Medical Records

CCHC Opposes Proposed "National Health Information Network"

The HHS notice states, “Regardless of how it is developed, overseen or operated, there is a compelling public interest for a NHIN to exist.” This claim does not stand up to scrutiny. Nor is it supported by any documentation. There is no evidence that the public is asking for a national electronic medical records system that will facilitate the sharing and dissemination of their private medical records.

Access to Medical Records in Minnesota

This notice explains the rights you have to access your health record, and when certain information in your health record can be released without your consent. This notice does not change any protections you have under the law.

Public Opposes State Collection of Private Medical Information

We gathered and in this report published the many public comments received by the Minnesota Department of Health's August 19, 2002 proposed rule to require most hospitals and health insurers to collect and electronically transmit individually-identifiable medical record data to the Department without patient consent: Proposed Permanent Rule Regarding Administrative Billing Data, Minnesota Rules, chapter 4653. The public was not pleased. The comments forced a public hearing.

CCHC's Public Comments on Medical Privacy

The federal government does not have the legal or moral authority to strip individuals of basic patient rights in order to achieve faster transactions, more convenience, or any other stated rationale. In fact the implementation of the medical privacy rule is an infringement of federalism, to say nothing of Fourth amendment rights.

CCHC's Comments on Centralized Medicare Database

We are concerned not only about the eleven Routine Uses proposed for the data, for which you asked for comment, but also about the new Centralization of patient data on our nation's senior citizens, and its potential for privacy abuses and health care rationing.

Medical Privacy Project 2001

Public Health Rails Against Patient Privacy

The public emphatically supports the right of patient privacy. A 1993 Harris poll found that 97% of respondents believed in the importance of protecting the confidentiality of individual medical records, with 36% classifying such protection as "absolutely essential." Patients know that inappropriate or malicious use of medical information can be devastating: marriages shattered, jobs lost, insurance denied, political campaigns crushed.

Medicare's OASIS home health data collection system

There is no obligation on the part of private patients to contribute to the Medicare OASIS database. Yet, OASIS regulations seek to collect data on all patients in the home health system. There is no statutory basis for coercion of non-subsidized patients into the federal data collection process. In fact, the Fourth Amendment prohibits such collection without patient consent.

Comments on Security and Electronic Signature Standards

We cannot support the proposed security standard because it does not establish a security standard as mandated, nor is it enforceable. Rather the Secretary of DHHS has proposed to allow each organization to create a system based on its own prioritization of risk, cost, confidentiality and security.

CCHC Public Comment: National Standard Employer Identifier

While the desire for efficiency is understandable, the implementation of the National Standard Employer Identifier will permit unwarranted federal monitoring of patient care, and linking of medical records through employers. This invasion of personal and medical privacy will diminish the excellence of the American health care system by creating barriers of distrust between doctors and patients and employers and employees.