confidentiality_1

Confidentiality

1. social media policy

   • Registered health professional should not post information that breaches the national board's code of ethics and professional conduct and the Advertising guidelines
     • comply with professional obligations
     • comply with confidentiality and privacy obligations
       • not discussing patients
       • posting pictures
         • procedures
         • patients
         • case studies
         • sensitive materials they may be used to identify the patient
     • presenting information in an unbiased, evidence based context
     • not making any unsubstantial claims

2. Privacy Act (!1988)

   • australian privacy pricipals
     • open and transparent management of personal information
     • anonymity & pseudonymity
       • patient has the option to identify themselves
     • collection of solicited personal infomation
       • collection of personal information for the inclusion in a record or generally available publication
         • individual is aware of information being collected and if information is lawfully required
     • dealing with unsolicited personal information
       • iif infomation not collected under the APP then must lawfully destroy the information or ensure the information is de-identified.
     • notification of the collection of personal infomation
       • personal information only collected if lawful and directly related to the purpose of the collector
     • use or disclosure of personal information
       • disclosure of personal information by health carer
         • providing information to other health professionals to allow them to provide proper care and treatment
         • In the public's interest
           • possible harm to others
           • circumstances to protect the patient
             • health condition
             • medication
             • prophylactic treatment
         • disclosure is compelled by law
         • obtaining consent for disclosure
           • patient gives consent
             • diclosure to relatives, employess, social media, lawyers, solicitors, insurance companies
             • implied
             • written
               • by parent or guardian
               • next of kin
           • research, education, training
             • identifiable data/ informed consent
             • control personal infomation
             • de-identified information
       • disclosure of information other than for treatment of individual
         • principals
           • education
           • research
           • monitoring
           • epidemiology
           • public health survellance
           • clinical audit
           • administration and planning
           • insurance and employment
     • direct marketing
       • the organisation that holds personal information may not use of disclose information for the purpose of direct marketing
         • only if personal infomation was collected for that purpose
           • person gives consent
     • cross boarder disclosure of personal information
       • an organisation in Australia can transfer personal information about an individual who is in a foreign country
         • patient gives consent
         • information is subject to law, binding scheme or contract
     • adoption, use of disclosure of government related identifiers
       • an organisation must not adopt as it's own identifier of an individual
     • quality of personal information
       • information accurate, up to date and complete
     • security of personal information
       • organisation must take action by destroying / de-idetntify personal information if no longer needed
       • ogranisation/health carer must take action in protecting one's personal information from.
         • misuse
         • loss
         • unauthorized access
         • modification or disclosure
       • electronic processing of personal information
         • equipment in secure areas
         • information in secure areas
         • information used on internet and email= dangerous
     • access to personal information
       • the individual concerned (patient)
     • correction of personal information

3. Good medical practise

   • Nurses treat professional information obtained in a professional capacity as private and confidential

4. retaining confidentiality

   • assurance
   • patient information
     • consent to disclosure
     • anonymise data
     • disclosure kept to a minium
   • justify decisions

5. Patient

   • personal information
     • information or opinion about an identified individual, or an individual who is reasonable identifiable
       • whether information is true or not
       • whether information or opinion is recorded or in material form or not
   • right of patients to information
     • inform patients
       • health status
       • Basic info- of treatment
       • Right to refuse health services- implications, risks and obligations
       • diagnostic procedures and treatment options
       • benefits, risks, costs and consequences
     • respect information
     • understand
     • suffering from any condition or disease
     • Health services

6. protecting and providing information