Care manager at children’s shared details of child’s ER visit with school

[Anonymous]

Anonymous wrote:Your poor child has concerned people checking up on him. Watch out for what you wish for.

This has to be one of the most stupid comments on dcum today.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I don't necessarily think this is a bad thing. There are a lot of of families without regular doctors for whom this would be helpful follow up and might put them in touch with resources they could use to manage care.

Don't be offended OP. Don't look for things to be angry about or offended by....you're lucky you can manage the post ER visit care on your own, many cannot and this is likely helping them.

It is outrageous and it IS A BIG THING. Your assertion that most people can't manage the post ER visit is ridiculous

Try reading again.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Don't take it personally.

DP. I take my child’s privacy very seriously. This would really bother me and unless they are considering their school nurses as part of Childrens, a likely privacy violation.

This exactly. I’d be speaking with an attorney.

And you’d be told that you consented to the release of information just like OP did.

[Anonymous]

Anonymous wrote:I find this creepy. I also find the DCPS Volunteer background check creepy. I don't want child molesters volunteering, but I just gave away enough information in one form to make identity theft a cinch.

Your “creepy” is likely to be another parent’s “thank goodness they caught that”.
You might be interested in knowing that as someone who works with kids, often in school settings, I’ve been fingerprinted more than once.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Don't take it personally.

DP. I take my child’s privacy very seriously. This would really bother me and unless they are considering their school nurses as part of Childrens, a likely privacy violation.

This exactly. I’d be speaking with an attorney.

And you’d be told that you consented to the release of information just like OP did.

DP. It's actually not clear at all that what OP signed was an actual, affirmative HIPAA release, or just an "acknowledgement" of HIPAA permitted disclosures that do not require consent. If the later, I would argue that it was an inappropriate disclosure because the school nurse is not part of the treatment plan in any sort of blanket way. There needs to be a little more in the chain than just "we always notify the school nurse."

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Don't take it personally.

DP. I take my child’s privacy very seriously. This would really bother me and unless they are considering their school nurses as part of Childrens, a likely privacy violation.

This exactly. I’d be speaking with an attorney.

And you’d be told that you consented to the release of information just like OP did.

DP. It's actually not clear at all that what OP signed was an actual, affirmative HIPAA release, or just an "acknowledgement" of HIPAA permitted disclosures that do not require consent. If the later, I would argue that it was an inappropriate disclosure because the school nurse is not part of the treatment plan in any sort of blanket way. There needs to be a little more in the chain than just "we always notify the school nurse."

OP has already clarified twice that she consented to the records being disclosed to her school system. She has said her point is the disclosure is in the middle of a bunch of text with no obvious opt out.

[Anonymous]

Anonymous wrote:Let's imagine a different story -
A 16 YO has a miscarriage and goes to the ER. The school nurse calls 2 weeks later asking if you followed up.

Would you still think it is OK for the school nurse to call home?

Since you can die from septic shock after a miscarriage, yeah.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Don't take it personally.

DP. I take my child’s privacy very seriously. This would really bother me and unless they are considering their school nurses as part of Childrens, a likely privacy violation.

This exactly. I’d be speaking with an attorney.

And you’d be told that you consented to the release of information just like OP did.

DP. It's actually not clear at all that what OP signed was an actual, affirmative HIPAA release, or just an "acknowledgement" of HIPAA permitted disclosures that do not require consent. If the later, I would argue that it was an inappropriate disclosure because the school nurse is not part of the treatment plan in any sort of blanket way. There needs to be a little more in the chain than just "we always notify the school nurse."

OP has already clarified twice that she consented to the records being disclosed to her school system. She has said her point is the disclosure is in the middle of a bunch of text with no obvious opt out.

No she didn't actually clarify the legal significance of what she signed. Would be curious to see the exact language. There's a difference between a disclosure and a consent. Typically an actual consent is not hidden in the middle of the document. The middle of the document is where all the automatically permissible disclosures are ... "we will disclose to third party vendors for billing blah blah blah."

[Anonymous]

Anonymous wrote:

Anonymous wrote:Let's imagine a different story -
A 16 YO has a miscarriage and goes to the ER. The school nurse calls 2 weeks later asking if you followed up.

Would you still think it is OK for the school nurse to call home?

Since you can die from septic shock after a miscarriage, yeah.

No. Doctors don't get to disclose your highly sensitive medical information to anyone they want to, medical professional or not. The medical professional has to be involved in your care in some real way. Reproductive issues are a really great example for why this is. Do you think every 16 year old who gets birth control or an abortion should have that information automatically disclosed to the school nurse, or her dentist, or a random podiatrist she saw once?

[Anonymous]

if you signed the DC Universal Health Certificate, then you should have read what you were signing. Your signature is not required and allows the healthcare provider to share information with the school.

[Anonymous]

Anonymous wrote:if you signed the DC Universal Health Certificate, then you should have read what you were signing. Your signature is not required and allows the healthcare provider to share information with the school.

That goes from the pediatrician to the school (not the entire Children's health care system to the school) and the form ONLY applies to release the *information on the form.*

Some of you don't have an private medical information you need to protect for yourself or your kid, and it shows.

[Anonymous]

Anonymous wrote:

Anonymous wrote:if you signed the DC Universal Health Certificate, then you should have read what you were signing. Your signature is not required and allows the healthcare provider to share information with the school.

That goes from the pediatrician to the school (not the entire Children's health care system to the school) and the form ONLY applies to release the *information on the form.*

Some of you don't have an private medical information you need to protect for yourself or your kid, and it shows.

(And also yes, parent's signature is required. Obviously.)

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Don't take it personally.

DP. I take my child’s privacy very seriously. This would really bother me and unless they are considering their school nurses as part of Childrens, a likely privacy violation.

This exactly. I’d be speaking with an attorney.

And you’d be told that you consented to the release of information just like OP did.

DP. It's actually not clear at all that what OP signed was an actual, affirmative HIPAA release, or just an "acknowledgement" of HIPAA permitted disclosures that do not require consent. If the later, I would argue that it was an inappropriate disclosure because the school nurse is not part of the treatment plan in any sort of blanket way. There needs to be a little more in the chain than just "we always notify the school nurse."

OP has already clarified twice that she consented to the records being disclosed to her school system. She has said her point is the disclosure is in the middle of a bunch of text with no obvious opt out.

No she didn't actually clarify the legal significance of what she signed. Would be curious to see the exact language. There's a difference between a disclosure and a consent. Typically an actual consent is not hidden in the middle of the document. The middle of the document is where all the automatically permissible disclosures are ... "we will disclose to third party vendors for billing blah blah blah."

OP has stated that what she signed allowed for the release of information to the school. Not sure why you keep arguing she didn’t. OP isn’t arguing that they didn’t sign and consent. OP has been trying to make the point that the consent was buried in a larger document. But go on, keep arguing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Let's imagine a different story -
A 16 YO has a miscarriage and goes to the ER. The school nurse calls 2 weeks later asking if you followed up.

Would you still think it is OK for the school nurse to call home?

Since you can die from septic shock after a miscarriage, yeah.

No. Doctors don't get to disclose your highly sensitive medical information to anyone they want to, medical professional or not. The medical professional has to be involved in your care in some real way. Reproductive issues are a really great example for why this is. Do you think every 16 year old who gets birth control or an abortion should have that information automatically disclosed to the school nurse, or her dentist, or a random podiatrist she saw once?

Keep changing the scenario. That’s the way to win an argument.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Don't take it personally.

DP. I take my child’s privacy very seriously. This would really bother me and unless they are considering their school nurses as part of Childrens, a likely privacy violation.

This exactly. I’d be speaking with an attorney.

And you’d be told that you consented to the release of information just like OP did.

DP. It's actually not clear at all that what OP signed was an actual, affirmative HIPAA release, or just an "acknowledgement" of HIPAA permitted disclosures that do not require consent. If the later, I would argue that it was an inappropriate disclosure because the school nurse is not part of the treatment plan in any sort of blanket way. There needs to be a little more in the chain than just "we always notify the school nurse."

OP has already clarified twice that she consented to the records being disclosed to her school system. She has said her point is the disclosure is in the middle of a bunch of text with no obvious opt out.

No she didn't actually clarify the legal significance of what she signed. Would be curious to see the exact language. There's a difference between a disclosure and a consent. Typically an actual consent is not hidden in the middle of the document. The middle of the document is where all the automatically permissible disclosures are ... "we will disclose to third party vendors for billing blah blah blah."

OP has stated that what she signed allowed for the release of information to the school. Not sure why you keep arguing she didn’t. OP isn’t arguing that they didn’t sign and consent. OP has been trying to make the point that the consent was buried in a larger document. But go on, keep arguing.

because there’s a legal distinction between acknowledgement and consent.