Discussion Group 71: Privacy and Electronic Records

DISCUSSION GROUP 71 will meet at our usual time slot 4:45-7:15 PM on Thursday,
January 18, at the APsaA Meetings at the Waldorf Astori in New York City.  All attendees at the Winter Meeting are cordially invited to attend up to the space limits of our assigned room.

As momentum continues to build for the wide-spread conversion of medical records to electronic form, increasingly complicated and confusing issues arise as to if and how we can translate our traditional methods of maintaining the privacy of patient information into what may well become mandatory arrangements in the coming new world of health care.  If we hope to maintain the status of psychoanalysis as part of the health care system, we must face these challenges head on.

Continuing with our overall theme of exploring and discussing broad issues of psychoanalytic confidentiality in an interdisciplinary context, the Jaffee-Redmond The Discussion Group’s January meeting will again focus on the transition to the new world of electronic record-keeping and the challenges to privacy that we will be facing as a result.

We are most fortunate in having as our Guest Discussant for this meeting ROBERT PLOVNICK, M.S., M.D., Director, Dept. of Quality Improvement and Psychiatric Services, American Psychiatric Association.  Rob is both a psychiatrist and an “informatics” expert and is especially sensitive to the special privacy needs of psychiatric patients.  He has represented the APA in a wide variety of national forums where the actual structures of the electronic medical records systems of the future are NOW being negotiated. 

Rob will introduce us to this somewhat unknown (but massive) initiative and can describe, in a way that psychoanalysts can relate to, the struggle we all face to be sure that the electronic systems many of us may well be forced to use in the future will have the built in capability to make it possible to protect sensitive information.

Paul Mosher
Discussion Group Co-Chair

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PREVIOUS GUEST DISCUSSANTS AT OUR SEMI-ANNUAL DISCUSSION GROUP, 1999-2007

Guest Discussants, Jaffee v. Redmond Discussion Group,
program component, semiannual meetings
of the
American Psychoanalytic Association,
May, 1999 to Present.
May, 1999
Washington, DC  STEPHEN ALLAN SALTZBURG, Howrey Professor of Trial
Advocacy, Litigation, and Professional  Responsibility at the George
Washington University Law School.
CARTER G. PHILLIPS, Managing Partner of the Washington, D.C. office of
 Sidley  Austin Brown & Wood. (Attorney of Record, American
Psychoanalytic Association – and others’ –  amici brief in Jaffee v. Redmond).
JOHN P. FANNING, United States Department of Health and Human
Services; Chief HHS Privacy Advocate and Chair HHS Privacy Committee.

December, 1999
New York City; MICHAEL M. MARTIN, Associate Dean and Cameron Professor,
Fordham University School of Law
 
May, 2000
Chicago, IL; KAREN BEYER, CSW.  Psychotherapist, Chicago, Il.  Ms.
Beyer was the psychotherapist who’s records and testimony were at
issue in Jaffee v. Redmond.
SANDRA G. NYE, JD., MSW, Asst.. Prof. of Jurisprudence in Psychiatry,
University of Illinois Abraham Lincoln School of Medicine. (Legal
advisor to Ms. Beyer.)

December, 2000
New York City; RICHARD TARANTO, JD, Appellate Attorney, Farr & Taranto,
Washington DC (Author American Psychiatric Assn. Supreme Court brief
in Jaffee v Redmond).

DAVID L. LEWIS, ESQ., Lewis & Fiore, New York City Criminal Defense
Attorney. (Principle Attorney in Robert Bierenbaum murder case.)

May, 2001
New Orleans; LA JAMES C. PYLES, ESQ., Powers Pyles Sutter & Verville,
P.C., Washington Government Relations Representative, American
Psychoanalytic Association.

December, 2001
New York City; PAUL N. SAMUELS, J.D., President and Director of the
Legal Action Center National Expert on Federal Drug & Alcohol Treatment
Privacy Laws

June 2002
Philadelphia PA; PETER P. SWIRE, JD., Professor of Law, Moritz College
of Law at Ohio State University, and Chief Councilor for Privacy,
Clinton Administration (OMB).

January, 2003
New York City; HON. SOL WACHTLER, Former Chief Judge, New York State Court
of Appeals.

June, 2003
Boston, MA; PAUL W. MOSHER, M.D., Former Chair, APsaA Committee on
Confidentiality.

January, 2004
New York City; SETH STEIN, ESQ., Legal Counsel and Executive Director,
The New York State Psychiatric Association (NYSPA),

June, 2004
San Francisco, CA; EDWARD J. IMWINKELRIED. Distinguished Professor of
Law, University of California, Davis.

January, 2005,
New York City; JANLORI GOLDMAN,  Director, Health Privacy Project , and
 Research Scholar, Center on Medicine as a Profession, Columbia
College of Physicians & Surgeons.

June 2005
Seattle, WA; MARK C. GARY, ESQ, Partner, Seattle attorney, specialist
in assisting in the implementation of HIPAA by health care
institutions and individual practitioners in the State of Washington.

January, 2006
New York City; PAUL S. APPELBAUM, M.D., Director, Division of
Psychiatry, Law and Ethics, New York State Psychiatric
Institute/Columbia University Medical Center.

June, 2006
Washington, DC; BARRY LANDAU, MD, LAWRENCE MIREL, ESQ, ELIZABETH HIRSH,
M.D., and others.  Individuals concerned about the current
implementation of the District of Columbia Mental Health Information Law.

January, 2007
New York City; ZEBULON TAINTOR, M.D., Vice Chairman of Psychiatry, NYU
Medical Center, President, NY Med. Soc. Board of Directors and Chair
Informatics Committee.

June 2007
Denver, CO; DAVE CULLEN, author, “A LASTING IMPRESSION: The Definitive
Account of Columbine and Its Aftermath.” (Penguin Books, To be published,
2008.)

January, 2008 (planned)
New York City   ROBERT PLOVNICK, M.D., Director, Dept. of Quality
Improvement and Psychiatric Services, American Psychiatric
Association, (Informatics expert.)