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Recent Blog Posts in July 2009

July 29, 2009
  Doctors' Confusion over HIPAA
Posted By Steven J. Klearman

Los Angeles Times article by Lisa Zamosky comments on the confusion in doctors' offices regarding Health Insurance Portability and Accountability Act (HIPAA). The article points out that obtaining medical records is often harder for patients than the law allows:

Under HIPAA, consumers have the right to access records documenting their health conditions, diagnoses and treatments.

HIPAA also explains when healthcare providers can share protected health information with other people.

... [U]nder HIPAA, sending health information by fax is not prohibited. In addition, the law states that the provider must give patients the information they ask for in the format they request.

Trouble accessing medical records from doctors is a common complaint received by the Medical Board of California, which licenses and disciplines medical doctors.

Candis Cohen, a spokeswoman for the board, says physicians and their office staffs frequently confuse details of the HIPAA privacy law and, even with the best intentions of protecting patients' privacy rights and complying with the law, deny consumers access to their medical records.

The traditional medical culture doesn't help, policy and healthcare experts say, pointing out that, historically, doctors haven't valued patients' access to their own records.

"Some providers still have this paternalistic attitude that patients don't have the right to their own health information," says Joy Pritts, associate professor and director of the Center on Medical Records Rights and Privacy at Georgetown University.

A full listing of HIPAA regulations and consumers' rights under the law can be found on the Health and Human Services website, www.hhs.gov/ocr.

Continue reading "Doctors' Confusion over HIPAA" »

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July 13, 2009
  Swimming Pool Safety Tips
Posted By Steven J. Klearman

The Las Vegas Sun reported that a four-year-old boy drowned last Saturday in an apartment complex pool. The tragic incident marks the seventh child drowning this year in Nevada.

ABC reports that there are approximately 1,500 child deaths each year from drowning.

Although swimming pools offer fun and refreshment during the hot summer months, they are dangerous if proper caution is not used. Here are some tips from the American Academy of Pediatrics:

  • Never leave your children alone in or near the pool, even for a moment. An adult who knows CPR should actively supervise children at all times.
  • Practice touch supervision with children younger than 5 years. This means that the adult is within an arm's length of the child at all times.
  • You must put up a fence to separate your house from the pool. Most young children who drown in pools wander out of the house and fall into the pool. Install a fence at least 4 feet high around all 4 sides of the pool. This fence will completely separate the pool from the house and play area of the yard. Use gates that self-close and self-latch, with latches higher than your children's reach.
  • Keep rescue equipment (such as a shepherd's hook or life preserver) and a telephone by the pool.
  • Do not use air-filled "swimming aids" as a substitute for approved life vests.
  • Remove all toys from the pool after use so children aren't tempted to reach for them.
  • After the children are done swimming, secure the pool so they can't get back into it.
  • A power safety cover that meets the standards of the American Society for Testing and Materials (ASTM) may add to the protection of your children but should not be used in place of the fence between your house and the pool. Even fencing around your pool and using a power safety cover will not prevent all drownings.
  • Remember, teaching your child how to swim DOES NOT mean your child is safe in water. 
Continue reading "Swimming Pool Safety Tips" »

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July 08, 2009
  No "Heeding Presumption" in Failure-to-Warn Cases in Nevada
Posted By Steven J. Klearman

The Nevada Supreme Court refused to recognize a "heeding presumption" in strict products liability failure-to-warn cases, in its June 4 decision, Rivera v. Philip Morris, Inc.

A heeding presumption is a rebuttable presumption that allows a fact-finder to presume that the injured plaintiff would have heeded an adequate warning if one had been given.

The Court's reasoning:

In Nevada, it is well-established law that in strict product liability failure-to-warn cases, the plaintiff bears the burden of production and must prove, among other elements, that the inadequate warning caused his injuries. Because a heeding presumption shifts the burden of proving causation from the plaintiff to the manufacturer, it is contrary to Nevada law. Rather than demanding that the plaintiff prove that the inadequate warning caused his injuries, a heeding presumption requires the manufacturer to rebut the presumption that the plaintiff would have heeded an adequate warning by demonstrating that a different warning would not have changed the plaintiff's actions. While other jurisdictions have permitted this shifting of the burden of production, we are unwilling to do so.

See Rivera v. Philip Morris, Inc., 125 Nev. Adv. Op. No. 18 (June 4, 2009) for the full opinion.

Continue reading "No "Heeding Presumption" in Failure-to-Warn Cases in Nevada" »

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