Alcohol screening and intervention in trauma centers: Confidentiality concerns and legal considerations

Journal of Trauma - Injury, Infection and Critical Care

Volumn 59, Issue 5, 2005, Pages 1250-1254

  Gentilello, Larry M ^a   Samuels, Paul N ^b   Henningfield, Jack E ^c   Santora, Patricia B ^c  

^a UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^b Legal Action Center   (United States)

^c JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Alcohol; Injury; Injury Prevention; Insurance; Intervention; Trauma

Indexed keywords

ALCOHOL;

ALCOHOL ABUSE; ANAMNESIS; AUTOMATION; CONFIDENTIALITY; DRUG ABUSE; DRUNKEN DRIVING; ELECTRONIC MEDICAL RECORD; EMERGENCY HEALTH SERVICE; HEALTH INSURANCE; HUMAN; JUVENILE DELINQUENCY; LEGAL ASPECT; MEDICAL ETHICS; MEDICAL RECORD; PREGNANCY; PRIORITY JOURNAL; REVIEW; SCREENING; STIGMA;

ACCIDENTS, TRAFFIC; ALCOHOL DRINKING; CONFIDENTIALITY; ETHANOL; FEMALE; HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT; HUMANS; INSURANCE, HEALTH; MANDATORY REPORTING; MEDICAL RECORDS; PREGNANCY; SUBSTANCE ABUSE DETECTION; TRAUMA CENTERS; UNITED STATES;

EID: 30344471544     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.ta.0000188668.10758.40     Document Type: Review

References (21)

1. Schermer CR, Gentilello LM, Hoyt DB, et al. National survey of trauma surgeons' use of alcohol screening and brief intervention. J Trauma. 2003; 55:849-856.
2. Danielsson PE, Rivara FP, Gentilello LM, et al. Reasons why trauma surgeons fail to screen for alcohol problems. Arch Surg. 1999; 134:564-568.
3. 52 Fed. Reg. 21796, 21797, 1990.
4. Alcohol and Other Drug Screening of Hospitalized Trauma Patients: Treatment Improvement Protocol (TIP) Series 16. Rockville, Md: Rostenberg PO (Consensus Panel Chair), Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment; 1995. DHHS publication (SMA) 95-3039.
5. Code of Federal Regulations. 42 CFR Part 2. Confidentiality of Alcohol and Drug Abuse Patient Records. National Archives and Record Administration. Available at: http://www.access.gpo.gov/nara/cfr/waisidx_02/42cfr2_02.html. Accessed April 24, 2005.
6. Code of Federal Regulations. 42 CFR Part 2. Definitions. National Archives and Record Administration. Available at: http://www.access.gpo.gov/ nara/cfr/waisidx_02/42cfr2_02.html. Accessed April 24, 2005.
7. Code of Federal Regulations. 42 CFR Part 2. Applicability. National Archives and Record Administration. Available at: http://www.access.gpo.gov/ nara/cfr/waisidx_02/42cfr2_02.html. Accessed April 24, 2005.
8. United States Code 42 U.S.C. §§290dd-3(b), 290ee-3(b). Confidentiality of Patient Records. Available at: http://www.ucop.edu/raohome/ certs/42290dd3.html. Accessed April 24, 2005.
9. Code of Federal Regulations. 42 CFR Part 2.11. Definitions. National Archives and Record Administration. Available at: http://www.access.gpo.gov/ nara/cfr/waisidx_02/42cfr2_02.html. Accessed April 24, 2005.
10. Code of Federal Regulations. 42 CFR Part 2.14(c). Minor Patients. National Archives and Record Administration. Available at: http://www.access. gpo.gov/nara/cfr/waisidx_02/42cfr2_02.html. Accessed April 24, 2005.
11. Gudeman R. Federal privacy protection for substance abuse treatment records: protecting adolescents. J Natnl Center Youth Law. July-September 2003. Available at: http://www.youthlaw.org/. Accessed April 24, 2005.
12. Mitchell JL. Pregnant, Substance-Using Women. Treatment Improvement Protocol (TIP) Series 2.Substance Abuse and Mental Health Services Administration, Center for Substance Abuse Treatment; 1995. DHHS publication (SMA) 95-3056.
13. Mothers Against Drunk Driving (MADD). Alcohol-Related Laws. Available at: http://www3.madd.org/laws/fulllaw.cfm. Accessed January 4, 2004.
14. Brewer PA. Measurement of Alcohol Levels and Reporting Impaired Drivers. In: Runge JW, Hargarten S, Velianoff G, et al., eds. Developing Best Practices of Emergency Care for the Alcohol-Impaired Patient: Recommendations from the National Conference. Washington, DC: National Highway Traffic Safety Administration, Impaired Driving Division; 1995. DOT HS 809 28.
15. Nedza S. ACEP's policy on blood alcohol reporting laws. ED Manag. 1998;10:47-48.
16. Hyman A, Schillinger D, Lo B. Laws mandating reporting of domestic violence: do they promote well-being? JAMA. 1995;273:1781-1784.
17. Rivara FP, Tollefson S, Tesh E, et al. Screening trauma patients for alcohol problems: are insurance companies barriers? J Trauma. 2000;48:115-118.
18. NAIC Model Laws Regulations and Guidelines. National Association of Insurance Commissioners: Model Regulation Service. Kansas City, MO: Uniform Individual Accident and Sickness Policy Provisions Law; 2004;II:180-181.
19. Oliver Bishop, III, and Oliver Bishop, IV v National Health Insurance Company. United States Court of Appeals for the Second Circuit. Docket No. 02-9032. Decided: September 22, 2003.
20. To Err is Human: Building a Safer Health System. Kohn LT, Corrigan JM, Donaldson MS, eds. Washington, DC: Committee on the Quality of Health Care in America, Institute of Medicine; 2000.
21. Ending Discrimination against People with Alcohol and Drug Problems. Join Together, Boston University School of Public Health. Washington, DC: American Bar Association. House of Delegates Resolution; 2004.