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RE: Video Surveillance and HIPAA regulations
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RE: Video Surveillance and HIPAA regulations - September 27, 2008 3:51:59 PM
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jma
Posts: 2409
Joined: August 24, 2000
From: NY
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Since you mentioned electric records, we have started this last October. It didn't take too long for us to notice that doing an eval and talking to someone while typing on the keyboard did not fair well. The therapist patient interaction is way better and it hasn't changed even though maintaining records did
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RE: Video Surveillance and HIPAA regulations - September 27, 2008 6:58:03 PM
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SJBird55
Posts: 2432
Joined: May 10, 2004
From: Michigan
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Can you explain, jma? Your last 2 sentences seem contradictory.
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RE: Video Surveillance and HIPAA regulations - September 27, 2008 10:04:02 PM
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Sebastian Asselbergs
Posts: 1191
Joined: September 29, 1999
From: Barrie, Canada
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Bird, I have no problem being observed myself - like I said, we did that in year 3 and 4 of our sociology, and in our test-role playing - specifically to learn the importance of effective and balanced interactions in therapy. I do not put much value in the findings of studies on medical students BTW - teaching history taking in many medical programmes is still haphazard. I put more value in the studies that look at sociologists and psychologists and their history taking.
I also do not have any problem with your desire to see more and think about doing it with video and sound recording. Of course you'd have a learning experience - we did, with observation.
I just think that in your country, the whole issue of an actual video record of therapy could open a legal can of worms.
You may have forgotten some of the lovely lawsuits in the US....
Especially when you look at the original post with the broadcast over the internet to a home computer!?! Is that on a secure wireless network? Are there enterprising youngsters with access?
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Mundi vult decipi
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RE: Video Surveillance and HIPAA regulations - September 27, 2008 10:07:31 PM
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jma
Posts: 2409
Joined: August 24, 2000
From: NY
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Once we got portable computers, we tried conducting evals and then typing result/measurements on the computer at the same time. There were way too many drop down screens and vague terms to look up, ie. medications, etc, to type things at the same time. It took longer to do this than actually conducting te evaluation on forms we used to use. On top of it, many were not as good typing, so things really dragged along to get things done. It became easier to type everything after the eval and not during the eval. Imagine a pt with over 15 medicatons that they can vaguely remember but "it sounds like it " and then trying to find it on the computer to put it in the electronic record.
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RE: Video Surveillance and HIPAA regulations - September 28, 2008 7:21:05 AM
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SJBird55
Posts: 2432
Joined: May 10, 2004
From: Michigan
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Bas, from my perspective, I wasn't thinking that the taped sessions would be broadcast over the internet into someone's house. I was thinking of something more like Arrowsight or the taped sessions stay within the facility with the researchers traveling in to observe the sessions OR the sessions somehow be sent to the research facility. I believe video surveillance in the medical world will be more common in the future, but not for the reasons we're discussing. I have full faith that a good attorney could write up something and patients would give consent.
jma, so the "interaction" became an unbalance interaction with a very high focus on the computer.
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RE: Video Surveillance and HIPAA regulations - September 28, 2008 9:44:11 AM
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jma
Posts: 2409
Joined: August 24, 2000
From: NY
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Yes, we did not like the way this "interaction" was going. The focus has to be with the patient and not the computer.
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