- Medicare Disclosure Form to Release of Information: A form used to advise Medicare of the person or persons an individual has chosen to have access to their personal health information
- Medicare Appointment of Representative: A form medicare users can use to appoint a representative for them to make requests, present information, elicit evidence and appeal on their behalf
- Covered Entity Charts: A guide on how to determine which organization or individual is covered under HIPAA’s Administrative Simplification provisions
- Be Prepared for Medical Appointments: A checklist of questions for patients to ask their doctors during medical appointments
- 5 Tips to Safer Healthcare: Ways you can help your family prevent medical errors
- A Patients Guide to the HIPAA Privacy Rule
- Patient Health Care Rights
RESOURCES FOR STALKING VICTIMS
What is Stalking and who can become victims of Stalking? National Center for Victims of Crime
A Legal Guide for Oregon Advocates
A reference tool for advocates who work with domestic violence, sexual assault, and stalking survivors in Oregon.
Knowing when and how to approach the healthcare team
Having access to your loved one’s chart is important because that is where all the details are. If necessary demand to see the chart! You may have to be persistent about this because you may get pushback from medical staff. But a designated Patient Advocate has a right to see that chart during a hospitalization, not just after.
Another advantage of seeing the chart is that it will generate questions, which the PA should write down in the notebook. It may also show the PA “loose threads” that he or she needs to follow up on. If there is anything that doesn’t make sense to you, that is a loose thread, Never hesitate to ask as many questions as you need to get clarification.
Poor communication is at the root of many problems. In most hospitals, the patient’s primary care physician is not the doctor coordinating care; that is done by an attending physician, or hospitalist, who works for the hospital. They are the quarterback running the team of specialists attending to the patient. The primary care doctor knows the patient better, but the attending physician has a lot more information about the crisis and up-to-date medical information. Ideally, they need to be talking to each other.
When approaching medical staff for information, use the Rule of Four P’s: be a patient, persistent, pleasant pitbull!
- PATIENT — The person attending to your loved one may be at the end of a long shift. Certainly they are dealing with multiple patients. And their jobs require a lot of paperwork or computer input, so be patient.
- PERSISTENT — Because medical staff are dealing with multiple details, any-one request may fall through the cracks. Don’t be irritated if you have to ask more than once, but persist. Also, do not accept generalized answers. Persist in getting specifics.
- PLEASANT — Stay mindful that you are dealing with a human being who has feelings. A little empathy on your part will improve your relations with the medical team.
Having access to your loved one’s chart is important because that is where all the details are. If necessary demand to see the chart. You may have to be persistent about this because you may get pushback from medical staff. But a designated PA has a right to see that chart during a hospitalization, not just after.
Patient advocacy requires planning, and the first step in the plan is for every person reading this to designate a PA by signing a medical power of attorney and keeping it up to date and make sure it addresses HIPAA specifically or sign a separate HIPAA consent form.
Federal Laws – Fraud
Federal law, at 18 U.S.C 1001, authorizes prosecution and penalties of fine or imprisonment for conviction of “whoever, in any matter within the jurisdiciton of any department or agency of the United States knowingly and willfully falsifies, conceals or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statement or representations or makes or uses any false writing or document knowing the same to contain any false, fictitious, or fraudulent statement or entry”.