[log in to unmask],Net wrote at 16:17 on 07/11/98
about "Post Payment Verification":
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>Now whilst I am happy that claims I or my PN may have made are valid
there
>is the dual problem of access to patient records (confidentiality) and
no
>small matter of the Data Protection Act with computers.
Generate a user ID.
Assign this to the auditor. Repeat as many times as there are
auditors working independently.
Have the auditor log on, using that ID, assist them but ideally do
not know their password.
Ensure an entry is maade in each pateint record entered fro the
purpose of audit - ours read (in the legacy system, none done since
then)
{Date} Other Encounter by HA Auditor
Notes inspected to check {night visit|FP details|new patient|TR|etc}
Advise the HA that you regard it as proper that each patient is
advised of the inspection of their records.
Make it plain that consent is not involved, theefore it is not a
case of you seeking consent from the patient prior to the
inspection, but of you yielding to the demand of the secstate or hs
rep but declining to conceal such inspection of records from any
patient.
If it is suggested that the full conditions of supply of NHS
services (which may be inspected inthe booking office) tell any
patient who looks that their records may be read by anyone the
secstate authorises, or that a notice in the waiting room implies
consient of any patient who does not specifically register refusal
of consent, ask what proportion of the HA area population are
functionally literate, and what action the HA will take on
presentation of a notification from a patient that they object,
prospectively, to their notes being inspected by the HA.
>Colleagues are minimising or ignoring the risk and our LMC has said "
Make
>your own mind up". MPS feel that GPs are stuffed anyway as HAs will
just
>request the records!
They can do so, if the patient comes in, tell them where their
records are...
>So that's it in a nutshell. Roll over and do the biz or refuse to
comply??
>What are other people doing??
Be honest, open, and truthful. Usually it stymies this sort of
thing, because the HAs are doing things which they are embarrassed
about.
>I had thought of designing my own patient form that they could sign
for
>whatever IoS claimed but unsure whether it would be acceptable.
No, of course not, nor would it be sensible.
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--- OffRoad 1.9r registered to Adrian Midgley
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