Monday, May 29, 2023
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Dr White has been thinking about confidentiality and privacy issues lately. He trained at New York City Big Hospital and was shocked to learn that the hospital permitted filming of patients for a television show without authorization (leading to large fines for Health Insurance Portability and Accountability Act [HIPAA] violations). While buying lunch at the sandwich shop next to the hospital the other day, he was concerned to hear 2 residents in scrubs ahead of him in line discussing a case.
This got him thinking about perhaps more subtle issues, so he reviewed part of the American College of Physicians (ACP) Ethics Manual section on patient confidentiality:
"To uphold professionalism and protect patient privacy, clinicians should limit discussion of patients and patient care issues to professional encounters...".[1] Dr White occasionally told his wife of 30 years (who did not work in health care) patient stories -- without any protected health information (PHI) -- that had a strong emotional impact for him. Although he did not believe that sharing these stories were HIPAA violations, he wondered if his storytelling violated patient confidentiality.
;)
