While I appreciate the responses about the HIPAA question, all of the
responses have come from persons that are in some way directly connected into the
HC system. Here in my part of WI it is common practice to have to hand carry
HCP reports and related HCP reports back and forth. This is with a consent
form to share information and a mom consent to see her! The clinic managers will
not 'share' info back and forth especially if this info is leaving their
practice group. This makes it increasing difficult to communicate and very
frustrating to Moms. I have one poor Mom (permission to post in writing) whose
baby has both palate and respiratory issues. She carries 2 3" binders with all
of her baby's medical and alternative (ie chiropractor) reports to all of the
child's appointments. With HIPAA as it has been interpreted here even the Mom
had trouble obtaining her child's medical information. After written
requests to all HCPs that were ignored, this very inventive Mom stood at each
records dept. until all of the info. was released. Let's face it, not all Moms will
go this extra mile. If we, outside of the system, are not allowed to
communicate with the HC system, what is the sense of this reporting? If the HC
system is able to ignore those that work in the community is it ethical for us to
worry about communicating with them? I am not doc bashing here. The docs and
midwives that commonly send Moms my way are just as frustrated at not being
about to get info to me.
How does this relate to the conversation?
If in the US we can't even agree how to interpret this law, how are the HCPs
and everyone else concerned supposed to interpret the new SOP. As I have
read the Code of Ethics in preparation for the exam and now the new SOP it seems
to me that the communication process is going to be more broken than it
already is.
The majority of this job is communication. Between Mom and me, Mom and Doc,
Mom and Midwife, Mom and Chiropractor, etc. If we can't work as a team what's
the point? I understand that BWC has been doing this reporting for years and
that the HC system has accepted her as a practitioner within the HC system.
But a lot of us, WIC nurses, LLLLs, private LCs, CBEs etc. especially in the
Midwest are not considered within the HC system unless we are hospital based (
and those are few and far between). I think as one of the no not so silent
now 3000 that is the focus for the 'revised' SOP. Remember kindergarten,
"Let's all work together to get the job done"
If you haven't guessed, I've had a very difficult couple of days trying to
communicate with a HCP, who actually had the audacity to mention the new SOP
for IBCLCs, as a reason that I should not be contradicting his misinformation.
If we thought the rest of the community didn't know about this uproar I
guess we were wrong.
Peace,
Maggie Payne
LLLL Oshkosh WI, CBE
Dream Now so that your children learn to Dream for Tomorrow!
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