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PubMed1994

American Health Information Management Association position statement. Issue: Facsimile transmission of health information.

Facsimile (fax) machines offer a means of immediate exchange of written health information. However, the use of fax machines opens up avenues for loss of patient privacy if confidential information is misdirected or handled improperly upon receipt. Because of this, AHIMA recommends fax transmission of health information only when the original paper record or mail-delivered copies will not meet the needs of immediate patient care. The sensitive information contained in health records should be transmitted via facsimile only when: (1) urgently needed for patient care or (2) required by a third-party payer for ongoing certification of payment for a hospitalized patient. Routine disclosure of information to insurance companies, attorneys, or other legitimate users should be made through regular mail or messenger service. Unless otherwise prohibited by state law, information transmitted via facsimile is acceptable for inclusion in the patient's health record.

Medical Records↗
PubMed1995

Phone and fax.

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Communication↗
PubMed1996

Maintaining confidentiality: health care's ongoing dilemma.

Confidentiality of patient information is an ethical obligation of health care professionals. The exercise of confidentiality is not a simple process; it is dynamic rather than static and must be upgraded with changes in technology. This article discusses some of the common issues that arise in maintaining confidentiality in the health care environment, including spoken and written breaches of confidentiality, use of the computer, confidentiality as an ethical rather than legal obligation, and the use of programs in health care institutions to maintain confidentiality.

Attitude of Health Personnel↗
PubMed1998

College at home for the home care professional.

Most home care professionals are so busy that the idea of working full-time and going to college to obtain or complete a degree seems downright laughable. But through distance education, individuals can go to college without even leaving their homes. Distance education may provide the ideal complement to a home care professional's career.

Computer Communication Networks↗
PubMed1999

PEP strategies.

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Communication↗
PubMed1999

Improving communication between hospital and community physicians. Feasibility study of a handwritten, faxed hospital discharge summary. Discharge Summary Study Group.

OBJECTIVE: To assess the timing, legibility, and completeness of handwritten, faxed hospital discharge summaries as judged by family physicians and to obtain their opinion on the information categories on a standardized discharge summary form. DESIGN: Fax survey of physicians for consecutive patients discharged from hospital over 8 weeks. SETTING: Three wards in a tertiary care teaching hospital. PARTICIPANTS: One hundred two family physicians and general practitioners practising in Hamilton, Ont. MAIN OUTCOME MEASURES: Proportions of summaries that were received, received within 48 hours of discharge, legible, and complete; types of information missing from incomplete summaries; proportion of physicians satisfied with the information categories. RESULTS: Of 271 consecutive patient discharges, 195 (72%) were eligible for study. Among those ineligible, 22 patients (8%) did not have a family doctor identified on their hospital records. Among records that did have a family physician identified, fax numbers were unavailable or unknown for 54 physicians (20%). One hundred two physicians completed 166 discharge summary assessments for a response rate of 85% (166/195). By 3 weeks after discharge, 138 discharge summaries (83%) had been received by patients' family doctors. Among those received, 86% were received within 48 hours of discharge; 92% were legible; and 88% were complete. Hospital doctors' signatures, patients' diagnoses, and follow-up plans were most frequently missing. Ninety-five percent of physicians were satisfied with the information categories included on the standardized form. CONCLUSIONS: Handwritten, faxed hospital discharge summaries were acceptable to family physicians for most patients. Criteria are needed for determining which patients require both handwritten and dictated discharge summaries.

Attitude of Health Personnel↗