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Confidentiality
Confidentiality is a cornerstone of Physician Health Services.
PHS recognizes the importance of respecting the privacy of
those who come forward to seek help, and PHS is committed
to devoting its resources to protecting that privacy. It is
critical to PHS that physicians feel comfortable that the
information they share in the context of PHS will remain confidential
and will be protected to the full extent of the law.
In addition, PHS has implemented numerous safeguards and procedures
designed to create a culture where information is protected
and where program participants can feel comfortable sharing
their concerns openly so that they can obtain the support
that they need.
What Governs Confidentiality?
1. Federal Law
In 1992, the federal government consolidated two separate
laws intended to guarantee the strict confidentiality of information
about persons receiving alcohol and drug prevention and treatment
services. This consolidated law, 42 United States Code §
290dd-2, and its implementing regulations, 42 CFR Part 2,
sets forth rules prohibiting the disclosure of private medical
information pertaining to drug and alcohol patients and program
participants except in narrowly defined circumstances and
with properly obtained consent forms from the participant
releasing such information. PHS is aware of the requirements
of this provision, and has designed release of information
forms that meet the mandate of 42 USC § 290dd-2. PHS
understands the importance of getting the informed consent
of the participant whenever any information is to be released
to a third party regarding any PHS participant.
2. Peer Review
PHS is a medical peer review committee, as defined by Massachusetts
General Laws (G.L.) Chapter 111, section 1. As a medical peer
review committee, all proceedings, reports, and records of
PHS are to be kept confidential (G.L. c. 111, § 204).
In accordance with the law, such records are not be disclosed,
are not subject to subpoena or discovery, and cannot be introduced
into evidence in any judicial or administrative proceeding,
except proceedings held by the board of registration. PHS
adheres to the strict protection of peer review material in
accordance with this provision.
Use of E-mail
While e-mail is a convenient means of communication, PHS discourages
its use in many contexts. Most importantly, the use of e-mail
raises confidentiality concerns. When e-mail is sent from
an office or work site, it is difficult to know where or how
the information is being reviewed or stored. Many work sites
have a policy of reviewing all incoming or outgoing e-mail
messages to be sure that no inappropriate content is being
transmitted. Even if e-mail messages are not directly reviewed,
they are often stored on servers and backed up regularly,
so that a record of the transaction is maintained. Such records
may be subject to subpoena at a later date, or otherwise used
in a manner unforeseen by the sender. In addition, there is
a risk of inadvertently sending an e-mail message to one party
that is intended for another, or having an e-mail message
forwarded to unintended parties.
Although not all individuals who contact PHS are concerned
that the contact be kept confidential, by discouraging the
use of e-mail communications, PHS seeks to provide protection
to those individuals who do wish their contact with PHS to
remain private.
PHS strongly encourages any interested individual to call
us directly at the following telephone numbers:
Direct Dial: (781) 434-7404
Toll Free: (800) 322-2303, ext. 7404
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