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Minutes of the Privacy and Confidentiality MeetingHeld on
23 March 2000 at 12:00 at PQ Africa Park
Apologies: In
attendance: Henriette Nortje QEDI henriette@qedi.co.za 1.
Welcome This meeting was called to
evaluate the implications of recent laws and charters on the information
systems within medical healthcare. 2.
Available Documentation (i)
Open democratic bill as per www.pmg.org.za/odb/odb.htm (ii)
National Patients' Rights Charter as per Department
of Health (iii)
Medical Schemes Act Regulations (iv)
A proposed National Complaints Procedure as per
Dept of Health (v)
Promotion of access to information Act as per Dept
of Justice (vi)
Ethical Code HPCSA (vii)
The Bloemfontein Protocols 3. Identified concerns (i)
Funders do not respect the patients info
confidentiality (ii)
IT
standards and disclaimer clauses are required for handling patient info on
the web. (iii)
Medi secure
tamper proof stationery exists for the remote doctors who find they
stationary being stolen for fraudulent use and that prescriptions often have
to be sent back from the funder to the doctor for verification., (iv)
There is real value in the use of the stored
medical data, but it would be difficult to get each patients permission in
order to use it. (v)
Cases were
mentioned where financial statements of patients and providers were
indiscreetly swapped between medical administrators. (vi)
The Bloemfontein Protocols from Oranjemed IPA about
' Managed Healthcare Ethics and the Law ' has not been followed up by
anybody. (vii)
Each participant in the chain of events keeps his
own private notes and releases some confidential info to other parties for
further transacting (viii)
If a member pays a service provider for a diagnosis
on one of his dependents, to whom does the paid for result belong (ix)
To whom does the electronic or hardcopy results,
which is attached to the patient's toe, and on which each provider adds his
notes, belong (x)
How can interested parties get access to verifying
their own data and or compare it to peer statistical summaries 4.
Proposed action (i)
Collect and study available material (ii)
Try to generate more interest in this task group (iii)
Obtain individual legal counsel (iv)
Report recommendations to PHISC 5.
Election of Chairman Hester as the
convener of this meeting proposed Jean as the chairman. All voted in
favor and Jean accepted. 6. Next
Meeting Thursday, 15
June 2000. The time of the next meeting will be published on the web. __________________ Chairperson ____________ Date |