Guest guest Posted February 12, 2009 Report Share Posted February 12, 2009 Hi, Probably because they are using an assumed name for work purposes. If you do not have legal proof that they have had a name change, I would not send anything under a different name. That would be fradulent, because you know it to be different. --Debbie From: gdonney@...Date: Wed, 11 Feb 2009 12:23:23 -0600Subject: [ ] multiple names I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Windows Live™: E-mail. Chat. Share. Get more ways to connect. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2009 Report Share Posted February 12, 2009 Ginny, Yes, my recommendation is, do not do it under any circumstance. Anyone that informs you that they are using a false name or social security number make clear to them in Spanish that it is against the law. You need to educate these workers what is legal and what is illegal. If you accommodate such requests you will be doing a great disservice to my community. Please be clear and firm on the legalities involved. Sincerely, Rene Quintana Manos Unidos,Inc. From: [mailto: ] On Behalf Of Debra Trulock Sent: Thursday, February 12, 2009 8:09 AM To: Subject: RE: [ ] multiple names Hi, Probably because they are using an assumed name for work purposes. If you do not have legal proof that they have had a name change, I would not send anything under a different name. That would be fradulent, because you know it to be different. --Debbie From: gdonneyshsdc (DOT) org Date: Wed, 11 Feb 2009 12:23:23 -0600 Subject: [ ] multiple names I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Windows Live™: E-mail. Chat. Share. Get more ways to connect. Check it out. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2009 Report Share Posted February 12, 2009 My thought is that we should not assume anything. I would ask them to explain the situation and listen to their explanation. Sometimes we providers are too quick to judge. Best of luck Alayne Rene J. Quintana wrote: Ginny, Yes, my recommendation is, do not do it under any circumstance. Anyone that informs you that they are using a false name or social security number make clear to them in Spanish that it is against the law. You need to educate these workers what is legal and what is illegal. If you accommodate such requests you will be doing a great disservice to my community. Please be clear and firm on the legalities involved. Sincerely, Rene Quintana Manos Unidos,Inc. From: [mailto: ] On Behalf Of Debra Trulock Sent: Thursday, February 12, 2009 8:09 AM To: Subject: RE: [ ] multiple names Hi, Probably because they are using an assumed name for work purposes. If you do not have legal proof that they have had a name change, I would not send anything under a different name. That would be fradulent, because you know it to be different. --Debbie From: gdonneyshsdc (DOT) org Date: Wed, 11 Feb 2009 12:23:23 -0600 Subject: [ ] multiple names I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Windows Live™: E-mail. Chat. Share. Get more ways to connect. Check it out. No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2009 Report Share Posted February 12, 2009 We have workers who will use only the paternal surname and then use only the maternal surname, both are their correct names. Therefore, it creates confusion when sorting through paper work and eligibility forms. So workers should also be informed to use one or both names consistently in order to keep records straight. The name/s they should use consistently should match their SS cards and IDs.We also may see workers who are working under a different surname but keep their first name. When they are injured (using the wrong surname) they will not have the SS card to receive workers comp or medical care.On Feb 12, 2009, at 11:27 AM, Alayne Unterberger wrote: My thought is that we should not assume anything. I would ask them to explain the situation and listen to their explanation. Sometimes we providers are too quick to judge. Best of luck Alayne Rene J. Quintana wrote: Ginny, Yes, my recommendation is, do not do it under any circumstance. Anyone that informs you that they are using a false name or social security number make clear to them in Spanish that it is against the law. You need to educate these workers what is legal and what is illegal. If you accommodate such requests you will be doing a great disservice to my community. Please be clear and firm on the legalities involved. Sincerely, Rene QuintanaManos Unidos,Inc. From: [mailto: ] On Behalf Of Debra Trulock Sent: Thursday, February 12, 2009 8:09 AM Subject: RE: [ ] multiple names Hi, Probably because they are using an assumed name for work purposes. If you do not have legal proof that they have had a name change, I would not send anything under a different name. That would be fradulent, because you know it to be different. --Debbie From: gdonneyshsdc (DOT) org Date: Wed, 11 Feb 2009 12:23:23 -0600 Subject: [ ] multiple names <mime-attachment.gif> I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Windows Live™: E-mail. Chat. Share. Get more ways to connect. Check it out. No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^Martha C. Stiles, Program DirectorCalifornia AgrAbility ProjectFarm Safety & Rural HealthUniversity of CaliforniaDept. of Biological and Agricultural EngineeringOne Shields Ave., CA 95616-5294mcstiles@...530-752-2606 voice530-752-2640 faxToll Free: 1-800-477-6129http://calagrability.ucdavis.edu/<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<< Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2009 Report Share Posted February 12, 2009 I have to agree with Alayne. I was interested to see, when I did field work in central Mexico, that people used different names, not to obfuscate. As people in the states go by different nicknames at different times among different social groups, that was probably true there—people usually had at least two names as first names, e.g., Isabel or —some people would call them by one, some by the other. And then, if you add on the collision between the U.S. way of dealing with last names and that of Mexico, you will tend to get different versions of people’s last names as well. This does not mean that they are necessarily using “false” names. I do agree that it is important to teach people what the law in the U.S. says, but probably this group should also make sure that people are taught what would be defined ordinarily as a last name in the U.S. (e.g., your father’s last name only or for married women, their husband’s last name only). I hate to say this as an anthropologist who likes the Mexican custom better and as a woman who uses her maiden name… !!! Ann Millard From: [mailto: ] On Behalf Of Alayne Unterberger Sent: Thursday, February 12, 2009 1:27 PM Subject: Re: [ ] multiple names My thought is that we should not assume anything. I would ask them to explain the situation and listen to their explanation. Sometimes we providers are too quick to judge. Best of luck Alayne Rene J. Quintana wrote: Ginny, Yes, my recommendation is, do not do it under any circumstance. Anyone that informs you that they are using a false name or social security number make clear to them in Spanish that it is against the law. You need to educate these workers what is legal and what is illegal. If you accommodate such requests you will be doing a great disservice to my community. Please be clear and firm on the legalities involved. Sincerely, Rene Quintana Manos Unidos,Inc. From: [mailto: ] On Behalf Of Debra Trulock Sent: Thursday, February 12, 2009 8:09 AM Subject: RE: [ ] multiple names Hi, Probably because they are using an assumed name for work purposes. If you do not have legal proof that they have had a name change, I would not send anything under a different name. That would be fradulent, because you know it to be different. --Debbie From: gdonney@... Date: Wed, 11 Feb 2009 12:23:23 -0600 Subject: [ ] multiple names I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Windows Live™: E-mail. Chat. Share. Get more ways to connect. Check it out. No virus found in this incoming message.Checked by AVG - www.avg.com Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 12, 2009 Report Share Posted February 12, 2009 HI Ginny: when I worked in an FQHC, I would not ask any questions about legal status or such since our business was healthcare. I would give them the information in a letter listing the name used and the a.k.a. I also didn't ask for documentation of a name change. The patient could then decide what they would do with it. I would add the a.k.a. to the computer though in case we had duplicate medical records. I never assumed any legal or illegal activity since I have changed my name twice and my children's names once for personal reasons. (And, we are US citizens). Belman I have learnt silence from the talkative, toleration from the intolerant, and kindness from the unkind; yet strange, I am ungrateful to these teachers. Kahlil Gibran (1883 - 1931) From: Ginny Donney <gdonney@...>Subject: [ ] multiple names Date: Wednesday, February 11, 2009, 12:23 PM I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2009 Report Share Posted February 13, 2009 Not with standing all that has been sent previously, the uses, disclosures, and alteration of patient health information is regulated under HIPAA law. Any changes to a patient medical record, including patient request to change the medical record must be documented. To do any different would be breaking the law. Bottom line: Cover your tail. A. Ruiz () Director Health Systems National Association of Community Health Centers , Inc 7200 Wisconsin Ave. Suite 210 Bethesda, MD 20814 jruiz@... 301-347-0442 work direct 202-365-0154 cell www.nachc.com " Youth is a gift of nature but age is a work of art " - Garson Kanin Learn what's ahead for America's Health Centers! Join us at the NACHC Policy & Issues Forum, March 24-29, 2009 in Washington, D.C. For more information, visit us at www. NACHC.com. From: [mailto: ] On Behalf Of Millard, Ann V. Sent: Thursday, February 12, 2009 3:44 PM Subject: RE: [ ] multiple names I have to agree with Alayne. I was interested to see, when I did field work in central Mexico, that people used different names, not to obfuscate. As people in the states go by different nicknames at different times among different social groups, that was probably true there—people usually had at least two names as first names, e.g., Isabel or —some people would call them by one, some by the other. And then, if you add on the collision between the U.S. way of dealing with last names and that of Mexico, you will tend to get different versions of people’s last names as well. This does not mean that they are necessarily using “false” names. I do agree that it is important to teach people what the law in the U.S. says, but probably this group should also make sure that people are taught what would be defined ordinarily as a last name in the U.S. (e.g., your father’s last name only or for married women, their husband’s last name only). I hate to say this as an anthropologist who likes the Mexican custom better and as a woman who uses her maiden name… !!! Ann Millard From: [mailto: ] On Behalf Of Alayne Unterberger Sent: Thursday, February 12, 2009 1:27 PM Subject: Re: [ ] multiple names My thought is that we should not assume anything. I would ask them to explain the situation and listen to their explanation. Sometimes we providers are too quick to judge. Best of luck Alayne Rene J. Quintana wrote: Ginny, Yes, my recommendation is, do not do it under any circumstance. Anyone that informs you that they are using a false name or social security number make clear to them in Spanish that it is against the law. You need to educate these workers what is legal and what is illegal. If you accommodate such requests you will be doing a great disservice to my community. Please be clear and firm on the legalities involved. Sincerely, Rene Quintana Manos Unidos,Inc. From: [mailto: ] On Behalf Of Debra Trulock Sent: Thursday, February 12, 2009 8:09 AM Subject: RE: [ ] multiple names Hi, Probably because they are using an assumed name for work purposes. If you do not have legal proof that they have had a name change, I would not send anything under a different name. That would be fradulent, because you know it to be different. --Debbie From: gdonney@... Date: Wed, 11 Feb 2009 12:23:23 -0600 Subject: [ ] multiple names I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Windows Live™: E-mail. Chat. Share. Get more ways to connect. Check it out. No virus found in this incoming message.Checked by AVG - www.avg.com Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2009 Report Share Posted February 13, 2009 By encouraging the use of several names it actually does the migrant a disservice. For example, mistakes can be made in prescriptions, credit can be damaged and banks will tend to look at someone with multiple names with caution. Especially now with the recent US Patriot Act. For those of you not familiar with this Act please take a moment and read it on the internet. Multiple names automatically causes distrust of the individual not just in private situations but in business as well. This also causes problems when they want to become citizens and need to do the paper work with immigration. There is a big difference between those of us in the United States that have changed our names and those in Mexico that may have done the same, its legal documentation processed by a government entity that can be verified. Those of us from the Latino community would appreciate your cooperation with this. Mr. Rene Quintana From: [mailto: ] On Behalf Of Millard, Ann V. Sent: Thursday, February 12, 2009 12:44 PM Subject: RE: [ ] multiple names I have to agree with Alayne. I was interested to see, when I did field work in central Mexico, that people used different names, not to obfuscate. As people in the states go by different nicknames at different times among different social groups, that was probably true there—people usually had at least two names as first names, e.g., Isabel or —some people would call them by one, some by the other. And then, if you add on the collision between the U.S. way of dealing with last names and that of Mexico, you will tend to get different versions of people’s last names as well. This does not mean that they are necessarily using “false” names. I do agree that it is important to teach people what the law in the U.S. says, but probably this group should also make sure that people are taught what would be defined ordinarily as a last name in the U.S. (e.g., your father’s last name only or for married women, their husband’s last name only). I hate to say this as an anthropologist who likes the Mexican custom better and as a woman who uses her maiden name… !!! Ann Millard From: [mailto: ] On Behalf Of Alayne Unterberger Sent: Thursday, February 12, 2009 1:27 PM Subject: Re: [ ] multiple names My thought is that we should not assume anything. I would ask them to explain the situation and listen to their explanation. Sometimes we providers are too quick to judge. Best of luck Alayne Rene J. Quintana wrote: Ginny, Yes, my recommendation is, do not do it under any circumstance. Anyone that informs you that they are using a false name or social security number make clear to them in Spanish that it is against the law. You need to educate these workers what is legal and what is illegal. If you accommodate such requests you will be doing a great disservice to my community. Please be clear and firm on the legalities involved. Sincerely, Rene Quintana Manos Unidos,Inc. From: [mailto: ] On Behalf Of Debra Trulock Sent: Thursday, February 12, 2009 8:09 AM Subject: RE: [ ] multiple names Hi, Probably because they are using an assumed name for work purposes. If you do not have legal proof that they have had a name change, I would not send anything under a different name. That would be fradulent, because you know it to be different. --Debbie From: gdonneyshsdc (DOT) org Date: Wed, 11 Feb 2009 12:23:23 -0600 Subject: [ ] multiple names I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Windows Live™: E-mail. Chat. Share. Get more ways to connect. Check it out. No virus found in this incoming message.Checked by AVG - www.avg.com Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 13, 2009 Report Share Posted February 13, 2009 Technically speaking, this is not a change to the medical record. It is a request to send information to other names and/or addresses. One would not have to change the chart to send the documents, which are not part of the medical record, to a different individual. We often find that fw do not have good mailing addresses and they often rely on their networks to obtain PO Boxes or safer places to receive mail. This is something with which clinics and agencies have a great deal of experience. For this reason, I think we need to take these scenarios as a case by case basis and really listen to our clients. I strongly urge you to listen first then make a decision that fits within the law. Ruiz wrote: Not with standing all that has been sent previously, the uses, disclosures, and alteration of patient health information is regulated under HIPAA law. Any changes to a patient medical record, including patient request to change the medical record must be documented. To do any different would be breaking the law. Bottom line: Cover your tail. A. Ruiz () Director Health Systems National Association of Community Health Centers , Inc 7200 Wisconsin Ave. Suite 210 Bethesda, MD 20814 jruiznachc 301-347-0442 work direct 202-365-0154 cell www.nachc.com "Youth is a gift of nature but age is a work of art" - Garson Kanin Learn what's ahead for America's Health Centers! Join us at the NACHC Policy & Issues Forum, March 24-29, 2009 in Washington, D.C. For more information, visit us at www. NACHC.com. From: [mailto: ] On Behalf Of Millard, Ann V. Sent: Thursday, February 12, 2009 3:44 PM Subject: RE: [ ] multiple names I have to agree with Alayne. I was interested to see, when I did field work in central Mexico, that people used different names, not to obfuscate. As people in the states go by different nicknames at different times among different social groups, that was probably true there—people usually had at least two names as first names, e.g., Isabel or —some people would call them by one, some by the other. And then, if you add on the collision between the U.S. way of dealing with last names and that of Mexico, you will tend to get different versions of people’s last names as well. This does not mean that they are necessarily using “false” names. I do agree that it is important to teach people what the law in the U.S. says, but probably this group should also make sure that people are taught what would be defined ordinarily as a last name in the U.S. (e.g., your father’s last name only or for married women, their husband’s last name only). I hate to say this as an anthropologist who likes the Mexican custom better and as a woman who uses her maiden name… !!! Ann Millard From: [mailto: ] On Behalf Of Alayne Unterberger Sent: Thursday, February 12, 2009 1:27 PM Subject: Re: [ ] multiple names My thought is that we should not assume anything. I would ask them to explain the situation and listen to their explanation. Sometimes we providers are too quick to judge. Best of luck Alayne Rene J. Quintana wrote: Ginny, Yes, my recommendation is, do not do it under any circumstance. Anyone that informs you that they are using a false name or social security number make clear to them in Spanish that it is against the law. You need to educate these workers what is legal and what is illegal. If you accommodate such requests you will be doing a great disservice to my community. Please be clear and firm on the legalities involved. Sincerely, Rene Quintana Manos Unidos,Inc. From: [mailto: ] On Behalf Of Debra Trulock Sent: Thursday, February 12, 2009 8:09 AM Subject: RE: [ ] multiple names Hi, Probably because they are using an assumed name for work purposes. If you do not have legal proof that they have had a name change, I would not send anything under a different name. That would be fradulent, because you know it to be different. --Debbie From: gdonneyshsdc (DOT) org Date: Wed, 11 Feb 2009 12:23:23 -0600 Subject: [ ] multiple names I work with an FQHC that serves the migrant farmworker population. We have noticed some migrant/farmworker patients have started showing up requesting information about their health be sent to workers comp or their place of employment, pharmacies etc., but that they want it sent under a new name. They report they have changed their name but there is no official documentation to support that. Does anyone have any suggestions for how to handle this? Thanks! Ginny CONFIDENTIALITY NOTICE: This email and any files or attachments transmitted with it are confidential and may be protected by legal privilege. This e-mail is intended solely for the use of the individual or entity to whom this e-mail is addressed. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution or copying of this e- mail is strictly prohibited. If you have received this e-mail in error, please notify the sender immediately by e-mail and delete this e-mail from your system. Windows Live™: E-mail. Chat. Share. Get more ways to connect. Check it out. No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 No virus found in this incoming message. Checked by AVG - www.avg.com Version: 8.0.237 / Virus Database: 270.10.23/1951 - Release Date: 02/13/09 06:51:00 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2009 Report Share Posted March 13, 2009 (Second attempt to post -- apologies for duplicates, if any)Generally, in responding to the original question from Ginny, it seems that a health care provider cannot send out health information about someone in a different name unless they have proof that the two people are one and the same (i.e., the person can show documents to prove that they are the person in whose name they want the information sent out, such as a birth and marriage certificate). This is true regardless of the nationality and/or immigration status of the people involved. Obviously, health care providers should refrain from making judgments and assumptions about individuals and their nationality and /or immigration status based on their appearance and or language of origin, as to do so could result in charges of national origin discrimination.Farmworker Justice> >> > Ginny,> >> > > >> > Yes, my recommendation is, do not do it under any circumstance. > > Anyone that informs you that they are using a false name or social > > security number make clear to them in Spanish that it is against the > > law. You need to educate these workers what is legal and what is > > illegal. If you accommodate such requests you will be doing a great > > disservice to my community. Please be clear and firm on the > > legalities involved.> >> > > >> > Sincerely,> >> > > >> > Rene Quintana> >> > Manos Unidos,Inc.> >> > > >> > > >> > ------------------------------------------------------------------------> >> > *From:* > > [mailto: ] *On Behalf Of *Debra > > Trulock> > *Sent:* Thursday, February 12, 2009 8:09 AM> > *To:* > > *Subject:* RE: [ ] multiple names> >> > > >> > Hi,> > Probably because they are using an assumed name for work purposes. If > > you do not have legal proof that they have had a name change, I would > > not send anything under a different name. That would be fradulent, > > because you know it to be different. > > > > --Debbie> >> > ------------------------------------------------------------------------> >> >> > > > From: gdonney@...> > Date: Wed, 11 Feb 2009 12:23:23 -0600> > Subject: [ ] multiple names> >> > I work with an FQHC that serves the migrant farmworker population. We > > have noticed some migrant/farmworker patients have started showing up > > requesting information about their health be sent to workers comp or > > their place of employment, pharmacies etc., but that they want it sent > > under a new name. They report they have changed their name but there > > is no official documentation to support that. Does anyone have any > > suggestions for how to handle this?> >> > Thanks!> >> > > >> > Ginny> >> > > >> > > >> > CONFIDENTIALITY NOTICE: This email and any files or attachments > > transmitted with it are confidential and may be protected by legal > > privilege. This e-mail is intended solely for the use of the > > individual or entity to whom this e-mail is addressed. If you are not > > the intended recipient of this e-mail, you are hereby notified that > > any use, dissemination, distribution or copying of this e- mail is > > strictly prohibited. If you have received this e-mail in error, please > > notify the sender immediately by e-mail and delete this e-mail from > > your system.> >> > > >> > > >> > > >> > ------------------------------------------------------------------------> >> > Windows Live^: E-mail. Chat. Share. Get more ways to connect. > > Check it out. > > <http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009> > >> >> > > > > > > > ------------------------------------------------------------------------> >> >> > > > > > > > > > > > No virus found in this incoming message.> > Checked by AVG - www.avg.com <http://www.avg.com> > > Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00> > > > > >> > > >> >> >> >> > > > ------------------------------------------------------------------------> >> >> > No virus found in this incoming message.> > Checked by AVG - www.avg.com > > Version: 8.0.237 / Virus Database: 270.10.23/1951 - Release Date: 02/13/09 06:51:00> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 17, 2009 Report Share Posted March 17, 2009 True Story. My uncle was recently hospitalized for heart issues. His name is Ramon Ruiz-do and resides in NJ. The hospital listed him as Ramon do. I called and asked for Ramon Ruiz. I was told there was no such person. Eventually called my uncle direct. Told him the story. His response was that the hospital staff entered his information that way and that it was too complicated a process to correct. He is a US citizen, as are all Puerto Ricans. Eventually it will have to be addressed as he will be moving to Dallas Texas. This was all a case of the hospital staff not being attuned to the Hispanic traditional use of both parents for identification with the first taking priority over the second. He will now have to go through a process of proving that he is Ramon Ruiz and not Ramon do. As far as the hospital is concerned Ramon Ruiz does not exist. He will also probably get a bill for Ramon do as Ramon do is not covered by Medicare nor Medicaid. There was no attempt to gain the system here just a cultural issue. A. Ruiz () Director Health Systems National Association of Community Health Centers , Inc 7200 Wisconsin Ave. Suite 210 Bethesda, MD 20814 jruiz@... 301-347-0442 work direct 202-365-0154 cell www.nachc.com " Youth is a gift of nature but age is a work of art " - Garson Kanin Learn what's ahead for America's Health Centers! Join us at the NACHC Policy & Issues Forum, March 24-29, 2009 in Washington, D.C. For more information, visit us at www. NACHC.com. From: [mailto: ] On Behalf Of pamelaraodc Sent: Friday, March 13, 2009 2:59 PM Subject: [ ] Re: multiple names (Second attempt to post -- apologies for duplicates, if any) Generally, in responding to the original question from Ginny, it seems that a health care provider cannot send out health information about someone in a different name unless they have proof that the two people are one and the same (i.e., the person can show documents to prove that they are the person in whose name they want the information sent out, such as a birth and marriage certificate). This is true regardless of the nationality and/or immigration status of the people involved. Obviously, health care providers should refrain from making judgments and assumptions about individuals and their nationality and /or immigration status based on their appearance and or language of origin, as to do so could result in charges of national origin discrimination. Farmworker Justice < b r>> > > > Ginny, > > > > > > > > Yes, my recommendation is, do not do it under any circumstance. > > Anyone that informs you that they are using a false name or social > > security number make clear to them in Spanish that it is against the > > law. You need to educate these workers what is legal and what is > > illegal. If you accommodate such requests you will be doing a great > > disservice to my community. Please be clear and firm on the > > legalities involved. > > > > > > > > Sincerely, > > > > > > > > Rene Quintana > > > > Manos Unidos,Inc. > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > *From:* @groups . com > > [mailto: ] *On Behalf Of *Debra > > Trulock > > *Sent:* Thursday, February 12, 2009 8:09 AM > > *To:* > > *Subject:* RE: [ ] multiple names > > > > > > > > Hi, > > Probably because they are using an assumed name for work purposes. If > > you do not have legal proof that they have had a name change, I would > > not send anything under a different name. That would be fradulent, > > because you know it to be different. > > > > --Debbie > > > > ------------------------------------------------------------------------ > > > > > > > > From: gdonney@... > > Date: Wed, 11 Feb 2009 12:23:23 -0600 > > Subject: [migrant_he a lth_research] multiple names > > > > I work with an FQHC that serves the migrant farmworker population. We > > have noticed some migrant/farmworker patients have started showing up > > requesting information about their health be sent to workers comp or > > their place of employment, pharmacies etc., but that they want it sent > > under a new name. They report they have changed their name but there > > is no official documentation to support that. Does anyone have any > > suggestions for how to handle this? > > > > Thanks! > > > > > > > > Ginny > > > > > > > > > > > > CONFIDENTIALITY NOTICE: This email and any files or attachments > > transmitted with it are confidential and may be protected by legal > > privilege. This e-mail is intended solely for the use of the < br>> > individual or entity to whom this e-mail is addressed. If you are not > > the intended recipient of this e-mail, you are hereby notified that > > any use, dissemination, distribution or copying of this e- mail is > > strictly prohibited. If you have received this e-mail in error, please > > notify the sender immediately by e-mail and delete this e-mail from > > your system. > > > > > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > Windows Live^: E-mail. Chat. Share. Get more ways to connect. > > Check it out. > > <http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009> > > > > > > > > > > > > ------------------------------------------------------------------ - ----- > > > > > > > > > > > > > > > > No virus found in this incoming message. > > Checked by AVG - www.avg.com <http://www.avg.com> > > Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 > > > > > > > > > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > > > No virus found in this incoming message. > > Checked by AVG - www.avg.com > > Version: 8.0.237 / Virus Database: 270.10.23/1951 - Release Date: 02/13/09 06:51:00 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2009 Report Share Posted March 18, 2009 , my full name is Rene Jesus Reyes Quintana-Schaeffer de Baca but I learned to just use Rene Quintana because of the nightmare it brings in credit, banking, contracts and misunderstandings. Not to mention the high probability of someone misfiling your medical file. One last name makes life so much easier Mr. Rene Quintana From: [mailto: ] On Behalf Of Ruiz Sent: Tuesday, March 17, 2009 1:05 PM To: Subject: RE: [ ] Re: multiple names True Story. My uncle was recently hospitalized for heart issues. His name is Ramon Ruiz-do and resides in NJ. The hospital listed him as Ramon do. I called and asked for Ramon Ruiz. I was told there was no such person. Eventually called my uncle direct. Told him the story. His response was that the hospital staff entered his information that way and that it was too complicated a process to correct. He is a US citizen, as are all Puerto Ricans. Eventually it will have to be addressed as he will be moving to Dallas Texas. This was all a case of the hospital staff not being attuned to the Hispanic traditional use of both parents for identification with the first taking priority over the second. He will now have to go through a process of proving that he is Ramon Ruiz and not Ramon do. As far as the hospital is concerned Ramon Ruiz does not exist. He will also probably get a bill for Ramon do as Ramon do is not covered by Medicare nor Medicaid. There was no attempt to gain the system here just a cultural issue. A. Ruiz () Director Health Systems National Association of Community Health Centers , Inc 7200 Wisconsin Ave. Suite 210 Bethesda, MD 20814 jruiznachc 301-347-0442 work direct 202-365-0154 cell www.nachc.com " Youth is a gift of nature but age is a work of art " - Garson Kanin Learn what's ahead for America's Health Centers! Join us at the NACHC Policy & Issues Forum, March 24-29, 2009 in Washington, D.C. For more information, visit us at www. NACHC.com. From: [mailto: ] On Behalf Of pamelaraodc Sent: Friday, March 13, 2009 2:59 PM Subject: [ ] Re: multiple names (Second attempt to post -- apologies for duplicates, if any) Generally, in responding to the original question from Ginny, it seems that a health care provider cannot send out health information about someone in a different name unless they have proof that the two people are one and the same (i.e., the person can show documents to prove that they are the person in whose name they want the information sent out, such as a birth and marriage certificate). This is true regardless of the nationality and/or immigration status of the people involved. Obviously, health care providers should refrain from making judgments and assumptions about individuals and their nationality and /or immigration status based on their appearance and or language of origin, as to do so could result in charges of national origin discrimination. Farmworker Justice < b r>> > > > Ginny, > > > > > > > > Yes, my recommendation is, do not do it under any circumstance. > > Anyone that informs you that they are using a false name or social > > security number make clear to them in Spanish that it is against the > > law. You need to educate these workers what is legal and what is > > illegal. If you accommodate such requests you will be doing a great > > disservice to my community. Please be clear and firm on the > > legalities involved. > > > > > > > > Sincerely, > > > > > > > > Rene Quintana > > > > Manos Unidos,Inc. > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > *From:* @groups . com > > [mailto: ] *On Behalf Of *Debra > > Trulock > > *Sent:* Thursday, February 12, 2009 8:09 AM > > *To:* > > *Subject:* RE: [ ] multiple names > > > > > > > > Hi, > > Probably because they are using an assumed name for work purposes. If > > you do not have legal proof that they have had a name change, I would > > not send anything under a different name. That would be fradulent, > > because you know it to be different. > > > > --Debbie > > > > ------------------------------------------------------------------------ > > > > > > > > From: gdonney@... > > Date: Wed, 11 Feb 2009 12:23:23 -0600 > > Subject: [migrant_he a lth_research] multiple names > > > > I work with an FQHC that serves the migrant farmworker population. We > > have noticed some migrant/farmworker patients have started showing up > > requesting information about their health be sent to workers comp or > > their place of employment, pharmacies etc., but that they want it sent > > under a new name. They report they have changed their name but there > > is no official documentation to support that. Does anyone have any > > suggestions for how to handle this? > > > > Thanks! > > > > > > > > Ginny > > > > > > > > > > > > CONFIDENTIALITY NOTICE: This email and any files or attachments > > transmitted with it are confidential and may be protected by legal > > privilege. This e-mail is intended solely for the use of the < br>> > individual or entity to whom this e-mail is addressed. If you are not > > the intended recipient of this e-mail, you are hereby notified that > > any use, dissemination, distribution or copying of this e- mail is > > strictly prohibited. If you have received this e-mail in error, please > > notify the sender immediately by e-mail and delete this e-mail from > > your system. > > > > > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > Windows Live^: E-mail. Chat. Share. Get more ways to connect. > > Check it out. > > <http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009> > > > > > > > > > > > > ------------------------------------------------------------------ - ----- > > > > > > > > > > > > > > > > No virus found in this incoming message. > > Checked by AVG - www.avg.com <http://www.avg.com> > > Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 > > > > > > > > > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > > > No virus found in this incoming message. > > Checked by AVG - www.avg.com > > Version: 8.0.237 / Virus Database: 270.10.23/1951 - Release Date: 02/13/09 06:51:00 > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 18, 2009 Report Share Posted March 18, 2009 The Government system is definitely in desperate need for cultural competency training at least for the Latino community which is fastest grown minority group. I have a similar story, my mom just got her permanent residency and her documents including social security do show her two last names but not her first name, they only kept her middle name probably thinking that it was her first name. I’m in the process of filing for a correction – what a headache - From: Ruiz [mailto:jruiz@...] Sent: Tuesday, March 17, 2009 4:05 PM Subject: RE: [ ] Re: multiple names True Story. My uncle was recently hospitalized for heart issues. His name is Ramon Ruiz-do and resides in NJ. The hospital listed him as Ramon do. I called and asked for Ramon Ruiz. I was told there was no such person. Eventually called my uncle direct. Told him the story. His response was that the hospital staff entered his information that way and that it was too complicated a process to correct. He is a US citizen, as are all Puerto Ricans. Eventually it will have to be addressed as he will be moving to Dallas Texas. This was all a case of the hospital staff not being attuned to the Hispanic traditional use of both parents for identification with the first taking priority over the second. He will now have to go through a process of proving that he is Ramon Ruiz and not Ramon do. As far as the hospital is concerned Ramon Ruiz does not exist. He will also probably get a bill for Ramon do as Ramon do is not covered by Medicare nor Medicaid. There was no attempt to gain the system here just a cultural issue. A. Ruiz () Director Health Systems National Association of Community Health Centers , Inc 7200 Wisconsin Ave. Suite 210 Bethesda, MD 20814 jruiz@... 301-347-0442 work direct 202-365-0154 cell www.nachc.com " Youth is a gift of nature but age is a work of art " - Garson Kanin Learn what's ahead for America's Health Centers! Join us at the NACHC Policy & Issues Forum, March 24-29, 2009 in Washington, D.C. For more information, visit us at www. NACHC.com. From: [mailto: ] On Behalf Of pamelaraodc Sent: Friday, March 13, 2009 2:59 PM Subject: [ ] Re: multiple names (Second attempt to post -- apologies for duplicates, if any) Generally, in responding to the original question from Ginny, it seems that a health care provider cannot send out health information about someone in a different name unless they have proof that the two people are one and the same (i.e., the person can show documents to prove that they are the person in whose name they want the information sent out, such as a birth and marriage certificate). This is true regardless of the nationality and/or immigration status of the people involved. Obviously, health care providers should refrain from making judgments and assumptions about individuals and their nationality and /or immigration status based on their appearance and or language of origin, as to do so could result in charges of national origin discrimination. Farmworker Justice < b r>> > > > Ginny, > > > > > > > > Yes, my recommendation is, do not do it under any circumstance. > > Anyone that informs you that they are using a false name or social > > security number make clear to them in Spanish that it is against the > > law. You need to educate these workers what is legal and what is > > illegal. If you accommodate such requests you will be doing a great > > disservice to my community. Please be clear and firm on the > > legalities involved. > > > > > > > > Sincerely, > > > > > > > > Rene Quintana > > > > Manos Unidos,Inc. > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > *From:* @groups . com > > [mailto: ] *On Behalf Of *Debra > > Trulock > > *Sent:* Thursday, February 12, 2009 8:09 AM > > *To:* > > *Subject:* RE: [ ] multiple names > > > > > > > > Hi, > > Probably because they are using an assumed name for work purposes. If > > you do not have legal proof that they have had a name change, I would > > not send anything under a different name. That would be fradulent, > > because you know it to be different. > > > > --Debbie > > > > ------------------------------------------------------------------------ > > > > > > > > From: gdonney@... > > Date: Wed, 11 Feb 2009 12:23:23 -0600 > > Subject: [migrant_he a lth_research] multiple names > > > > I work with an FQHC that serves the migrant farmworker population. We > > have noticed some migrant/farmworker patients have started showing up > > requesting information about their health be sent to workers comp or > > their place of employment, pharmacies etc., but that they want it sent > > under a new name. They report they have changed their name but there > > is no official documentation to support that. Does anyone have any > > suggestions for how to handle this? > > > > Thanks! > > > > > > > > Ginny > > > > > > > > > > > > CONFIDENTIALITY NOTICE: This email and any files or attachments > > transmitted with it are confidential and may be protected by legal > > privilege. This e-mail is intended solely for the use of the < br>> > individual or entity to whom this e-mail is addressed. If you are not > > the intended recipient of this e-mail, you are hereby notified that > > any use, dissemination, distribution or copying of this e- mail is > > strictly prohibited. If you have received this e-mail in error, please > > notify the sender immediately by e-mail and delete this e-mail from > > your system. > > > > > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > Windows Live^: E-mail. Chat. Share. Get more ways to connect. > > Check it out. > > <http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009> > > > > > > > > > > > > ------------------------------------------------------------------ - ----- > > > > > > > > > > > > > > > > No virus found in this incoming message. > > Checked by AVG - www.avg.com <http://www.avg.com> > > Version: 8.0.234 / Virus Database: 270.10.23/1948 - Release Date: 02/11/09 11:13:00 > > > > > > > > > > > > > > > > > > > > ------------------------------------------------------------------------ > > > > > > No virus found in this incoming message. > > Checked by AVG - www.avg.com > > Version: 8.0.237 / Virus Database: 270.10.23/1951 - Release Date: 02/13/09 06:51:00 > > > > > Quote Link to comment Share on other sites More sharing options...
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