Wednesday, August 26, 2009

HIPAA Security Social Nightmares

Facebook ™, Myspace ™, Twitter ™ and millions of web logs (“blogs”) are connecting people worldwide, and that includes your employees.

Some business organizations are using these social networks, some not, but either way it is a good bet your employees are using these sites to connect with and expand their social networks.

That can be a huge problem!

Employees used to flashing every aspect of their lives on-line are very likely to discuss work on-line as well.

Social networks sites create a huge risk for HIPAA violations, and also for employee problems (some of the comments posted can be incredibly vicious),

HIPAA is 24/7!

No, you cannot control your employees lives, EXCEPT as it relates to work.

Every health care organization should develop policies and procedures on the use of social networking sites for the broadcast of work related information. Soon.

Monday, August 17, 2009

Obesity and More

For years physician offices have dealt with the obese, and in a few cases the morbidly obese.

These days, there are the obese patients, the morbidly obese (100% over ideal body weight), and now the super morbidly obese (our terminology).

Patients weighing in excess of 300 pounds are very common, and patients more than 400 pounds are more common. Over a certain level patients are unlikely to present at the office, lacking the mobility.

Many became obese due to mobility problems, most develop worse mobility problems due to the weight, a vicious cycle.

Some issues to consider:

Waiting room chairs may not be suitable for the patients.

Securing extra large wheel chairs.

Scales may be inadequate or unsafe to use.

Patients may not be able to sit on exam tables.

X-ray positioning is problematic, and clean image may not be possible.

Staff must be trained on sensitivity and safety issues.