HIPAA avoid public listening in no patient records in trash get patient signed release for medical records before releasing info don’t talk when in doubt PHI=protected health information must give PHI when patient wants his records and when human health services request can give PHI when pertains to treatment, payment or normal pharmacy operation.
HIPAA • minor or incompetent?-----patient rep may receive PHI • any patient may request restrictions on who gets PHI but must be reviewed by compliance officer. • must keep records of who sees PHI if not related to treatment, payment, or normal operations. • HIPAA records must be kept for 6 years.
HITECH act • health information technology for economic and clinical health act • part D covers online transmission of health info • change password 180 days • patient gets online access to PHI • patient gets informed of HIPAA violation • who may access PHI under what conditions • unwilful violations forgiven if corrected in 30 days • patient can submit HIPAA form online
HITECH act • pharmacy must inform patient, and fed government if HPI is breached. • must tell DHHS every year end of Feb about any breach of PHI. • if over 500 people are released must notify DHHS immediately. • must show a plan to avoid this again • pharmacist or pharm tech may be fined! • $1.5 million fine for not reporting.
drug issues • question a drug if: • storage outside recommended range • questionable source • questionable equivalence • call the prescriber if-- • drug interactions • overdose possible • underdose possible • incomplete info on prescription • suspicious activity
drug issues • refuse to fill a prescription--- • DEA comment • rx order has bizarre reason for drug • many orders from one prescriber • many people drop off rx with another name • many people show for same med from same prescriber • increase of controlled substance orders
drug issues • stolen rx blanks • altered rx • fake rx blanks • if suspicious tech must tell pharmacist.
rx that cause harm • computer may alert you to drug reactions, tell pharmacist • FDA pregnancy cautions • category A----no evidence of fetus harm • cat B-------no animal fetus damage, but no human proof • cat C---adverse effect on animal fetus, but no human proof. • cat D----likely human fetus damage in studies • cat X-------fetal abnormalities. drug not recommended.