Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Electronic Access. Show all posts
Showing posts with label Electronic Access. Show all posts

Friday, June 21, 2013

Your Smartphone Might Hold Key To Your Medical Records

By Elizabeth Stawicki
Minnesota Public Radio
JUN 17, 2013

It's one of those unhappy holiday surprises -- a visiting family member gets sick. That happened to Dr. Farzad Mostashari last Thanksgiving.

"My dad comes downstairs and he has acute pain in his eye where he had cataract surgery. And I said, 'What's the matter, what's the story?'" recalled Mostashari, who lives in Bethesda, Md. "And he said, 'Well, I think they put the wrong lens in my eye, I'd gone back to the doctor and...'" His father didn't remember exactly what had happened at his last doctor's appointment and the office was closed anyway.

How could a local doctor in Maryland access his dad's medical record in Boston? Through Medicare Blue Button, a computer program that allows patients to download their medical history into a simple text file on their smartphones and personal computers. Then third-party applications that you download help organize this information.

Mostashari certainly knew how to handle his dad's problem. After all, he's the coordinator for health information technology at the U.S. Department of Health and Human Services, and it's his passion and profession to promote electronic health records.

And, he had signed his dad up for Blue Button, which downloads three years of a patient's medical history, as well as the Humetrix iBlueButton, a smartphone app that translates and displays the information in a simple-to-understand way. The file includes names, phone numbers and addresses of physicians as well as diagnoses, lab tests, imaging studies, and medications.

So when Mostashari took his father to a local doctor, his dad was able to hand over his iPhone and say, "Here's my history."

The entire story is here.

Here is a link to Medicare's Blue Button program.

Sunday, February 10, 2013

Ethical Framework for the Use of Technology in Supervision


By LoriAnn S. Stretch, DeeAnna Nagel and Kate Anthony

Ethical and Statutory Considerations

Supervisors must demonstrate and promote good practice by the supervisee to ensure supervisees acquire the attitudes, skills, and knowledge necessary to protect clients. Supervisors and supervisees must research and abide by all applicable legal, ethical, and customary requirements of the jurisdiction in which the supervisor and supervisee practice.   The supervisor and supervisee must document relevant requirements in the respective record(s).  Supervisors and supervisees need to review and abide by requirements and restrictions of liability insurance and accrediting bodies as well.

Informed Consent

Supervisors will review the purposes, goals, procedures, limitations, potential risks, and benefits of distance services and techniques. All policies and procedures will be provided in writing and reviewed verbally before or during the initial session. Documentation of understanding by all parties will be maintained in the respective record(s).

Supervisor Qualifications

Supervisors will only provide services for which the supervisor is qualified.  The supervisor will provide copies of licensure, credentialing, and training upon request.  The supervisor will have a minimum of 15 hours of training in distance clinical supervision as well as an active license and authorization to provide supervision within the jurisdiction for which supervision will be provided. Supervisors providing distance supervision should participate in professional organizations related to distance services and develop a network of professional colleagues for peer and supervisory support.

Supervisee and Client Considerations

Supervisors will screen supervisees for appropriateness to receive services via distance methods. The supervisor will document objective reasons for the supervisee’s appropriateness in the respective record(s).  Supervisors will ensure that supervisees screen clients seeking distance services for appropriateness to receive services via distance methods. Supervisors will ensure that the supervisee utilizes objective methods for screening clients and maintains appropriate documentation in the respective record(s).

Supervisors will ensure that supervisees inform clients of the supervisory relationship and that all clients have written information on how to contact the supervisor.  Written documentation of the client acknowledging the supervisory relationship and receipt of the supervisor’s contact information should be maintained in the respective record(s). Supervisors will only advise the supervisee to provide services for which the supervisee is qualified to provide.
Clients and supervisees must be informed of potential hazards of distance communications, including warnings about sharing private information when using a public access or computer that is on a shared network.  Clients and supervisees should be discouraged, in writing, from saving passwords and user names when prompted by the computer.  Clients and supervisees should be encouraged to review employer’s policies regarding using work computers for distance services.

The entire story is here.


Tuesday, May 15, 2012

Publishers and Georgia State See Broad Implications in Copyright Ruling

By Jennifer Howard
The Chronicle of Higher Education
Published May 14, 2012

The publisher plaintiffs in the closely watched lawsuit over Georgia State University's use of copyrighted material in electronic reserves say they are "disappointed" with much of the ruling handed down by a federal judge on Friday. But they made the best of it in statements issued Monday, playing up points on which the judge had agreed with them. And one plaintiff, Oxford University Press, said that the decision "marks a significant first step toward addressing the need for clarity around issues of copyright in the context of higher education."

Meanwhile, in its own series of public comments, the university praised the judge's careful handling of a complex issue. It called the ruling, by Judge Orinda D. Evans of the U.S. District Court in Atlanta, "significant not only for Georgia State University, but for all educational fair use in general," in the words of President Mark P. Becker.

Kerry L. Heyward, the university's chief lawyer, added that the case "highlights the importance of fair use in providing academic faculty a cost-effective, legal way to spread important knowledge to their students." And Nancy H. Seamans, the university's dean of libraries, took a wider view of Georgia State's approach to fair use, saying that the university's policy on e-reserves "was based on practices from the broader academic library community."

The entire story is here.

Judge rules largely for GSU in copyright case

By Bill Rankin and Laura Diamond
The Atlanta Journal-Constitution
Originally published May 14, 2012

A federal judge in Atlanta has ruled in favor of Georgia State University on almost all infringement claims filed by three publishing houses in a closely watched case that tested the nature of copyright law in the digital age.

Senior U.S. District Judge Orinda Evans rejected 69 copyright claims against GSU filed by Cambridge University Press, Oxford University Press and SAGE Publications. The publishers had accused GSU of "massive" copyright violations by allowing professors to download and reproduce excerpts from published works for course materials.

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GSU, applying a 2009 policy, tried to comply with the Copyright Act, Evans said. "The truth is that fair use principles are notoriously difficult to apply," she wrote.


Thanks to Gary Schoener for this information.