PHISC
Privacy and Confidentiality Subcommittee
Minutes of Meeting held on Wednesday, 23 October 2002 09hr00 – 10hr00 at Old Mutual, Pinelands, Cape Town
Attendees:
| Name | Company | Contact Number | |
| Jean le Roux | DHS | 011 265 5473 | jean@dhsolutions.co.za |
| Peter Bailey | IKAT | 011 706 1214 | peter@dalymorgan.co.za |
| Chris Cockett | Medscheme | 083 310 8574 | chrisc@medscheme.co.za |
| Patrick Matshidze | CMS | 012 431 0514 | p.matshidze@medicalschemes.com |
| Eugene Mackay | BHF | 011 880 8900 | emackay@bhfglobal.com |
| Venessa Marx | Old Mutual | 021 509 0269 | marxv@oldmutual.com |
| Pieter Vermeulen | Medikredit | 011 770 6426 | pieterv@medikredit.co.za |
| Rudolf Visagie | DHS | 011 690 1019 | rudolf@dhsolutions.co.za |
| James Aphane | NHIS (DOH) | 012 312 0677 | jamesa@health.gov.za |
| Gugu Shongwe | NDOH | 012 312 0114 | shongg@health.gov.za |
| Hester Huysamen | SASP | 012 807 0601 | huysamen@icon.co.za |
| Suraiya Adam | SABS | 012 428 6680 | adamsa@sabs.co.za |
| Andy Burn | DOH | 083 407 8616 | burna@health.gov.za |
1. Welcome
Jean le Roux chaired the meeting and welcomed everyone.
2. Apologies
Virginia Thomas (Medscheme)
Riaan Wiese (Old Mutual rwiese@oldmutual.com)
Jeoff Visser (SABS)
3. Amendments to the minutes of the meeting held on
25th July 2002
Minutes read and accepted.
4. Document with information on Privacy and Confidentiality
Jean discussed currently available documents published on the website.
On www.dhsolutions.co.za/phisc is a section called ‘drafts for comments’
It has a ‘new’ turning ball next to it. These apply to all subcommittees
of Phisc, and currently has ‘xml’, ‘HL7’, and ‘Recommendations
of the committee on standardisation of data and billing practices. The section
for P&C contains minutes of meetings, relevant links, comments and documentation,
such as ‘Social health Insurance policy’.
Patric pointed out that P & C section has been submitted to PHISC (Lynn)
5. Patient Rights
Hester submitted World Medical Association bill of rights to PHISC (Natalie),
since not available serves no purpose to discuss it.
Rudolf will discuss with Neil options for email notification.
Chris proposed that legal people should review the different proposals and questions
whether we can consolidate it.
Eugene agreed and said BHF has a forum that evaluates different contradicting acts, specifically around ethics, and privacy, and we cannot evaluate legally. Basically whoever handles information must be accountable for his actions.
Hester described the “informed consent” where a patient signs with a Doctor which is separate from agreement between a member and funder. The patient agrees to the release of financial information, but not the clinical information.
Peter said the diagnostic indicator is already a release of info, and the funder is required to get this, because they need it.
Patrick said the providers have a problem to get payment from funders and this why coded information has to be agreed upon. A link between diagnosis and procedure and access to this information is required and this is why this committee is necessary to provide input, a standard can provide guidelines.
Chris suggested that people who deal with these matters in different companies to get together.
Peter questioned the mandate of representatives at PHISC, rather than having the decision capable people here.
Andy suggested that we could try to get consensus about contributing proposals without trying to develop yet another new set.
Eugene said that all guidelines must be in line with the constitutional principles and the government is the facilitator, and these need regular reviews.
Patrick said that managed care is going to be regulated and the council will accredit funders.
James suggested that we feed results through to SABS.
6. General
Jean gave notice as chairperson, meaning that a new chairperson has to be elected
at the next meeting in January 2003.
7. Closure
Meeting Closed.