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Doctors got off lighter in UCLA snooping case

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Celebration Donating Member (1000+ posts) Send PM | Profile | Ignore Sun Apr-13-08 11:00 PM
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Doctors got off lighter in UCLA snooping case
http://www.latimes.com/news/printedition/california/la-me-ucla12apr12,0,3134540.story

When penalties were handed out for snooping in UCLA's medical records, it paid to have an M.D. after your name.

As a group, doctors at UCLA hospitals who wrongly peeked at the records of pop star Britney Spears got off lighter than other staffers, according to reports released Friday by state health inspectors.

The California Department of Public Health faulted the prestigious UCLA Medical Center in Westwood, its neuropsychiatric institute and a sister hospital in Santa Monica for two privacy breaches involving Spears: when she gave birth to her first son in 2005 and when she was hospitalized in the psychiatric unit earlier this year.

All told, at least 53 UCLA staffers -- including 14 physicians -- looked at Spears' medical records on the two occasions, even though they were not treating her, according to statistics from the state and UCLA officials. Eighteen non-doctors resigned, retired or were dismissed after their prying was discovered, according to data provided to The Times by UCLA. No physicians quit or were fired.

Asked about the discrepancy, Kathleen Billingsley, deputy director for the state health department's Center for Healthcare Quality, said: "I can't speculate as to why."


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chicagomd Donating Member (437 posts) Send PM | Profile | Ignore Mon Apr-14-08 09:14 AM
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1. "I can't speculate as to why."
Well, I certainly will:

1) Physicians, as a group, are much more expensive to recruit and retain than other staff members. In the same respect, I doubt that any of the 18 staff members who "resigned, retired or were dismissed" were senior staff with previously clean records. A good, experienced nurse is often harder to come by than a physician.

2) Unless the physicians are employees of the hospital, the hospital does not have the authority to directly discipline the physician, as the article notes.

3) Most physicians provide "coverage" for each other on nights, weekends, holidays, etc. Many times the computer does not recognize these coverage groups. On the weekends I routinely access medical records and the computer warns me I "am not a treating physician", even though I am providing care to the patient, writing orders, etc.

4) Many time pediatricians will access the medical records of the mother, again the computer warns us we are not "treating physicians", to help with the care of the newborn.

Considering there were 53 violations but only 18 resignations I suspect that some of them had to do with number 3 above, as other health care professionals will cover for each other as well. But you can bet 1 and 2 had a BIG part to play.

But again, all speculation.

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