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Anyone accused of a HIPAA violation and let go? - Just curious


Posted: Jun 22, 2010

x

I don't know anyone personally - but there was a poster

[ In Reply To ..]
a week or so ago who said she had been let go because they claimed she did or did not do something to the dictator name and/or worktype, and that it was a critical HIPAA violation. Boom...gone!

Someone on my account got canned - neglected to double check demographics

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and it turned out the dictator had punched in the wrong patient number, so the wrong name came up, and even though he dictated the correct name, the MT didn't catch the error, or flag it with a question, so when the job was uploaded, the report went into the wrong patient's record at the client's end, and on their system it is VERY difficult to reverse that, once it happens. It was declared a HIPAA violation and the MT was fired.

Let this be a lesson to us all... always, ALWAYS double-check the demos!

That is so very WRONG. It was the doc's goof - anon

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originally, and he/she sent the incorrect info outside the hospital with his/her ID# affixed to it, indicating approvalof what was entered. Since when is it the duty of lesser-paid healthcare workers (us) to take the rap for the mistakes MDs make, medical or administrative? I mean, if the doc had manually signed an order sheet and inserted it into the wrong chart at the nurses station, then some other doc looked at it without reading the name and administered a wrong med based on it, who would be taking the HIPAA rap for that?

When we are preparing something for a doc's signature, electronic or manual, the signer bears the ultimate responsibility for the entire document's
accuracy, demographics included. I hope any MT/MEs discharged for these violations fight it, and fight it hard.
Or at least call "60 Minutes" and bring it to national attention.

BTW, what happens if an offshore MT/ME makes the same mistake?

but it IS our job - MT North

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and it always has been. I have been doing this for 25 years and it is expected that you flag errors. It has nothing to do with who gets paid more, it is about expertise - the doctor's is to treat patients, mine is to produce as close to perfect of a record as I can, which not only includes but it really about making sure what is said makes sense and is correct.
Of course the MT should have FLAGGED the error, but - anon
[ In Reply To ..]
if she/he didn't, why should she/he take the HIPAA rap for the dictator who
made the original error and then affixed a signature indicating approval?

I agree that this is not likely to change, but I also think that in the very near future it will be academic anyway. I wonder how it will play out when the formatting is 100% front-end, in platforms such as EPIC and SpeechQ which are currently in use, and never goes through a MT/ME before being uploaded. Who will take the HIPAA rap for unflagged errors then? It's a shame that even one MT/ME has had to take it now.
They both made an error. The doc accidentally - sm
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typed in or transposed the wrong MRN; however, he did say the patient name which did not correspond with the name in the demos and the MT SHOULD have caught it. That is, like another poster said, part of the job. Don't think I would fire an MT if it was the first time it happened, but it has to be reported as a violation as the wrong info was on the wrong patient's chart--which can in some cases be detrimental to patient care.
And the doctor will just get a pat on the back - and told
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"that's OK, we know how busy you are."

This isn't a perfect world, and let's face it, - doc will NEVER be the one thrown under the bus

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Yes, the doc made the original error, but the MT should have caught it.

And we all know what they say about "stuff" rolling downhill. Fair? Of course not. Fact of life? Yep.

I dont understand how that's wrong.... - Natalie

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We have a 5-point verification policy where I work. If the MT doesn't follow it, they get fired, period. So the doctor entered the wrong info, that happens A LOT. It is the MT's responsibility to verify that what is dictated matches what comes up automatically in the patient demos. If it doesn't and the MT can't make heads or tails of what should be there, that report needs to be flagged. I don't see a problem with that or why anyone else would either to be quite honest.


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