meanderium - Latest Comments

Re: Report, Reprimand, Repercussions

Tim Sturgill — Tue, 27 Mar 2012 02:47:44 -0000

What vow or oath? The fact that there are state and federal laws to protect patient privacy would suggest there are no such vow or oath.

Re: Report, Reprimand, Repercussions

John Lazarus — Tue, 27 Mar 2012 02:15:58 -0000

Doctors are under a vow or oath not to reveal anything personal information, especially about their patients. I think she got away with a relatively light punishment there.

4rx

Re: Bucket List Cycling

sjdmd — Mon, 08 Aug 2011 01:28:07 -0000

I like this very much. Kudos to you for undertaking it.

Back in the early 1980's I used to cycle with a friend out of SF to Calistoga at the north end of the Napa Valley; we did it twice a year for 2-3 years. One time we did the climb out of Calistoga to Harbin Hot Springs in Lake County and stayed up there for a few days. I was younger, lighter and much more fit then.

Re: Spontaneous Standards

R. McCarter — Thu, 04 Aug 2011 05:30:12 -0000

Your standards comic is perfect it gave me a good chuckle. Ain't it true the more unraveled we try to make it the more tangled it gets.

Re: Spontaneous Standards

R. McCarter — Thu, 04 Aug 2011 05:27:42 -0000

I have been a registered nurse for 17 years and I have started a blog about the government and the alarming fact that you and your families personal privacy is at risk. The new HIPAA 5010 law that passed this year sets legal standards for the confiscation and de-identification of yours and your families’ personal electronic health care records. There is now no legal reason for permission to be obtained from you in order for your personal health care records to be confiscated and distributed to clearinghouses for de-identification and used for research. Most health care providers do not know this and certainly most U.S. citizens are not aware of this. Follow my blog and learn how to take control and keep the government and other private agencies from accessing your private health information. Follow my blog at http://blogbur.blogspot.com

Re: socio:medicine policies

symtym — Sat, 16 Jul 2011 18:03:05 -0000

Thanks! Another good reference.

Re: socio:medicine policies

Luke — Sat, 16 Jul 2011 11:24:03 -0000

thanks! massachusetts medical society's guidelines are also worth noting. last month i blogged about the interesting and subtle contrasts between mms's and ama's guidelines.

Re: socio:medicine

Anne Marie — Sun, 03 Jul 2011 02:03:55 -0000

Just blogged about this myself
http://wishfulthinkinginmed...

Re: Breach Analysis

John Moehrke — Fri, 18 Mar 2011 15:42:17 -0000

Time for a reassessment of the current data?

Re: World Lens: augmenting reality

Dirk Stanley, MD, MPH — Thu, 06 Jan 2011 05:41:31 -0000

Wow, cool!

Re: Self-Intubation

narelle.brown — Sat, 30 Oct 2010 04:10:52 -0000

Possible complications?
Envision a tiny percentage with some haemorrhage from the initial lignocaine injection. Might cause a little extra coughing...?
Convincing lecture.

Re: Social Media Director

galenakarsson — Fri, 15 Oct 2010 11:32:17 -0000

Congrats and wish you all the best for future.

Kamagra Online

Re: Social Media Director

Carlos Rizo MD — Mon, 16 Aug 2010 00:24:02 -0000

Congrats Tim!

Re: Social Media

symtym — Sun, 15 Aug 2010 17:14:08 -0000

Well said.

Re: Social Media

John Moehrke — Sun, 15 Aug 2010 14:33:25 -0000

I agree with your assessment. I prefer Society Media, as this better represents media created by a society. I suspect this is the intention, but it is a bit harder to say and write.

There are use-cases for classical Social Media in healthcare. That is where patients are sharing their symptoms to a society who reflect on their success or failure. This is NOT driven by any healthcare professional. But it is true social media. We inside healthcare often forget that the patient is free to share anything they want to share. Thus the definition of PHI means nothing in this context.

A more classic use is between professionals about fictitious patient with real symptoms. The same mechanism of applying the collective knowledge applies. The Society works as one in the spirit of a 'Commons'.

Indeed when a relationship is between a health professional and a patient, it is much harder to see how Social Media can be used. This is a much more private discussion because both parties have a vested interest in making it a one-to-one.

Re: Social Media Director

symtym — Fri, 13 Aug 2010 18:34:54 -0000

Sign of the times as well: http://socialmedia.mayoclin...

Re: Social Media Director

Bryan Vartabedian — Fri, 13 Aug 2010 10:18:48 -0000

Congratulations. I speak to physician groups all the time and I have to say that I've never seen or heard of this. Perhaps a sign of the times?

Re: Interpermissibility

symtym — Tue, 22 Jun 2010 19:22:44 -0000

Thanks. I wasn't familiar with "No More Clipboard"--interesting. I'm seen the GH and HV scores before--that's why I think they need to up their game.

In some respects PHR/EHR/EMR are a forced "trichotomy"--it's really all about the patient's (singular) interactions with healthcare where distinctions are made based upon perspective. IMHO, we have to get beyond that--health information is health information and it needs to be unified in a single *personal* construct. If we're ever going to get a handle on "wholeness" (of record or information), cost, and security/privacy--then we need to start treating it holistically. If the distinguishing feature amongst the ?HRs is perspective, then it becomes not a matter of creating a multitude of partial records, but a matter of UI/UX.

Re: Interpermissibility

David Juntgen — Tue, 22 Jun 2010 19:14:17 -0000

Great post!

There are other PHRs out there that offer good patient privacy rights.

Take http://www.nomoreclipboard.com for example.

PatientPrivacyRights.org graded the top PHRs a few months ago, their findings can be found here: http://patientprivacyrights....

You'll be surpised how GoogleHealth and MS-HV ranked.

Re: Interpermissibility

symtym — Mon, 21 Jun 2010 21:15:04 -0000

Agree, the breaches were probably mostly negligent acts (I lost my laptop). I guess there are at least two school: education the employees or design a system where even if they lose it--there is no data breach. Sort of like fault design for negligence which you will never be able to education and control out of the system.

Re: Interpermissibility

Jeff Brandt — Mon, 21 Jun 2010 20:38:30 -0000

Great article!!

My vote is for HealthVault or Dossia or both under the Indivo OpenSource architecture. Commercial systems have the most to lose in a breach and will attempt to provide the most protection.

One thing I would like to point out is that all of the beaches of data have been low-tech (stealing a laptop) type breaches. That should never happen, but I agree that they do because people are making policy that have no idea or no qualification for what they are doing. No excuse for a breach.

Jeff Brandt
www.comsi.com

Re: White Elephant Team

Jeff Brandt — Fri, 11 Jun 2010 15:13:32 -0000

As we say in the online banking industry "Privacy is perception" nothing is private, nothing is secure. Not to say that we should not do our best effort to protect PHI, we should.

This topic has become a political hot potato, just as online banking was in the 90's. Then we went to great lengths to secure. I worked on the SET (Secure Electronic Transfer) system with IBM before we all decided that SSL was good enough. Healthcare needs to take some lesson from security engineering. First, government should only set guidelines. The market will provide the solution.

We currently have 50 states deriving 50 policies in HITOC meeting across the country. Opt-in, opt-out, mandatory, consent, age of consent, need some federal guidelines for interstate.
At sometime in the far away future we will have a NHIN but it will be painful and expensive.

Jeff Brandt
www.comsi.com

Re: Healthcare in Your Pocket?

symtym — Mon, 31 May 2010 20:02:04 -0000

Neither are physicians in general; but it is necessary (IMHO) for health information to be no more difficult than smartphone use (and as ubiquitous).

Re: Healthcare in Your Pocket?

Deirdre — Mon, 31 May 2010 19:51:36 -0000

Really important question! Med schools here are not ready for that transition at all.

Re: Diasporae

Dirk Stanley, MD, MPH — Fri, 14 May 2010 12:32:57 -0000

Tim - This is one of the best posts I've seen reviewing this area...
Love the diagrams. Oddly, they look like little flowers... :)