Friday, January 15, 2010

Re: Portable Student Health Records?

Allowed medication is only an =

So, there are a few things here.=A0=A0 =0A=0AAllowed medication is only an =
issue for the school and=A0staff.=A0 Having that signed, in a file cabinet =
is=A0presumably all you need for legal cover.=A0 The digitized sheet become=
s a handy reference for what you as a representative of the school is allow=
ed to do, but it does not matter that it is electronic unless differences a=
re found between the digitized version and the one on file.=A0 In either ev=
ent, that is all internal to the school, staff and students.=0A=0AIn a medi=
cal emergency, doctors will find these sheets=A0(listing medications and co=
nditions) very helpful.=A0 They will also find a copy of the insurance card=
very=A0helpful.=A0 But,=A0a school=A0official is not likely to be consulte=
d on treatment options.=A0=A0The doctor's will decide the appropriate cours=
e of treatment without consultation until the student is stable.=A0=A0Any t=
reatment requiring consent=A0(typically one with long term consequences lik=
e amputation) will=A0almost=A0certainly=A0not be possible under the powers =
ceded to you by a permission and will require parents to sign another set o=
f documents agreeing to the treatment.=A0 If the parents are not available =
or refuse consent the doctor still has a lot of discretion (depending on st=
ate/country) to do what they think is in the best interests of the student =
and should be left to make the decisions.=A0 =0A=0AThe biggest problem I ca=
n see is if you have families who's=A0religious or personal=A0choices would=
=A0require you to tell doctors to=A0deviate=A0from the standard of care (e.=
g. Seventh-day Adventist).=A0 You will need some fairly heavy documentation=
to be able to refuse treatment (at least in the US and Europe).=0A=0AFinal=
ly, I keep forgetting, there is always Google Health :-)=0Ahttp://www.googl=
e.com/intl/en-US/health/tour/index.html=0A=0AAs always, I am not a lawyer o=
r a doctor, I just do a lot of health IT.=0A_J=A0__________________________=
__=0AJason at jasonpj@yahoo.com =0A=0A=0A=0A----- Original Message ----=0AF=
rom: Jim Heynderickx <jheynder@gmail.com>=0ATo: ISED-L@LISTSERV.SYR.EDU=0AS=
ent: Fri, January 15, 2010 7:18:00 AM=0ASubject: Re: Portable Student Healt=
h Records?=0A=0AThanks for this discussion.=0A=0AAt one school I worked at,=
it was said that an original copy of a signed=0Arelease form permitting em=
ergency treatment was needed from a parent for=0Aeach student on each away =
trip.=A0 Since the emergency contact information and=0Aallowed medications =
could change through the year, these forms were sent=0Ahome repeatedly and =
became part of the large pack of paper carried on each=0Atrip when they wer=
e returned.=0A=0AGoing digital didn't seem to be an option because of the s=
upposed need for=0Athe original signature on the permission form.=A0 Does t=
his continue to be=0Atrue?=A0 I considered digitizing most of the informait=
on, except for the sign=0Aoff, but in the end it didn't seem worth the work=
.=0A=0AJim Heynderickx=0A=0A=0A=0AOn Fri, Jan 15, 2010 at 1:42 AM, Jason Jo=
hnson <jasonpj@yahoo.com> wrote:=0A=0A> IANAL but I am pretty sure scanning=
is an "alteration" by notary standards=0A> and would require contacting th=
e notary to validate the document.=A0 In=0A> critical situations (like an E=
R) the issue is immediate trust and digital=0A> documents, along with appar=
ent authority (i.e. a school administrator) go a=0A> long way until "offici=
al" documents show up.=0A>=0A> FERPA has limited jurisdiction here unless t=
he are carrying grades,=0A> disciplinary files, etc that are part of the st=
udent record.=A0 Regardless,=0A> the protection mechanisms described in the=
post would reasonably meet the=0A> standards of FERPA.=A0 The only parts o=
f HIPAA they would not meet is logging=0A> who accessed that information, a=
nd that is easily remedied by ensuring only=0A> a few people know the passw=
ords to unlock the info.=A0 It could be argued they=0A> don't meet physical=
security standards, but that would be tough.=0A>=0A> For validation I woul=
d recommend a real lawyer and a real hospital.=0A>=0A> _J=0A>=A0 __________=
__________________=0A> Jason at jasonpj@yahoo.com=0A>=0A>=0A>=0A> ----- Ori=
ginal Message ----=0A> From: Joe Frost <Joe.Frost@phoenixchristian.org>=0A>=
To: ISED-L@LISTSERV.SYR.EDU=0A> Sent: Thu, January 14, 2010 7:51:02 PM=0A>=
Subject: Re: Portable Student Health Records?=0A>=0A> The notary issue is =
the only one I'm aware of.=0A>=0A> But even there couldn't you just scan in=
the notarized documents?=0A>=0A> And if not HIPAA what about FERPA?=0A>=0A=
>=0A> Joe=0A>=0A> -----Original Message-----=0A> From: Jason Johnson [mailt=
o:jasonpj@yahoo.com]=0A> Sent: Thursday, January 14, 2010 5:32 PM=0A> To: I=
SED-L@LISTSERV.SYR.EDU=0A> Subject: Re: Portable Student Health Records?=0A=
>=0A> While seemingly tangential this post today over at lifehacker talks=
=0A> about to manage sensitive electronic records safely and securely while=
=0A> traveling.=0A>=0A> http://lifehacker.com/5447560/internet-survival-gui=
de-for-traveling-wher=0A
> e-privacy-isnt-respected<http://lifehacker.com/54=
47560/internet-survival-guide-for-traveling-wher%0Ae-privacy-isnt-respected=

>=0A>=0A> While the poster has done this for his personal records the messa=
ge=0A> seems to be that the electronic copies are a great backstop while=0A=
> awaiting documents from official sources.=A0 And while it is unlikely you=
r=0A> school is bound by HIPAA rules the security recommendations are=0A> e=
xcellent.=0A>=0A> In my personal experience paper and electronic are interc=
hangeable for=0A> everything except prescriptions.=A0 Unless it is notarize=
d, paper copies=0A> cary no additional weight, but your milage may vary....=
significantly.=0A>=0A> _J=0A> ____________________________=0A> Jason at ja=
sonpj@yahoo.com=0A>=0A>=0A>=0A> ----- Original Message ----=0A> From: Steve=
Taffee <staffee@castilleja.org>=0A> To: ISED-L@LISTSERV.SYR.EDU=0A> Sent: =
Thu, January 14, 2010 5:16:46 PM=0A> Subject: Portable Student Health Recor=
ds?=0A>=0A> A perennial question at our school has to do with keeping curre=
nt=0A> student health and emergency records available to adults who accompa=
ny=0A> students on field trips and oversees trips. We invariably end up=0A>=
printing out mounds of paper that go in binders with the trip chaperons.=
=0A> I am always a bit uneasy as to whether or not the data is up-to-date a=
nd=0A> if it will be available when it's needed.=0A>=0A> We have considered=
using electronic records stored on a USB drive,=0A> handheld device, or co=
mputer but are leery of ER's and other emergency=0A> providers accepting th=
is information in the even that a student requires=0A> emergency treatment.=
=0A>=0A> Does anyone have a solution that is working well for them other th=
an=0A> paper?=0A>=0A> s=0A> -----=0A> Steve Taffee=A0 =A0 =A0 =A0 =A0 =A0 =
=A0 =A0 =A0 =A0 =A0 =A0 =A0 =A0 staffee@castilleja.org=0A> Director of Tech=
nology=A0 =A0 =A0 =A0 =A0 =A0 650.924.1040 (Google Voice)=0A> Castilleja Sc=
hool=A0 =A0 =A0 =A0 =A0 =A0 =A0 =A0 =A0 =A0 650.470.7725 (office)=0A> 1310 =
Bryant Street=A0 =A0 =A0 =A0 =A0 =A0 =A0 =A0 =A0 415.613.6684 (mobile)=0A> =
Palo Alto, CA 94301=A0 =A0 =A0 =A0 =A0 =A0 =A0 www.castilleja.org |=0A> taf=
fee.edublogs.org=0A> Women Learning, Women Leading=0A>=0A> Please consider =
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