by Holly Shoemaker
In a previous blog I recapped how text messaging had become a preferred
method of communication for those working in the emergency room (ER). Now,
some medical professionals have looked at texting as a means of sending
information regarding patient follow ups.
Study at a Glance and HIPAA
A recent study published in the American Journal of Public Health (AJPH)
looked at using text messaging to follow up with lower-income parents whose
children had received a flu shot and needed follow-up visits.
The participants determined they wanted to send targeted messages, which
were to include the child’s name and a reference to a “second flu shot.”
That seemed like an easy and effective way to remind parents about a
follow-up visit, and texting provides an easy way to communicate with a
majority of patients. However, there were problems with the language. The
message contained Patient Health Information (PHI) as defined by the Health
Insurance Portability and Accountability Act (HIPAA). Under HIPAA, all
communication must protect patient information. In this case, the message had
the patient’s name and implied he/she had already received a flu shot. Those
two pieces of information violated patient privacy.
Text messaging is also not considered a secure form of electronic
communication. Even when sent by secured means, there is no way to guarantee
the intended recipient receives the message.
The study team found away to protect PHI. It eliminated names and made the
language generic. Instead of saying that a child needed a second flu shot, the team
send a reminder that some children may need a second one. The message ended by
prompting the recipient to call for an appointment.
Concluding
Thoughts
The study serves as a good reminder for those medical professionals who
prefer texting. It is a feasible means to communicate as long as the messages
keep patient information private. The study also sets a standard on how to
comply with HIPAA and PHI.
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