Scenario Study Flashcards
The Director of Medical Records has requested access to the credentialing database for purposes of accessing real time contact data relative to current practitioner’s names, addresses, phone numbers, etc.
The policy provides sufficient direction.
Notify the Director of Medical Records that access to the database is limited to those associates with whose job responsibilities include credentialing, privileges and verification activities. Refer him to the source that other departments use for this information.
The Chair of Surgery has requested the home addresses of his department members in order to invite them to his son’s wedding.
The policy provides sufficient direction.
Inform the Chair of Surgery that the database does not allow information to be used for personal purposes.
The Business Office has requested a list of all practitioners and their NPI Numbers
The policy provides sufficient direction.
Information in the database may be used for business purposes. If the database contains NPI numbers, they may be shared with the Business Office.
The local Senior Citizens’ Center has requested a list of doctor’s names, specialties, addresses, and phone numbers to distribute to the Senior Citizens during a health fair they are hosting.
The policy may not provide sufficient direction.
Consider modifying the policy to allow sharing of publicly available information to appropriate outside groups.
The Director of Continuing Medical Education has requested a list of current medical staff members along with their social security numbers. The social security number is requested so they can compare the names to the ones in their current database and use as a physician identifier to differentiate those physicians with similar names.
The policy may not provide sufficient direction.
Social Security Numbers are confidential. This request should not be accommodated. Suggest using a different identifier, such as a hospital specific- provider identifier. Consider modifying the policy to delineate specific fields which should not be provided except under specific circumstances.