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Threat To Patient Privacy: The Minnesota Health Information Exchange
====================================================================

Main Category: Public Health
Article Date: 11 Sep 2007 - 16:00 PDT

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The Minnesota Health Information Exchange announced by Minnesota
Governor Tim Pawlenty is a serious threat to patient privacy, and
patient control over medical treatment decisions, says Citizens'
Council on Health Care (CCHC).

Twila Brase, president of CCHC, provides the following reaction to
recent announcement:

Government Access

"State government will soon have a wide open door to everyone's
medical record. A 1993 law gives the Minnesota Department of Health
full access to medical records.

"Although public outrage forced the Minnesota Department of Health to
withdraw their proposed data collection rule in 2003, the law was
never repealed. The law specifically says no patient consent is
required.

"The 2007 legislature gave the health department $2 million this year
to update the interconnectivity of their computer systems, allowing
them to connect with health plans and electronically tap into
everyone's medical record.

"Once patients understand that government can access their entire
medical record, they will be less likely to seek medical care, or to
fully disclose all the details necessary to receive the right care."

Intrusive Command and Control

"Governor Pawlenty says the exchange will be used for 'paying
providers for good outcomes and the adoption of evidence based
guidelines.' Such intrusive monitoring of patients and control of
physician's medical decisions for the purpose of cost containment will
likely lead to health care rationing, dismissal of difficult-to-treat
patients, and loss of public trust in the health care system."

Legislature Not Told

"The Information Exchange was never cleared by the Legislature. It was
never even discussed. The actual plan for the controversial Record
Locator Service legislation was kept well under wraps.

"Today's announcement proves our testimony last legislative session
was accurate. The Record Locator Service bill, which was put into law
without a full hearing by the Senate, will be the key to opening
everyone's medical record. The online RLS is expected to have the
names, unique identifying information of patients, and location of all
medical records related to each patient.

"While the details are not yet known, we suspect that true consent
will not be part of the Exchange. Our attempts last session to require
informed and written patient consent separate from the treatment or
coverage consent were repeatedly rebuffed by proponents.

Without true consent, patients have no control."

http://www.cchconline.org

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