When a computer service bureau either erases or destroys records, there are procedures in place to notify a physician. If the service's relationship with the physician is terminated, all computer files must be physically given back to the physician who supplied them. The destruction/erasure of records can only be done if a physician has their own copy of the information. Any routine or needed file erasure must be verified in writing to the physician. Constant communication and checking-in between a physician and computer service bureau is essential to maintaining transparency.
6. Should individuals and organizations with access to the databases be identified to the patient?
Computerized databases can have a myriad of people with access to them, and as such should be included in any disclosures to the patient in regards to inclusion within a database. In fact the AMA specifically states that, "All individuals and organizations with some form of access to the computerized data bases, and the level of access permitted, should be specifically identified in advance" (AMA 5.07). Without these notifications there is no full disclosure and the patient cannot consent to a given treatment. If any data will be distributed that retains patient identifiable characteristics, both the physician and patient most be notified in advance. Only after notification is given and a patient has consented to the distribution, can the computer service bureau release reports to any organizations that are outside of the care environment. Everyone that could have access to a patient's information must be made clear to a patient so that they have the express say in the dissemination of any information that is in regards to themselves. This gives an unprecedented control to the patient in reference to information that refers to them specifically.
7. Does the AMA mention encryption as a technique for security? Define encryption and explain any methods mentioned.
Because...
Concomitantly, the patient should also be kept informed of such actions, as it directly affects his or her confidentiality status. The physician should then advise the patient regarding the necessary actions or allowance to be made for the destruction of the records. 6. As mentioned above, it is absolutely vital to identify individuals and organizations with access to the databases containing his or her medical records. The reason for this
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