JSM 2005 - Toronto

Abstract #304596

This is the preliminary program for the 2005 Joint Statistical Meetings in Minneapolis, Minnesota. Currently included in this program is the "technical" program, schedule of invited, topic contributed, regular contributed and poster sessions; Continuing Education courses (August 7-10, 2005); and Committee and Business Meetings. This on-line program will be updated frequently to reflect the most current revisions.

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Legend: = Applied Session, = Theme Session, = Presenter
Activity Number: 318
Type: Topic Contributed
Date/Time: Tuesday, August 9, 2005 : 2:00 PM to 3:50 PM
Sponsor: Section on Survey Research Methods
Abstract - #304596
Title: Surveys of Workers Possibly Exposed to Anthrax and Obtaining Medical Records from Their Health Care Providers before and after the Revised HIPAA Regulations
Author(s): Brian Evans*+ and Brian Burke and Thomas Clark and Sonal Pathak and Elizabeth Zell
Companies: RTI International and Centers for Disease Control and Prevention and Centers for Disease Control and Prevention and Centers for Disease Control and Prevention
Address: 3040 Cornwallis Rd, Research Triangle Park, NC, 27713, United States
Keywords: HIPAA ; Medical Providers ; Anthrax ; Medical Records ; Cooperation Rates ; Bioterrorist
Abstract:

The Centers for Disease Control and Prevention (CDC) undertook post-exposure prophylaxis for approximately 10,000 persons in response to the 2001 bioterrorist mail attacks involving Bacillus anthracis. The CDC contracted with RTI International to conduct telephone interviews and medical record followup for these persons. The evaluation consisted of followups at 2, 6, 12, and 24 months after the initial receipt of the post-exposure prophylaxis. In 2003, new Health Insurance Portability and Accountability Act (HIPAA) regulations were put into effect, limiting the release of medical records by health care providers. CDC and RTI were concerned that these HIPAA revisions would adversely impact medical record collection activities. This challenge was overcome by changing procedures to specifically allay concerns about the applicability of HIPAA regulations in obtaining records from medical providers. RTI achieved 56% to 86% cooperation rates in the followup studies, which were equally split between the pre and postHIPAA regulation changes. Preliminary results indicate the medical providers were more willing to cooperate if the applicability of HIPAA was clarified.

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Revised March 2005