doctor's office accessing of scripts - page 3
by morte | 10,611 Views | 84 Comments
right about now I am ripshoot (george carlinism)....went for a work physical at a doctor's office that I have no prior relationship with and will have no further relationship with, and the MA looks at the screen and says "so, you... Read More
- 0Mar 28, '12 by HorseshoeQuote from CrunchRNIf we are "all for using technology to prevent doctor shopping/drug seeking", then this is the inevitable result. I don't think we can have it both ways.I am all for using the technology to prevent doctor shopping/drug seeking, but it is getting intrusive and I bet some people will end up getting burned badly when the information is eventually misused.
Ah well, time will tell.
I think the OP needs to question her insurance company about why they are making her med list available via computer and see if there is a way she can put an end to that.
- 2Mar 28, '12 by netglowQuote from Esme12As always Esme is 100 percent on the money. I used to also handle all insurance for a practice while I was taking my prereqs for nursing. I'm not talking trash when I say the DATABASE in the sky is real. That, EMR is a way we contribute to hanging ourselves as practioners, and a way for the powers that be (doesn't matter: the government or the insurance companies = we're screwed) to decide who gets what treatment. It's already happening, and will be more final soon, that MDs/RNs will not be who makes medical decisions.Welcome to all medical records being computerized by 2014. Scary isn't it. Now your electronic medical record will be available to whomever you sign to allow you to be .....meds included. You signed in, you agreed to be seen, you signed that you agreed to be seen, you agreed for ALL of your medical record to be viewed for your "care".
No HIPAA violation here. Sorry,
- 3Mar 28, '12 by Esme12, BSN, RN Senior ModeratorQuote from morteDid you sign a consent that allowed them to see you? If you did you gave them permission to view your medical records. There are many places that now have online access to prescribed medicines from a state data base that the pharmacies file with to track narcotics and other "controlled" substances in order to "track" habitual MD's and patients prescribing/taking patterns. MD offices, hospitals, clinics have access to theses records.Please explain to me were I gave permission? This is an office that I have/had no previous association with, in a different state than my PCP, different hospital system.....WERE?
Now whether the MA was correct in accessing this information "necessary" for your care and run her mouth off.....that maybe another story
- 2Mar 28, '12 by Esme12, BSN, RN Senior ModeratorQuote from netglowI just wish people believed it......Sigh.As always Esme is 100 percent on the money. I used to also handle all insurance for a practice while I was taking my prereqs for nursing. I'm not talking trash when I say the DATABASE in the sky is real. That, EMR is a way we contribute to hanging ourselves as practioners, and a way for the powers that be (doesn't matter: the government or the insurance companies = we're screwed) to decide who gets what treatment. It's already happening, and will be more final soon, that MDs/RNs will not be who makes medical decisions.
- 3Mar 28, '12 by morteyour tone is sl patronizing.....I am pi$$ed off because they didn't ask first, which would have given me the option to walk out. There is nothing there that is a problem, it is the idea/principle of the thing.Quote from VioletKaliLPNThis may be none of my business, but what were you embarrassed about? The types of meds you are on? I'll be straightforward with you. Patients are not always honest about their medications, this can have dangerous and deadly consequences, so computerized access to scripts is the norm in my experience.
I am on various psychiatric drugs to treat BPD, a benzo included, as well as a drug to suppress genital herpes outbreaks. I have had HSV2 since 2004, and lemme tell you, after that second outbreak I said heck no... I also have high blood pressure-which is not high anymore thanks to treatment, but I still have the DX. I am on medications that often embarass people, but I am not embarassed because I am treating health conditions that require treatment. If someone does not like it, they can take a hike and shove it.
I can understand that your embarrassment is unique to you, and that you genuinely feel violated, though. I guess I am hoping that you could become less embarrassed knowing that many of 'us' share RX med types that could be embarrassing.
- 3Mar 28, '12 by morteThank you!! If i had known this was going to happen, i would have had the occasion to refuse and walk out. But that was not accorded me. ------And, yes persons ARE going to get burned by this crap, I knew a few years ago, before i knew how much, and with so little cause was going to be available on line. Is there as opt out clause in the law? If there is, my stuff is coming out ASAP!!! and i will be paying cash for meds from now on.Quote from CrunchRNThere is a difference between giving that info to them yourself vs having them pluck it out of the cyber world. It is a matter of so many having access vs. your having a quiet talk to your doctor and disclosing the info.
I am all for using the technology to prevent doctor shopping/drug seeking, but it is getting intrusive and I bet some people will end up getting burned badly when the information is eventually misused.
Ah well, time will tell.
- 1Mar 28, '12 by netglowDoesn't matter that you had different insurance, a different doctor, or, that it was 10 years ago. The database has ALL information on you for which a claim was filed.
Soon, even if you go to say, a clinic and pay cash, where no claim was generated, and then go to a drugstore and pay cash for a med - the visit and the med too will pop up for all providers to see.
I have dealt with patient preauthorizations for treatment in which the patient omitted something (a variety of things), the preauthorization was approved by the insurance company, BUT DURING ADJUDICATION THE CLAIM WAS DENIED - this is because the in depth records search happens when the claim is up for payment. Patients are routinely accused of lying, and payment is denied to the shock of all. What I am saying is, that, they have access to ALL OF YOUR INFO right from the start (not necessary to ask you questions about your claims history). So this is a way they can deny coverage, by insisting that your not so perfect memory was an attempt at fraud.
- 0Mar 28, '12 by MunoRNQuote from CrunchRNA person's medical information won't be able to just browse. An insurance company won't have access to your information unless they are your insurance carrier and are processing a claim, although in that situation they already have full access as it is.I don't take any meds other than a BP pill, but I don't like it either. Not a violation, but just having all your private records out there on the cyberverse for anyone with any tenuous connection to your care be it pharmacy, any office you go to, insurance companies etc.......
I have nothing to hide, but I don't like it one bit and it definitely means I will not share much of anything if anything other than 'I fell fine" with my health care providers unless I am desperate.
It will be interesting to see how it plays out.
- 3Mar 28, '12 by MunoRNI guess I'm naive because I don't really get how EMR's = death panels. As a Nurse, making it possible to have immediate access to a patient's history when then come in unconscious to a hospital in another state seems like a no brainer. Just a few weeks ago a patient in my hospital's ER died after she was given NTG. It turns out she was on a PH med, had that been in our system all sorts of bells and whistles would have gone off when we tried to give the NTG, unfortunately the only alarm that went off was the code blue.