Nov KM: Hospital Visits and Disaster Relief Donations

by doinmypart 23 Replies latest jw friends

  • Mastodon
    Mastodon

    That makes me sick... Sure, direct the money to the Worldwide Work. gawd what pieces of human turds these bastards are... I'm about to loose my lunch!

  • TopHat
    TopHat

    awwww I see now...it is a picture. Let me see if I post a pic.

    alt

  • inbyathread
    inbyathread

    Undercover: To your question, No. Your medical records are not made available to the elders, nor can they speak to the doctors or nurses in you behalf. In our area hospital, when a visitor enters the hospital with the intention of seeing a patient, he approaches the visitors desk. Following is a list of questions and proper answers as applied to the HIPPA law. VISITOR ATTENDENT "Is Joe Smith in the hospital? "I Cannot give out any patient information.

    "Joe Smiths room number please" "Your name please" checks for your name on the patients visitor access list.

    . If found "Joe Smiths room number is XXX"

    . If not found "I'm sorry, no information is available, you will need to check with a member of the family for that information.

  • Ingenuous
    Ingenuous

    I'm getting angrier and angrier as I read this.

    ... when donations are earmarked for a certain disaster, it is necessary in some contries to use such funds only for the purpose specified by the donor and within a certain period of time...

    They say this as if it is a bad thing. It's really a hassle, it seems, to use the funds "only for the purpose specified by the donor" and to get the money out "within a certain period of time" so it can be used where and when it's needed.

    If, for some reason, a person wishes to make a relief donation separate from contributions to the world wide work, it will still be accepted and used wherever there is a need for relief assistance...

    And the problem with this is...? Isn't this how it's supposed to work? They seem to be making a "concession" to the R&F, ("Isn't the Society wonderful? They'll even accept money from those hard-headed people who insist on earmarking their donations.") since it would look even worse if they flat-out said they wouldn't accept a check specifically intended for relief work.

    Our directing donations primarily to the worldwide work allows for more funds to be available for use in connection with all features of the Kingdom work rather than being held only for future relief needs.

    So, they admit that they direct donations "primarily to the worldwide work", not to the disaster areas the Friends are trying to get the funds into. When disaster strikes, the Worldwide Work ™ still gets first shot at the money coming in - and, it seems, whatever is left over can go to some token form of relief. Though it would seem to be the course of wisdom to keep a separate fund for disasters - as there's no telling when, where, or how severe it will be - what's really important is that "more funds be available for use" any way they see fit besides disaster relief.

    And how many who attend that meeting are going to see anything wrong with this setup?

  • Ingenuous
    Ingenuous

    Health Information Privacy and Civil Rights Questions & Answers - Family and Friends

    Does the HIPAA Privacy Rule permit hospitals and other health care facilities to inform visitors or callers about a patient’s location in the facility and general condition?
    Yes. Covered hospitals and other covered health care providers can use a facility directory to inform visitors or callers about a patient’s location in the facility and general condition. The Privacy Rule permits a covered hospital or other covered health care provider to maintain in a directory certain information about patients – patient name, location in the facility, health condition expressed in general terms that does not communicate specific medical information about the individual, and religious affiliation. The patient must be informed about the information to be included in the directory, and to whom the information may be released, and must have the opportunity to restrict the information or to whom it is disclosed, or opt out of being included in the directory. The patient may be informed, and make his or her preferences known, orally or in writing. The facility may provide the appropriate directory information – except for religious affiliation – to anyone who asks for the patient by name. Religious affiliation may be disclosed to members of the clergy, who are given additional access to directory information under the Rule. (See other FAQs at this site by searching on the term “clergy”.)

    Even when, due to emergency treatment circumstances or incapacity, the patient has not been provided an opportunity to express his or her preference about how, or if, the information may be disclosed, directory information about the patient may still be made available if doing so is in the individual’s best interest as determined in the professional judgment of the provider, and would not be inconsistent with any known preference previously expressed by the individual. In these cases, as soon as practicable, the covered health care provider must inform the patient about the directory and provide the patient an opportunity to express his or her preference about how, or if, the information may be disclosed.

    *****************************

    Does the HIPAA Privacy Rule permit a doctor to discuss a patient’s health status, treatment, or payment arrangements with the patient’s family and friends?
    Yes. The HIPAA Privacy Rule at 45 CFR 164.510(b) specifically permits covered entities to share information that is directly relevant to the involvement of a spouse, family members, friends, or other persons identified by a patient, in the patient’s care or payment for health care. If the patient is present, or is otherwise available prior to the disclosure, and has the capacity to make health care decisions, the covered entity may discuss this information with the family and these other persons if the patient agrees or, when given the opportunity, does not object. The covered entity may also share relevant information with the family and these other persons if it can reasonably infer, based on professional judgment, that the patient does not object. Under these circumstances, for example:

    - A doctor may give information about a patient’s mobility limitations to a friend driving the patient home from the hospital.
    - A hospital may discuss a patient’s payment options with her adult daughter.
    - A doctor may instruct a patient’s roommate about proper medicine dosage when she comes to pick up her friend from the hospital.
    - A physician may discuss a patient’s treatment with the patient in the presence of a friend when the patient brings the friend to a medical appointment and asks if the friend can come into the treatment room.

    Even when the patient is not present or it is impracticable because of emergency circumstances or the patient’s incapacity for the covered entity to ask the patient about discussing her care or payment with a family member or other person, a covered entity may share this information with the person when, in exercising professional judgment, it determines that doing so would be in the best interest of the patient. See 45 CFR 164.510(b). Thus, for example:

    - A surgeon may, if consistent with such professional judgment, inform a patient’s spouse, who accompanied her husband to the emergency room, that the patient has suffered a heart attack and provide periodic updates on the patient’s progress and prognosis.
    - A doctor may, if consistent with such professional judgment, discuss an incapacitated patient’s condition with a family member over the phone.

    In addition, the Privacy Rule expressly permits a covered entity to use professional judgment and experience with common practice to make reasonable inferences about the patient’s best interests in allowing another person to act on behalf of the patient to pick up a filled prescription, medical supplies, X-rays, or other similar forms of protected health information. For example, when a person comes to a pharmacy requesting to pick up a prescription on behalf of an individual he identifies by name, a pharmacist, based on professional judgment and experience with common practice, may allow the person to do so.

    ***************************************

    May a doctor or hospital disclose protected health information to a person or entity that can assist in notifying a patient’s family member of the patient’s location and health condition?
    Yes. The HIPAA Privacy Rule permits a covered doctor or hospital to disclose protected health information to a person or entity that will assist in notifying a patient’s family member of the patient’s location, general condition, or death. See 45 CFR 164.510(b)(1)(ii). The patient’s written authorization is not required to make disclosures to notify, identify, or locate the patient’s family members, his or her personal representatives, or other persons responsible for the patient’s care. Rather, where the patient is present, or is otherwise available prior to the disclosure, and has capacity to make health care decisions, the covered entity may disclose protected health information for notification purposes if the patient agrees or, when given the opportunity, does not object. The covered entity may also make the disclosure if it can reasonably infer from the circumstances, based on professional judgment, that the patient does not object. See 45 CFR 164.510(b)(2).

    Even when the patient is not present or it is impracticable because of emergency or incapacity to ask the patient about notifying someone, a covered entity can still disclose a patient’s location, general condition, or death for notification purposes when, in exercising professional judgment, it determines that doing so would be in the best interest of the patient. See 45 CFR 164.510(b)(3).

    Under these circumstances, for example:

    ·A doctor may share information about a patient’s condition with the American Red Cross for the Red Cross to provide emergency communications services for members of the U.S. military, such as notifying service members of family illness or death, including verifying such illnesses for emergency leave requests.

    ·A hospital may ask police to help locate and communicate with the family of an individual killed or injured in an accident.

    ·A hospital may contact a patient’s employer for information to assist in locating the patient’s spouse so that he/she may be notified about the hospitalization of the patient.
  • Scully
    Scully

    Patient Visitation Group™ = Pastoral Care or Spiritual Care services at the hospital.

    These are Elders who have been screened by the hospital and have signed an agreement to abide by the hospital's confidentiality regulations. If an Elder ever used their position as a provider of Pastoral Services to breach patient confidentiality, they could be in SO MUCH CRAP it isn't funny. I'm sure it happens, and I hope that if someone ever gets DFd or DAd because of something like this sues the bejeezus out of the Elder who did it and the hospital who permitted the Elder to visit.

    This happened before I left the JWs, but I was a patient in the hospital, and I had a written document on my chart stating that I did NOT wish to have a Pastoral Visit from a member of my "clergy". An elder showed up anyway... walked right into my room around the privacy curtain while I was breastfeeding my newborn daughter. I thanked him for his "concern", but then told him off for disrespecting my specific written wishes declining a Pastoral Visit. I told him I wasn't sick - in fact I was being discharged the following morning. I also told him that the next time he visits a Maternity Ward especially, that he should ask permission to open a closed privacy curtain, and that my husband wouldn't appreciate hearing about an Elder intruding on my privacy while I was breastfeeding.

    Come to think about it, I wonder if he needed a Depends™ after that?

  • blondie
    blondie

    HOSPITAL VISITS

    Ex-JWs or non-JWs with JW spouses should take note to exercise their rights clearly and strictly and to let their spouse know what they want and what will happen to the spouse if they disregard their requests.

    Even when I was a JW, I hated the idea of people who couldn't say hi to me at the KH, showing up at my bedside when I was ill. I always gave the appropriate people a list of the people allowed to see me and stressed that if this was disregarded, the responsible people would find their butt in a sling.

    CONTRIBUTION ALLOCATIONS

    The average JW has less control over the money they donate to the WTS headquarters than locally. Locally, the congregation has designated expenditures every month, mortgage, utilities. Other than than, a resolution must be presented, moved and seconded and voted on in the congregation, to spend any other money, i.e., CO's expenses.

    But when donating to the Worldwide Work Fund or directly to the WTS, there is no requirement to explain what the expense is or give the individuals who donated any input as to how it is spent. Realize though that even if you donate your money only to the local congregation, that they can turn around and pass a resolution donating a set amount each month to the WTS WWF.

    *** km 8/03 p. 5 Let Us Keep Our Place of Worship in Good Repair ***

    If a major expense is involved, it will be necessary to obtain accurate cost estimates and prepare a resolution for congregation approval.—See the February 1994 Our Kingdom Ministry Question Box.

    ***

    km 2/94 p. 2 Question Box

    · What procedure should be followed when presenting resolutions to the congregation?

    A resolution is required when a decision must be made about important matters such as purchasing property, remodeling or building a Kingdom Hall, sending special contributions to the Society, or caring for the circuit overseer’s expenses. It is usually best to present a resolution for approval each time congregation funds are dispensed.

    As an exception, the congregation might resolve once to contribute a specific amount each month to the Society in addition to what each individual is contributing toward the worldwide preaching work already. Also, normal Kingdom Hall operating expenses, such as utilities and cleaning supplies, do not require a resolution.

    When a need becomes evident, the body of elders should discuss the matter thoroughly. If the majority are in agreement that something needs to be done, one of the elders, perhaps a member of the Congregation Service Committee, should prepare a written resolution for presentation at the Service Meeting.

    The elder acting as chairman should briefly but clearly explain the need that exists and what the body of elders recommends to care for it. The congregation is then given opportunity to ask pertinent questions. If the matter is complicated, it may be best to delay the vote until the next Service Meeting to give everyone time to think about it. The actual vote is taken by a show of hands.

    Voting on the resolution is limited to dedicated and baptized members of the congregation unless legal requirements direct otherwise, as may be the case when corporation matters or Kingdom Hall loans are involved. It would not be appropriate for visitors from other congregations to participate.

    After the resolution has been approved, it should be dated, signed, and placed in the congregation file.

    ***

    km 6/84 p. 3 Question Box

    What procedure should be followed in presenting resolutions to the congregation?

    The local body of elders decides many matters affecting the congregation. In making decisions, these responsible brothers are guided by Bible principles along with suggestions or direction provided by the Society. However, there are certain decisions in which the congregation shares, requiring a resolution. These matters would include obtaining a better place of meeting, purchasing property, remodeling or building a Kingdom Hall, sending contributions to the Society to further Kingdom interests, and so forth. Normal operating expenses do not require a resolution, but all major or out-of-the-ordinary expenditures should be approved by the congregation in resolution form.

    How are resolutions prepared and presented? The body of elders thoroughly discusses the matter, considering what is in the best interest of the congregation and the Kingdom work. After they come to an agreement, an elder, perhaps a member of the congregation’s service committee, will prepare a written resolution stating clearly the recommendations of the elders. During a Service Meeting the relevant facts and proposed resolution will be discussed. The elder handling the matter will allow congregation members the opportunity to ask questions if something is not clear. If a major decision is involved, the elders may allow the congregation a week or so to consider it before voting. If the congregation wishes to accept the resolution as presented without further discussion, the chairman will call for a show of hands of those who favor and then of any who may not favor the resolution. If the majority of dedicated and baptized publishers are in favor of the proposal, the elders can follow through with what has been approved.

    With the exception of cases where legal requirements stipulate otherwise, all dedicated and baptized publishers would be allowed to vote on matters presented in a resolution.

    When considering corporation matters, Kingdom Hall loans, and so forth, it may be necessary to use parliamentary procedure in order to comply with legal requirements and the bylaws of the corporation. For example, sometimes it is necessary to record the name of the brother who made a motion to adopt the resolution and the name of the brother who seconded the motion, as well as how many voted for it and against it. If such parliamentary procedure is not directly required, it would suffice simply to call for a vote on the matter after it has been considered by the congregation. In any event, written resolutions that are adopted should be signed and dated by the responsible elders before filing them with the records of the congregation.

  • Beep,Beep
    Beep,Beep

    ""Would giving your consent to allow elders to know of your admission also allow them access to the rest of HIPPAA protected information?""

    No. Why would you ask such a silly question ? Also note that the same law applies to ALL religions so that the local Catholic priest or Baptist minister can't learn of your medical situation either.

  • Stress Free
    Stress Free

    Re; Disaster Relief Donations.

    This article made my blood boil, I couldn't believe what I was reading, have they no shame????

    They wish to remain unaccountable for all there actions. They will go to any length to ensure that no government authority comes sniffing around asking questions about where all the money is going.

  • candidlynuts
    candidlynuts

    now........realistically.. will this article prevent your local elder or HLC member from coming into your room uninvited or does it just protect the WTBS from getting sued ?

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