Pediatric Informatics: Computer Applications in Child Health (Health ...

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22 Privacy Issues 309 and receipt of the fax. Include standard fax privacy and intended addressee notices on all fax communications, and disclose (and document) any errors in delivery. 22.4.9 Sharing Local Adolescent Health Privacy Laws with Patients and Staff Although adolescents under age 18 are legally minors (depending on the jurisdiction), there are precedents which permit them to consent to health services: Specific statutes empower minors to consent for pregnancy care as well as confidential contraception, STI/HIV testing and treatment, alcohol and drug abuse treatment, and mental health counseling and treatment. Legally emancipated minors are those: (a) serving in the armed forces, (b) living away from home and managing their own financial affairs, or (c) who are or have been pregnant or are parents. By common law doctrine, mature minors demonstrate sufficient cognitive maturity to understand the risks and benefits of proposed medical treatments and alternatives, and can thereby voluntarily and responsibly consent. Exceptions to confidentiality may include situations where an adolescent patient: � Is suicidal/homicidal or poses a danger to self or others � Is a victim of sexual or physical abuse 22.5 Conclusion: The Place of IT in Information Assurance The protection of child and adolescent privacy and of PHI security is complex in pediatric care because of the different and changing patterns of authorization that occur over the lifetime of the child. In assuring these protections, the design and implementation of health IT must incorporate and enforce the basic premises of information assurance and HIPAA while taking into account developmental and chronological differences. References 1. Gostin LO. National health information privacy: regulations under the Health Insurance Portability and Accountability Act. JAMA. 2001;285(23):3015–3021. 2. Hoffmann AD, Greydanus DE. Chapter 6: consent and confidentiality. In: Adolescent Medicine. 3rd ed. Stamford, CT: Appleton & Lange; 1997. 3. American Academy of Pediatrics Committee on Adolescence. Achieving quality health services for adolescents. Pediatrics. 2008;121:1263–1270.
310 D.M.N. Paperny 4. Zurhellen WM. The computerization of ambulatory pediatric practice. Pediatrics. 1995;96 (4 Pt 2):835–842; discussion 842–844. 5. American Academy of Pediatrics Committee on Substance Abuse and Council on School Health. Testing for drugs of abuse in children and adolescents: addendum—testing in schools and at home. Pediatrics. 2007;119 (3):627–630. 6. Bukstein OG, Bernet W, Arnold V, et al. Practice parameter for the assessment and treatment of children and adolescents with substance use disorders. J Am Acad Child Adolesc Psychiat. 2005;44(6):609–621. 7. Parents, Families and Friends of Lesbians And Gays (PFLAG). 1726 M Street, NW, Suite 400, Washington, DC 20036. Available at: http://community.pflag.org. Accessed December 21, 2008.
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Health Informatics (formerly Comput
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Editors Christoph U. Lehmann George
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vi Series Preface changes to both t
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viii Foreword This text will prove
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x Preface financial investment and
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How to Use This book This book is t
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xvi Contents 9 Pediatric Care, Safe
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xviii Contents Part VII A Vision an
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xx Contributors Donna M. D’Alessa
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xxii Contributors Christoph U. Lehm
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xxiv Contributors Mark M. Simonian,
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4 G.R. Kim pharmacy, medical educat
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6 K.B. Johnson and G.R. Kim Deaths
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8 K.B. Johnson and G.R. Kim 2.4.1 I
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10 K.B. Johnson and G.R. Kim 2.4.3
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12 K.B. Johnson and G.R. Kim Educat
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14 K.B. Johnson and G.R. Kim 2.6 Co
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Chapter 3 Core Pediatric Data Kevin
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3 Core Pediatric Data 21 3.3 Pediat
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3 Core Pediatric Data 23 3.6 Pediat
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Chapter 4 Neonatal Care and Data De
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4 Neonatal Care and Data 27 Essenti
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4 Neonatal Care and Data 29 4.3 The
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4 Neonatal Care and Data 31 some ma
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4 Neonatal Care and Data 33 Measure
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4 Neonatal Care and Data 35 4.5.2.4
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4 Neonatal Care and Data 37 4.6.3 I
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4 Neonatal Care and Data 39 4.7.2.2
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4 Neonatal Care and Data 41 Availab
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44 D.M.N. Paperny Tasks related to
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46 D.M.N. Paperny Behavioral risk d
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48 D.M.N. Paperny for outside ancil
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50 D.M.N. Paperny Video reinforceme
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52 D.M.N. Paperny 3. Litzelman DK,
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Chapter 6 Children with Development
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6 Children with Developmental Disor
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Chapter 7 Pediatric Emergency and P
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7 Pediatric Emergency and Pediatric
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84 W.H. Drummond et al. A recovery
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86 W.H. Drummond et al. 8.2.2 Forma
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88 W.H. Drummond et al. 8.2.2.1 Sys
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90 W.H. Drummond et al. The multidi
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92 W.H. Drummond et al. noise overl
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94 W.H. Drummond et al. needs requi
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96 W.H. Drummond et al. Children’
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98 W.H. Drummond et al. After the P
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100 W.H. Drummond et al. Table 8.2
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104 W.H. Drummond et al. when to su
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106 W.H. Drummond et al. It is crit
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108 W.H. Drummond et al. traditiona
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110 W.H. Drummond et al. and human
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112 W.H. Drummond et al. blood prod
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116 W.H. Drummond et al. 35. Collin
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Chapter 9 Pediatric Care, Safety, a
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9 Pediatric Care, Safety, and Stand
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134 D.M. D’Alessandro The EBM pro
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136 D.M. D’Alessandro 10.4 Pragma
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138 D.M. D’Alessandro 4. Case ser
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140 D.M. D’Alessandro Ontario, BC
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142 D.M. D’Alessandro Table 10.1
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144 D.M. D’Alessandro Children ar
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146 D.M. D’Alessandro 17. Ely JW,
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Chapter 11 Clinical Practice Guidel
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11 Clinical Practice Guidelines: Su
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162 M.J. Feldman in patients withou
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164 M.J. Feldman The art of medicin
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166 M.J. Feldman important design g
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168 M.J. Feldman Incorrect or missi
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170 M.J. Feldman Fig. 12.4 GIDEON D
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172 M.J. Feldman system or etiology
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174 M.J. Feldman ED-12: “Practica
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176 M.J. Feldman Fig. 12.7 DXplain:
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178 M.J. Feldman For GIDEON: Rabies
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180 M.J. Feldman KB on infectious d
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182 M.J. Feldman 4. Johnson KB, Fel
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Chapter 13 Managing Pediatric Knowl
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13 Managing Pediatric Knowledge Res
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Chapter 14 Supporting Continuing Pe
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14 Supporting Continuing Pediatric
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14 Supporting Continuing Pediatric
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Chapter 15 Pediatric Care Coordinat
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15 Pediatric Care Coordination: The
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Chapter 16 Prioritizing Pediatric I
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16 Prioritizing Pediatric Investmen
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Chapter 17 Aligning Pediatric Ambul
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17 Aligning Pediatric Ambulatory Ne
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28 Medication Administration and In
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Chapter 29 Understanding and Preven
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29 Understanding and Preventing Err
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386 D.C. Stockwell and A.D. Slonim
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400 J.H. Schneider a number of prob
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402 J.H. Schneider on governance, u
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404 J.H. Schneider 31.6.1 Data Rele
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406 J.H. Schneider Understanding op
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408 J.H. Schneider of this componen
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410 J.H. Schneider Table 31.1 (cont
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412 J.H. Schneider References 1. Am
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Chapter 32 Developing Pediatric Dat
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32 Developing Pediatric Data Standa
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430 G.R. Kim and S.T. Rosenbloom Co
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432 G.R. Kim and S.T. Rosenbloom No
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434 G.R. Kim and S.T. Rosenbloom pr
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436 G.R. Kim and S.T. Rosenbloom ab
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Chapter 34 Pediatric Research and I
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34 Pediatric Research and Informati
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Chapter 35 The Moving Picture of Pe
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35 The Moving Picture of Pediatric
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470 G.R. Kim and K.B. Johnson Cente
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472 G.R. Kim and K.B. Johnson 36.4
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Index A 2006 AAP recommendations on
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Index 477 psychological data, 45 se
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Index 479 High frequency flow inter
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Index 481 O Online Mendelian Inheri
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Index 483 Standards development org
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