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TOM W.-670850

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Articles Posted: 26  Links Seeded: 20
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Doctor-patient confidentiality breach. what would you do?? POLL

Thu Jun 17, 2010 3:47 PM EDT
health, health-care, private, patient-confidentiality, breach-of-confidentiality, dr-patient-relationship
By Tom W.-670850

Live Poll

Does this breach Dr-patient confidentiality?

View Results
  • 102370
    Yes
    56%
  • 102371
    Maybe, not sure exactly what Hippa says
    17%
  • 102372
    No
    22%
  • 102373
    Call a lawyer!
    6%

VoteTotal Votes: 36

Live Poll

What would you do in this situation?

View Results
  • 102374
    Contact the Dr that gave out your # and ask WTF
    29%
  • 102375
    Ask the Dr not to do so ever again
    20%
  • 102376
    Ask the Dr to only do so with permission each time
    20%
  • 102377
    Call a lawyer
    26%
  • 102378
    Nothing, it isn't a breach of privacy
    3%
  • 102379
    Unsure
    3%

VoteTotal Votes: 35

Live Poll

Would you continue to see a Dr that did this?

View Results
  • 102380
    Yes, I need that Dr and the speciality
    12%
  • 102381
    Maybe, it depends on the Dr's reaction
    52%
  • 102382
    No, one strike your out!
    33%
  • 102383
    Unsure
    3%

VoteTotal Votes: 33

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Okay, I am a little confused. I received a phone call today from someone who I have never met. This person then explained to me that a doctor I have been seeing gave them my number, my home number! This person was calling me to ask about the HAMP program which I have been trying to go through with an organization that is a nonprofit. Apparently this person was in a similar situation as mine and so this "healthcare professional" gave them my home number to call me to ask about what I had done and who they should contact to start the process. I had previously given my "health care professional" permission for another individual to contact me regarding a different subject, but not this person and not the subject. I have tried to call the individual who gave my number out and I did leave a message, I also e-mailed him and asked that he please check with me before giving my number out again. This is a "healthcare professional" that I probably will not be seeing again anyway but now I am definitely not going to be seeing them again! I feel that this was totally unprofessional, possibly criminal and just plain ignorant. I am not sure how to deal with this so I am asking for your help. What would you do if the situation happened to you? At this point, I am a little angry about the whole situation so I am going to leave it slide for now until I can decide when cooler heads prevail.

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  • Public Discussion (34)
Tom W.-670850

To clarify, the first person that the dr gave my number to was a possible tenant for my vacant apartment, and he called me before giving my # to the person, they probably didn't even know I was a patient, I could have been a friend etc. The second cantact obviously knew I was a patient (he stated as much to me on the phone) and knew some of my personal problems as far as trying to go throught the HAMP program. I have left 2 messages and an e-mail with the Dr and have not heard back. The Dr knows the agency I am using as they are right across the street! I do not know why he didn't just send this stranger to them?

Let me know your thoughts please, I am still pissed off and don't want to do something I can't undo! And I know that 2 wrongs don't make a right!

  • 7 votes
Reply#1 - Thu Jun 17, 2010 3:55 PM EDT
ERich-356044

Question...

What is the HAMP program? If the doc gave info on your health, that is a problem. Does HAMP have to do with health issues?

E

  • 6 votes
#1.1 - Thu Jun 17, 2010 5:36 PM EDT
Tom W.-670850

HAMP is the mortgage program for people who have lost a job or become upside down in a mortgage, it's basically a program that makes sure that the banks pass on some of the $ they got to prevent them from collapsing to those affected by the mortgage crisis. It is not medical but it is personal information that he gave out with out my permission. I would probably have tried to help this person with questions if I had gotten a heads up, my real problem is my home number being given to someone I don't know and them calling me and saying, your Dr gave me your # because you are facing foreclosure and so am I, I mean how do I knwo how this is or if they are legit?? Hell there could be legal ramifications for me if I give out adivce without a license to do so or this stranger gives my number to someone and so on and so on and so on.

Also I pay extra for an unlisted # and am on the no call lists, so it's more like a personal space issue even I guess, I am still a little freaked out and have not heard back form the Dr yet!

  • 8 votes
#1.2 - Thu Jun 17, 2010 5:52 PM EDT
ERich-356044

Thanks for clearing that up! I don't think it violated any medical rules but still, I would be fuming with anger, and it is bad behavior on the docs part. I say I don't think so because I am not a doctor, etc. What the heck gives him the right to give your number out w/o asking you first? It certainly was bad manners.

If this doc was a therapist, I do know they could loose their license to practice therapy over this, as it is quite personal.

Shame on this doctor. Can you go somewhere else? I would also make a complaint with the AMA against him over this. A complaint with the American Medical Assoc. whether it is medical or not holds a lot of weight with doctors.

I am truly sorry about this! Best of luck to you my friend!

E

  • 8 votes
#1.3 - Thu Jun 17, 2010 6:41 PM EDT
YaddaYadda

Tom, I feel certain that the Dr. didn't think he was doing anything wrong, however, it WAS wrong! He should have contacted you and asked for your permission first. I personally think that the Dr. is an idiot for doing that. If I were in your shoes, I would never go to see that person again and I would tell everyone I knew about his breach of confidentiality (although he did not violate any HIPPA laws that I'm aware of).

  • 6 votes
#1.4 - Thu Jun 17, 2010 8:58 PM EDT
Tom W.-670850

Yeah, I'm unclear on the Hippa laws Yadda Yadda, but think it was a breach of trust.

E: I was only seeing the guy because my primary Dr. suggested I might be elgible to do a clinical trial, I don't qualify for the trial but was going to check back occaisionally to see if any new studies were being done. I don't think I'llbe back.

  • 3 votes
#1.5 - Fri Jun 18, 2010 1:14 AM EDT
chelli

Well, depending on what type of doctor he is, it could be a breach of HIPPA. In any case, he should have taken that persons' info. and given it to you and let you make the choice! What, are doctors now selling patient info to make a buck? They do it with corporations, but with individuals and no background check? You are right to be po'd. I seriously think you deserve an explanation from this "doctor" and then decide what to do. If the answer isn't valid--pursue the option of a lawyer--simply because that private info could do you more harm than good in the future...do you really know everything he shared about you? Of course not. Good luck--It's rediculous that you confide in your doctor and end up having personal info shared with a stranger(s). That stranger can now share your private info with the whole world...such a sad state of affairs.

  • 4 votes
#1.6 - Fri Jun 18, 2010 1:22 AM EDT
Tom W.-670850

Exactly, who knows!

I had a situation when I had to go to an alcohol program for a DUI years ago and the counselor talked about a person that was his friend that I knew in passing. The counselor was asking me personal info about his former friend, I demanded another counselor immediately!

  • 4 votes
#1.7 - Fri Jun 18, 2010 2:20 AM EDT
frostyone

If the Dr. gave out any information about your health and such then yes he violated HIPPA Laws and not the stage one violation but the stage 2 violation that can result in a $250,000 fine. If he didn't give out any of your personal health info then he's only really guilty of not thinking about how you would take having a total stranger call you out of the blue to talk about that subject. Fell free to shoot me an e-mail if need be and I can have the wife look it over to make sure on the HIPPA stuff as she's the HIPPA officer on base.

  • 7 votes
#1.8 - Fri Jun 18, 2010 3:43 AM EDT
Hekofawoman

He did not violate HIPPA laws as he did not disclose any medical information, (although HIPPA laws do entail even achknowledging name of patient) - However I don't believe this to be your case. I feel this was more a matter of miscommunication as you allowed him to give your number out for a different matter, on a personal matter, sounds as if he was actually trying to do you a favor. Actually, IMO, you should Thank him for thinking of you and for even taking the time o out to do anything at all. Most doctors don't have the time or would even care to do so. Since he made a mistake in giving your number to someone you don't approve of, just let him or the office know, you do not need any further help with this matter. Sometimes stuff just happens, but in no way do I feel he did anything wrong except try to help. Respectively Hek

  • 1 vote
#1.9 - Fri Jun 18, 2010 4:30 AM EDT
Hekofawoman

Opps, I mis-read where you stated you had given your "previous" caretaker permission, if you "did not" give this physician perimission, which I thought is what I read, then he did violate HIPPA laws, it's not just about health information, it's acknowledging your even a patient. I am not allowed at work to even let an individual know if we have a certain patient on our floor, it violates their rights. They must know this information through the patient themselves, or through family and have a "pin" number. Yes, what he did was illegal, if not his doing, someone in the office may have been just trying to be helpful and clearly does't understand the full impact the HIPPA laws stand for. I hope this clarifies what I wrote above. I don't know if I would go to extremes on this one, but I would definetly call his/their office and let them know you do not appreciate what was done and warn them of the consequences it entails should you report it. That should end it. Not sure Tom, how much of a prick you want to be about it, but I guess you could be, will it do you any good, no. Now if this physician is profiting in some way from doing this with all his patients like referrals, then it should be investigated. Don't know what to tell you, it does happen. They count on people who are ignorant. Up to you really Tom.

  • 4 votes
#1.10 - Fri Jun 18, 2010 4:42 AM EDT
Ed Wood

It was a HIPPA violation, at least as most health care facilities interpret the law. Sounds like a "no harm, no foul" situation. You might be doing the doctor a favor by giving him a heads up. If he does things like this on a regular basis he could likely get in some trouble.

  • 4 votes
#1.11 - Fri Jun 18, 2010 11:55 AM EDT
Hekofawoman

Yes it was a HIPPA violation after I re-read it. Now the determining factor will be, was it innocent or did he take advantage of you for "profit"...is he getting a "cut". That will be hard to prove, but he did violate your presence as a patient, and yes, that is illegal. It's up to you.

  • 4 votes
#1.12 - Fri Jun 18, 2010 5:23 PM EDT
nxw01

Your first action should be to write a letter to the doctor detailing the incident and your concern about the potential violation of your HIPAA rights. Explain in the letter that you had not given the doctor permission to release your information to this person and that you do not wish to be contacted by third parties. Make sure you also have documentation of the phone call you received from this other person and what the conversation entailed, as well a your phone calls to the doctor and the emails you have sent. The more documentation you have, the better. In that light, it would not be a bad idea to schedule a visit to the doctor to discuss the situation and document his/her response.

HIPAA law guarantees your privacy to all personal health information which includes individually identifiable health information and any information that identifies an individual or can be reasonably believed that it can be used to identitfy the individual (SSN, date of birth, name, address, etc). http://www.hhs.gov/ocr/privacy/ In this case, the provider gave out your name as well as your phone number, thus identifying you without your permission.

The next step if you want to take it would be to contact a HIPAA attorney (or health law attorney). They may or may not agree to take the case. A lot of it will depend on your documentation and determination. If there are other patients who have experienced similar treatment, it will help. Most lawsuits of this type drag out because the doctor's attorneys know that an individual usually cannot afford attorney fees, court fees, expert fees, etc. or at least not for as long as they can. They will drag it out as long as they can to get you to drop the suit.

Without consulting an attorney, you could contact any carriers that you know this provider has contracts with. For example, if they are contracted with Humana, call Humana and report to them what happened. Definitely call your carrier and let them know what happened. The reason being is that they may sanction the provider or void their contract. They won't tell you about it, but they will look into it. And the less contracts a provider has, the less business they have coming in the door. Who wants to go see a doctor that is not covered by their carrier? Same goes for any hospitals this person is affiliated with. Most do not want an association with a doctor who violates HIPAA rules.

Keep in mind that these are pretty serious steps to take and that there will be a lot of work involved that you will have to do. I'm not sure that you really want to go that far in this case, but at least that is some information in case you do.

I can definitely relate to the sense of violation! And for a little encouragement, I'll tell you my story. I recently had a surgery and met with the anesthesiologist prior to the surgery. He told me to contact him the Monday after my surgery to discuss billing/insurance information (this was on Christmas Eve and his office had not filed it prior to leaving the day before). After I had been taken to the operating room, while I was under anesthesia he came out and demanded payment from my parents or he said he would not continue the surgery. Then he had someone write down their credit card number, didn't make them sign anything and gave them no receipt. He is being prosecuted for credit card fraud and has been sanctioned. My insurance carrier and three others have dropped him from their networks and my surgeon as well as the hospital are no longer doing business with him. He lost his hospital affiliation there and since it was the only hospital he had privliges at, he is now trying to obtain them elsewhere. I also have a lawsuit pending; we are working on a settlement figure right now. So, a success. But I had LOTS of documentation and his own assistant signed an affidavit on my behalf. Typically these cases are not processed as quickly as mine are but I have been very persistent and threatened to go to talk to the local news about it; there is a local station that has a weekly "health report" that was interested in the story. I have a feeling that is what has been pushing it through. :)

In any case, I'm sorry you went through that but good luck!!

  • 1 vote
#1.13 - Mon Jun 21, 2010 12:25 PM EDT
Reply
Dowser

I would call and report him to whomever watches over these things. I agree with Yadda Yadda... They have confidentiality things that stand up in court-- meaning the police can't question the doctor about a condition-- and they should never voluntarily tell anyone.

I've had this happen to me before and I never went back. And I reported him. Now to who, I don't remember-- it was a few years ago... But that is a breach of ethics, in my book.

Then again, if this is the only doctor around, you may be stuck...

  • 5 votes
Reply#2 - Thu Jun 17, 2010 10:18 PM EDT
Tom W.-670850

Not stuck, see 1.5 above! Probably will talk to my Primary to see what he thinks about it, and who I would report it too!

  • 4 votes
#2.1 - Fri Jun 18, 2010 1:16 AM EDT
Reply
Robert Erickson

Be very careful about the wording of any documents you sign. Some of them award broader latitude in these matters than they are explained verbally. Consult an attorney. This is not a small matter.

  • 4 votes
Reply#3 - Thu Jun 17, 2010 11:55 PM EDT
Tom W.-670850

And the Dr keeps the paper work you do sign! Thanks I was starting to think I was making a big deal out of nothing but it IS a big deal at least to me!

  • 4 votes
#3.1 - Fri Jun 18, 2010 1:19 AM EDT
Reply
Kara Shalee

I would schedule an appt with this Dr, since she/he (sorry in a hurry and this is my last post before I get going) has not responded to you call or email. Most certainly, I would NOT pay for the appt, obiviously. However, just my way of dealing wout be to eyeball this person and directly confront him/her and have a discussion.

No I would not take legal action as you would waste you time and energies further, and what for? Thank god that your medical info was not compromised. So, I don't think this is a violation of the Dr/Patient confidentiality and/or HIPPA requirements, but it is a serious issue and this person needs to learn what a boundary is. Help them out, you may both benefit

Hope things work out for you............All the Best, Theresa

PS You might want to let this med professional know that in many jobs such as ones I've had, that I could have been fired for something like this..............so it's very serious and they need to get a grip.

  • 3 votes
Reply#4 - Fri Jun 18, 2010 12:02 AM EDT
Tom W.-670850

I know, I guess because I worked in the health care feild for a while I am ultra aware of the need for confidentiality even about a phone number. We had signs posted in elevators and such reminding us not to discuss pt info in public areas!

  • 5 votes
#4.1 - Fri Jun 18, 2010 1:23 AM EDT
Reply
mrsrachelm

I had this exact thing happen to me as well. My dentist gave my work number out to some idiot friend of his who called me -at work- to try to sell me something!

I asked him how he got that number and to know to ask for me specifically and he told me. I was sooooo ticked! I told the man that this was my place of business and if he ever called me there or at my residence I would press charges for harassment.

I then (at break time) called the dentist and told him in no uncertain terms that if he did not want to find himself in court he would NEVER give ANY of my personal or medical information out to anyone without my prior knowledge and consent. I told him I was filing an official complaint with the medical board to go on his record.

I then fired him and sought a new Dentist. I sent him (the old dentist) a certified/registered notarized letter stating all that again and kept my copy for a few years until I was sure the matter was indeed over.

  • 5 votes
Reply#5 - Fri Jun 18, 2010 12:11 AM EDT
Tom W.-670850

Thanks, I hadn't thought of the registered letter, that is a cheap alternative to a lawyer! Again I thinkI will talk to my primary Dr who reffered me for advice. My primary is a great guy and has never steered me wrong, I don't think he would have sent me to someone who acted like this before.

  • 3 votes
#5.1 - Fri Jun 18, 2010 1:26 AM EDT
Reply
Summer-1597193

The health care provider should have never given your number out without your permission - no matter what the issue was about. The mere fact that the person that called you knew you were a patient of the health care provider is a violation of doctor-patient confidentiality - even if they didn't know any of your health issues.

The provider should have called you, explained that he knew someone in a similar position as you and felt you had some information regarding HAMP that might be beneficial for this person and asked your permission to give the person your contact information. IF you agreed to this, then he should never tell the other person that you are a patient of his - simply provided the information. If you chose to tell the other individual your relationship with the health care provider, then that is your business.

I would definitely mention my displeasure with the situation. What I did beyond that would depend on my relationship with the physician and how he responded to my displeasure. The bad thing about something like this is it violates the trust you put into that physician. It might be hard for me to tell the physician all the details of health issues - which would compromise the health care I received. So, if I felt that I could no longer trust the physician - I would get a different physician. I would also be likely to report the incidence to the licensing board depending on the physicians response.

  • 3 votes
Reply#6 - Fri Jun 18, 2010 1:06 AM EDT
Tom W.-670850

your right, I also think the guy should be more aware as I said the place that I am working with on my Hamp assistance is literally right across the street, and I mentioned that several times, even to the point of suggesting the Dr put information on the info board they have in the waiting area!

Thanks to all so far for your responses, it helps put it in perspective! In this day and age I can't believe that anyone would do such a thing, I am still a little stunned about it!

  • 4 votes
#6.1 - Fri Jun 18, 2010 1:30 AM EDT
Summer-1597193

I have worked in a physicians office, volunteered in health departments, hospitals, shadowed several physicians and am now in medical school. This is something that we have been strongly warned never to do. Yeah, the physician obviously didn't think and obviously just wanted to help the other guy and knew you'd have the info. But, even giving any information that can let someone know who you are and that you are his patient is a violation of HIPPA. Basically, when I'm in a clinic, hospital, etc. - we are told don't discuss any personal information about a patient. When discussing a someone's case with another physician, nurse, etc. who isn't directly involved in that person's health care - we can't divulge any information that might allow the physician, nurse, etc. can identify the patient we are discussing. For example, if I need a report to a physician, I can say something along the lines of "I have an African-American, 36 year old male patient that presents with x, y, z. Lab tests indicate blah, blah, blah. They have a history of yadda yadda yadda; they deny blah, blah, blah and admit to blah blah blah." The reason we can disclose race, age and sex is because all of those might impact the patients medical care.

Basically, if it's something that would be in your medical record - they can't disclose it to anyone without your permission. The fact that the man knew you were a patient, indicates that the physician violated HIPPA rules. He may have done it by accident - and the guy that called you may have just deduced it from what the physician said. But, if someone can deduce that based on the information provided by the health care provider, the health care provider said too much.

There are ways he could've put the guy in touch with you without violating your privacy rights under HIPPA. Even if the HIPPA laws weren't as strict - the fact that he didn't get your permission is just wrong.

Here's a link to help you understand HIPPA: http://www.hhs.gov/ocr/privacy/hipaa/understanding/index.html

  • 4 votes
#6.2 - Fri Jun 18, 2010 1:52 AM EDT
Tom W.-670850

Thanks for the link,

I think I would have contacted me, with the persons contact info and then if I wanted to call them I could do so from a pay phone or such, keeping my home # private. He also seems to have violated this guys pt-confidentiality as I know he is a pt now too!

I am going to contact my Dr in the AM (my Primary) and go from there, will keep you all posted though! If I get another phone call I am going to make the Dr pay to have my # changed I think, although that will cause issues as well with friednds who I do not hear from regularly, I have most of there e-amil addresses so I could give the new # that way I guess?? It's a number I've had for 8 years now so I hate to change it but who knows what else will happen now that a stranger has the info??

  • 5 votes
#6.3 - Fri Jun 18, 2010 2:16 AM EDT
Summer-1597193

Yeah, it's weird that some stranger has your contact info. What if he's a creeper?

Good luck with this. You're right the way it was handled you know this other guy is a patient, which is also a violation.

  • 4 votes
#6.4 - Fri Jun 18, 2010 2:35 AM EDT
Reply
Angela1586572

Since this misfortune has happened, ask the Dr. to pay for a new unpublished phone number at their expense.

You can also file a complaint with the state licensing board. First, check with Public Citizen. This watchdog group

use to publish a yearly book for citizens; some unfit Drs. lost their right to practice, while others just got a slap on the

wrist. Really does depend on the state; some states are more favorable towards the Doctors as opposed to the patient.

Don't worry even though you have every right to be fuming inside. Dr. Sidney Woolf / Ralph Nader compiled the book.

I am not sure who may be in charge or even certain if these two men are still printing the book. They were always

available when I needed them; decades past. Informative, well knowledgeable staff of folks with Medical/Law degrees

who will help you. Certainly would try them before shelling out cash to a private attorney. Hope it works out sooner

than later for you;).

  • 2 votes
Reply#7 - Fri Jun 18, 2010 2:30 AM EDT
Tom W.-670850

Thanks, will look into that!

  • 3 votes
#7.1 - Fri Jun 18, 2010 2:45 AM EDT
Reply
VerbalBarb

Definitely an office faux pas, but I don't think it's violation of HIPPA if no medical information was given out. Someone in your doc's office needs a talking-to and some retraining.

Is this going to ruin your life or even interfere with it in any way? Doubtful. I'd just write it off as someone being stupid, and make sure whoever did it gets a talking to. Even if you told them they could give your number out for something else, they should have asked you particularly about this. Or they should have gotten the other person's number and (with persmission) given it to you and let you decide whether or not you wanted to call.

  • 2 votes
Reply#8 - Fri Jun 18, 2010 9:00 PM EDT
dghdrgtDeleted
MuddyWatersDeleted
Far1958

I have worked in medical billing and collections for over twenty years. I have a BA in business management with a concentration in Health Care Finance, which included coursework in HIPPA, the Health Care Information Privacy and Portabilitiy Act. HIPPA states that no information is to be shared from a patients medical record without specific written permission. The only information to be given to medical payers like Medicare, Blue Cross, or Medicaid, for instance is the minimum amount needed in order to pay the claim. No health care provider acting as your health care provider should reveal any part of your medical record or demographics.

If the health care provider pulled the information shared from your record, he or she could be prosecuted under the HIPPA law.

  • 3 votes
Reply#11 - Sat Jun 19, 2010 4:48 AM EDT
Angela1586572

Tom** Worked in a hospital for a brief time. What I noticed was the fact that even though the HIPPA Laws are in place, they are still violated! There was a nurse who spent her/his time reading everything from labs to medical conditions
on Drs. (who are very dear to my heart) also they spent their time during working hours reading charts of patients.
They were using the hospital computer system. Ethics violation as well as down right illegal. Kept telling them
it was wrong to access privy information.

Far1958** I agree with you. They should be prosecuted. However, certain health care providers do reveal, access
medical data on certain patients today. It is my understanding that a patient can request WHO has actually peeked
downloaded a patient's medical file. Maybe, the HIPPA laws need to be re-evalueated. What do you think?

  • 2 votes
Reply#12 - Sat Jun 19, 2010 7:46 PM EDT
Far1958

@Anglela1586572: the nurses who read patient's charts should be reported to the nursing supervisor, or the administration. For ANYONE to read or peruse HIM records is a violation.

  • 2 votes
Reply#13 - Sat Jun 19, 2010 10:16 PM EDT
Tom W.-670850

Thanks everyone, I have still not heard from the person that did this but my primary Dr said he will call me tomorrow to discuss. (yeah he is a great Dr and does return calls himself, I have been seeing him for about 15 years or so and he is also a friend, not just my Dr. So I am, waiting for his advice before I move forward.

I am grateful that as far as I know it is only my phone # and the fact that I see the other Dr that has been compromised so far. If it were ANYTHING more I would already have contacted a lawyer!

Have a Happy Father's Day: See my article on my dad in my column! (I don't care if you vote on it or not, just my Dad is a great guy and it's a tribute to him! )

Peace to you all! And Good health to you and yours!

Tommy

(P.S. Sorry I have been absent, heck of a Migraine, again!)

  • 2 votes
Reply#14 - Sun Jun 20, 2010 9:10 AM EDT
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