Max Q
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Doctor Ethical And Confidentiality Issues

Mon Dec 03, 2012 4:27 am

I wonder if anyone has any input on this.


Can a Doctor, in the United States, specifically Florida discuss a patients medical issues / history with another doctor / specialist that is also treating the same patient ?


Specifically, can my GP discuss my case with a separate specialist on a completely unrelated matter than what that specialist has seen me for without my permission ?


Hope this makes sense, trying to figure out what the HIPAA laws are on this.


Any Doctors on the forum ?

[Edited 2012-12-02 20:30:52]

[Edited 2012-12-02 20:31:26]
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DocLightning
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Doctor Ethical And Confidentiality Issues

Mon Dec 03, 2012 4:53 am

Quoting Max Q (Thread starter):
Specifically, can my GP discuss my case with a separate specialist on a completely unrelated matter than what that specialist has seen me for without my permission ?

Generally no. If you want to PM me the details, I can give you a better answer.
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flymia
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Doctor Ethical And Confidentiality Issues

Mon Dec 03, 2012 4:55 am

There certainly are some doctors and lawyers on the forum. This seems to be an interesting question if I had some time I would look into it. One thing I do know is the doctor can break confidentiality if he deems it necessary for treatment. Also Florida law protects doctors fairly well if the break was in any way reasonable. I am sure others with more knowledge will chip in.

The Florida statues are not that long nor complicate you should give them a look online.
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virgin744
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Doctor Ethical And Confidentiality Issues

Mon Dec 03, 2012 5:13 am

I have signed the Hipaa form on a few ocassions where a Dr. from 1 healthcare provider needed to access my records from another and I believe the form I was given to sign the consent did outline what exactly they were requesting from the other provider, so it may be an idea to read the paperwork and smallprint very carefully. I had a look on the Hipaa information sites and it wasnt clear what they could disclose other than the specific area in question so it may well be that you're signing away access to any and all areas of your medical files but I dont know since I'm in a different state - CA. I would suggest you speak to the Patient Information dept at your existing Heathcare Provider and ask them what is and isnt covered in the transfer of patient information under Hipaa if you're concerned.
 
Ken777
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Doctor Ethical And Confidentiality Issues

Sat Dec 08, 2012 3:17 am

I can understand the need (and at times benefits) of HIPPA, but really wish there was a form I could sign telling my doctors that they can all talk about me without limits, including sharing reports and images.

Case in point: I keep digital copies of all imaging I have had done over the years. Had an ultra sound Wednesday, followed by an abdominal CT Scan yesterday. Fortunately I had a previous CT scan from '07 on a CD so the radiologist was able to compare it to the current one. That ability gave him the ability to see a "growth" on the right kidney showing on the current scan wasn't there on the previous scan.

The simple fact is that doctors are looking at imaging and lab reports every day in situations where the patient would benefit from increased communication not obstructed by HIPPA. I benefited by having previous imaging with me in a digital form. (I also had it on my Mac notebook thanks to OsiriX.)
 
StarAC17
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RE: Doctor Ethical And Confidentiality Issues

Sat Dec 08, 2012 4:34 am

Quoting Max Q (Thread starter):
Specifically, can my GP discuss my case with a separate specialist on a completely unrelated matter than what that specialist has seen me for without my permission ?

No, and any competent doctor is not going to risk it. Any specialist is going to run their own tests or ask permission to get your medical records, if you deny them the rights and they obtain them then its a slam dunk lawsuit against them.

Quoting Ken777 (Reply 4):

I can understand the need (and at times benefits) of HIPPA, but really wish there was a form I could sign telling my doctors that they can all talk about me without limits, including sharing reports and images.

That seems perfectly fair, if you sign off you can't sue so I don't see an issue there.
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