Doctor offices viewing all your prescriptions at a pharmacy (x-rays, scan, hospital)
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I assume that you did not list what the dentist prescribed you?
As you see, times have changed and as others have said, it's a good thing, especially for people that try to play the system by going to multiple doctors.
Yes, I included the antibiotic that was proscribed by the dentist on the form I filled out at the PCP before the appointment. I wasn't hiding anything.
My surprise was that doctor's office could view all my Pharmacy meds online in the Pharmacy website whether the PCP prescribed them or not.
I was not informed by the pharmacy that this was the case, nor was I asked to sign a consent form to allow any provider to view my prescriptions.
Perhaps asking for a paper script might solve your problem if its not for a controlled substance. Drs dont like to give paper scripts anymore but the patient has the right to take that script around to different pharmacies including walmart etc
I've never had a prescription for a controlled substance in my life.
As far as paper scripts, I was actually given one not too long ago by a specialist, who told me that there was a shortage of this particular med, so having the paper script was better. I could go to different pharmacies to see who had it in stock. If the doctor faxed it to one pharmacy and they didn't have it, I was told by the doctor that pharmacies are reluctant to give that script to another pharmacy who does have it in stock. So the doctor did the right thing in my case, by giving me a paper script I could carry to a pharmacy to see if they had what I needed.
Online privacy? Not anymore! Everyone I know puts it all out there on facebook, twitter, instagram themselves these days. Not saying the OP is doctor shopping, but those who are against this might have something to hide?
I can google my name and find out my cell phone number, my age, my relative's names, my last 10 addresses, my last 5 jobs, how I voted the last time, my political party affiliation. This doesn't bother me!
I've never had a facebook account, or Instagram or twitter. And I'm certainly not doctor "shopping." No, I have nothing to hide. My point is knowing who is accessing your medical records, such as all your prescriptions at a chain pharmacy. Or being asked for consent beforehand by the pharmacy for any provider to view all prescriptions, whether they prescribed them or not.
This isn't about controlled substance. It's about maintaining privacy over medical records and giving consent.
I'm racking my brain to figure out why someone would be taking a prescription drug prescribed by one doctor, but would not want their other doctors to know about it. Your body is one single system, not a bunch of isolated and disconnected parts. Obviously, if you're seeing more than one doctor, they all need to know what you are taking and why you're taking it, or they can't treat you effectively. In this case, "privacy" is a BAD thing.
I never said that a doctor shouldn't know all the meds a patient is taking. My OP said:
I understand that doctors need to know all meds a patient is taking, but everything the doctors in a given health system have prescribed is already in their system. And I have to fill out a form prior to each app't listing everything I'm taking.
My point is about being asked for consent from a chain pharmacy, and knowing that all your prescriptions are viewable by any provider. This was not the situation in my case.
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Quote:
Originally Posted by xz2y
Yes, I included the antibiotic that was proscribed by the dentist on the form I filled out at the PCP before the appointment. I wasn't hiding anything.
My surprise was that doctor's office could view all my Pharmacy meds online in the Pharmacy website whether the PCP prescribed them or not.
I was not informed by the pharmacy that this was the case, nor was I asked to sign a consent form to allow any provider to view my prescriptions.
I'm curious as to why you think it's solely the responsibility of the pharmacy to inform you. You don't think the doctors office had a responsibility to inform you that they would be contacting the pharmacy for your prescription profile? After all they are the ones who initiated the request.
Maybe this pertains to your situation: Does the HIPAA Privacy Rule permit a doctor, laboratory, or other health care provider to share patient health information for treatment purposes by fax, e-mail, or over the phone?
Answer:
Yes. The Privacy Rule allows covered health care providers to share protected health information for treatment purposes without patient authorization, as long as they use reasonable safeguards when doing so. These treatment communications may occur orally or in writing, by phone, fax, e-mail, or otherwise.- https://www.hhs.gov/hipaa/for-profes...one/index.html
To address the growing misuse and diversion of prescription drugs, the State of Ohio Board of Pharmacy created Ohio’s Prescription Drug Monitoring Program (PDMP), known as the Ohio Automated Rx Reporting System (OARRS). Established in 2006, OARRS collects information on all outpatient prescriptions for controlled substances and one non-controlled substance (gabapentin) dispensed by Ohio-licensed pharmacies and personally furnished by Ohio prescribers. This data is reported every 24 hours and is maintained in a secure database. Drug wholesalers are also required to submit information monthly on all controlled substances and gabapentin sold to an Ohio licensed pharmacy or prescriber.
OARRS is a tool that can be used to address prescription drug diversion and abuse. It serves multiple functions, including: patient care tool; drug epidemic early warning system; and drug diversion and insurance fraud investigative tool. As the only statewide electronic database that stores all controlled substance dispensing and personal furnishing information, OARRS helps prescribers and pharmacists avoid potentially life-threatening drug interactions as well as identify individuals fraudulently obtaining controlled substances from multiple health care providers, a practice commonly referred to as “doctor shopping.†It can also be used by professional licensing boards to identify or investigate clinicians with patterns of inappropriate prescribing and dispensing, and to assist law enforcement in cases of controlled substance diversion.
Starting in November 2017, Ohio drug court programs have access to OARRS to provide judges and court personnel with critical information regarding a participant’s use of controlled substance medications.
If a person ever files an insurance claim from being injured in a car wreck the insurance company will demand to see ALL of your medical records for the past 5 years or longer.They are looking for anything that could discredit you and your claim... Also all records from any physiatrist and his notes on you can be reviewed for anything you may have said that could in some way discredit you.....All of this focus on you and you were the victim just trying to have your medical bills paid.
Doctors proceed with the eye surgery, and you nearly bleed out through your eyeballs because the doctor didn't ask, and you didn't tell him you're taking Warfarin.
Now we have a near medical disaster because there was bad communication between the doctor and the patient.
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Skimming thru this thread to catch up, I noticed this post. It demonstrates how the general public, less informed about technical matter than the pros, have an incorrect vision of the problems involved in making "the rules."---for the particular example above, anticoagulants are not a concern.. Cataract surgery is a bloodless procedure. For surgeries where bleeding is a concern, pre-op testing checks for coagulation abnormalities. If a problem is found, proper history of anti-coagulant use may help avoid extensive hematological work-up or screwing up the surgery schedule, but that's about the extent of the advantage. ...In real life, it's just not so dramatic.
With the possible exceptions of insulin for T1 diabetics or cortisone for Addisonians, I can't think of any meds that can't be skipped occasionally with impunity. If the new pt really needs them, the new doc will (should) figure it out shortly.
Many earlier posters here have come up with many possible excuses for universal knowledge of a pt's med record, most of which would only rarely come into play. How many death certificates in the caveman days before computers where signed out as "doctor didn't know the pt's med history?"....But the drug history is a minor part of the computerized record problem...It's the first small turn of the gas knob on the stove as the frog in the pot of cold water heads so slowly towards boiling that he doesn't notice the temp building up.
Now, you don't have to listen to me. After all, my shrink says I'm a paranoid schizo-- but he's another one just out to get me.
I am fairly certain the last time I signed anything at the doctors office there was something in there about sharing information with other healthcare providers, and that would include any pharmacies. It's likely OP signed consent for sharing info but doesn't realize it, or doesn't remember it.
Exactly. HIPAA laws allow for sharing of medical information to any providers ( including pharmacies, and health insurance providers) involved with patients' health care.
I've never had a facebook account, or Instagram or twitter. And I'm certainly not doctor "shopping." No, I have nothing to hide. My point is knowing who is accessing your medical records, such as all your prescriptions at a chain pharmacy. Or being asked for consent beforehand by the pharmacy for any provider to view all prescriptions, whether they prescribed them or not.
This isn't about controlled substance. It's about maintaining privacy over medical records and giving consent.
Some people truly do not understand what privacy is anymore.
It's a shame, because in the end it will hurt us all.
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Your body is one single system, not a bunch of isolated and disconnected parts. Obviously, if you're seeing more than one doctor, they all need to know what you are taking and why you're taking it, or they can't treat you effectively. In this case, "privacy" is a BAD thing.
