Navigation Links
Internists address dual concerns of privacy and protection of health data
Date:10/18/2011

(Washington) Fears about re-uses of personal data as well as re-uses of research data and samples are the focus of a policy paper released today by the American College of Physicians (ACP). The new document, which is an update of a paper produced by ACP two years ago, adds a policy position regarding research. It proposes a privacy rule that says researchers should maximize appropriate uses of information to achieve scientific advances without compromising ethical obligations to protect individual welfare and privacy.

The release of Health Information Technology & Privacy comes eight days before the close of the comment period for the Advance Notice of Proposed Rulemaking (ANPRM) of Human Subjects Research Protections: Enhancing Protections for Research Subjects and Reducing Burden, Delay, and Ambiguity for Investigators. The proposed changes, which will be highlighted in ACP's ANPRM comments, are designed to strengthen protections for human research subjects.

"While coming changes did not prompt this paper, its production and release are turning out to be quite timely," noted Virginia L. Hood, MBBS, MPH, FACP, president of ACP. "The paper suggests revisions to the current regulations, which are now being considered because the Department of Health and Human Services (HHS) believes these changes will strengthen protections for research subjects in a number of important ways."

In its 15-page policy paper, ACP proposes 13 policy positions to guide the development of the comprehensive framework. The new policy position, number 4, says:

New Position 4: Regarding research, a revised privacy rule should maximize appropriate uses of information to achieve scientific advances without compromising ethical obligations to protect individual welfare and privacy.

A. Participation in prospective clinical research requires fully informed and transparent consent that discloses all potential uses of PHI and IIHI, and an explanation of any limitations on withdrawing consent for use of data, including biological materials.

B. ACP recognizes that further study is needed to resolve informed consent issues related to future research use of Protected Health Information (PHI) and Individually Identifiable Health Information (IIHI) associated with existing data, including biologic materials.

C. Informed consent documents should clearly disclose whether law enforcement agencies would have access to biobank data without a warrant.

D. ACP recommends that regulations governing IRB review be expanded to include consideration of the preferences of research subjects whose tissue has been stored.

The paper also says that by including providers, governmental bodies, consumers, payers, quality organizations, researchers, and technologists, the resulting framework would clearly specify appropriate activities such as treatment, payment, and some health care operations where sharing of personal health information can proceed without the need for additional consent. Once the boundaries of appropriate data-sharing practices and situations are agreed on, it will be far easier to define consent requirements for appropriate activities.

"The patient-doctor relationship is dependent on trust and this extends to the personal information shared as part of that relationship," said Dr. Hood. "As U.S. health care moves from paper to an electronic world, a new national debate over privacy of individually identifiable health information (IIHI) has emerged. Patients need to feel confident that they can receive needed health care without the risk that their private information will be inappropriately disclosed, which might result in withholding of information and lead to potentially negative clinical consequences. Patients benefit when information pertinent to their care, concerns, and preferences is shared among those rendering health care services to them."

ACP strongly believes in the goal of widespread adoption and use of health information technology (HIT) to improve the quality of care, the paper says. ACP supports the concept of safe and secure electronic health information exchange (HIE) and advocates that clinical enterprises, entities, and clinicians wishing to share health information develop principles, procedures, and polices appropriate for the electronic exchange of information necessary to optimize patient care.

The paper emphasizes that privacy policies need to satisfy the growing expectations that the implementation of computerized and networked medical records will facilitate better care at lower overall costs while preserving the expressed intent of one of the principles from the Hippocratic Oath, "All that may come to my knowledge in the exercise of my profession or in daily commerce with men, which ought not to be spread abroad, I will keep secret and will never reveal."


'/>"/>

Contact: David Kinsman
dkinsman@acponline.org
202-261-4554
American College of Physicians
Source:Eurekalert

Related medicine news :

1. Survey finds general internists leave practice sooner than subspecialists
2. Physician assistants and internists reaffirm need for team-based primary care
3. Academic internists release principles for Medicare GME reform
4. Internists outline comprehensive federal strategy to control tobacco use
5. Resource guide for internists released by ACP
6. Updated resource guide for internists released by ACP
7. Internists issue heartfelt plea for Congress to help patients by stopping Medicare SGR cuts
8. Internists remind physicians about universal ethical principles
9. Internists express very substantial concerns over MedPAC physician pay proposal
10. Governor Rendell Proposes Budget With No Tax Increase, More Money for Public Schools, Strategy for Jobs, Plan to Address Future Deficits
11. Nevada Qui Tam Attorney Tim Terry to Address Sacramento Gold Rush Chapter of the National Contract Management Association (NCMA)
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... , ... February 12, 2016 , ... The law firm ... and Evangeline Parishes. The purpose of these scholarships is to encourage applicants to ... individuals to seek employment within these two parishes. , “We have available jobs ...
(Date:2/12/2016)... ... ... Each year, the American Physical Therapy Association (APTA) offers a Combined Sections ... Center. Almost 10,000 physical therapists across the country are expected to attend this annual ... chosen field and network with their colleagues. As in years past, HydroWorx is ...
(Date:2/12/2016)... ... February 12, 2016 , ... ... (WaaS), today announced the integration of Clarity Intelligence Platform (CIP) into Cielo®, a ... offer real-time business intelligence (BI) to their small and medium business (SMB) clients. ...
(Date:2/12/2016)... ... 2016 , ... Vail knee specialist Robert LaPrade, MD, PhD was ... The list consists of physicians establishing, leading and partnering with ambulatory surgery centers across ... Ambulatory Surgery Center, also known as an ASC, is a modern health care facility ...
(Date:2/12/2016)... ... 2016 , ... For Coast Dental dentist Everet Lake, DDS, the smiles began ... Moore shortly before 7 a.m. to volunteer at Friday’s Dentistry from the Heart event ... skills to help hundreds of uninsured and underinsured people receive much-needed dental care. ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... -- NOIT™ Research LLC, a private, leading-edge autism research group, ... assist needy families in obtaining one of its special ... 10, 2016 and March 31, 2016, the company will ... is an auditory stimulus that plays a key role ... Beth Shier , NOIT Research director. "The ...
(Date:2/11/2016)... N.C. , Feb. 11, 2016 ... leading provider of custom manufacturing and development services ... expanded sterile fill-finish capabilities and capacity in its ... growth in demand has driven several recent investments. ... 2001 it had one filling line with small-scale ...
(Date:2/11/2016)... Ore. , Feb. 11, 2016 Wellpartner, ... announce the acquisition of SolutionsRx, a full-service 340B company ... Along with providing traditional contract pharmacy services, SolutionsRx also ... clients in navigating the complex 340B regulatory environment. ... --> James R. Love , CEO of ...
Breaking Medicine Technology: