Wildhaber
    Privacy Officer
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