CMA Resolution DRAFT: Confidentiality of Patient Unique Medical Identifiers
Susan R. Hansen, M.D.
Whereas, The 1996 federal Health Insurance Portability and Accountability Act mandates the creation of unique medical identifiers for all United States citizens, which would be used in all medical transactions, and
Whereas, These unique medical identifiers would be used to gather records of individuals' clinical encounters into comprehensive electronic records; and
Whereas, Neither patients nor doctors want the confidentiality of medical information compromised without proper consents, and
Whereas, The mandated unique medical identifiers have not yet been developed, due to lack of appropriation; and
Whereas, It would be desirable and in the best interest of maintaining the privacy that is necessary to the patient physician relationship to educate our patients regarding this issue; and
Whereas, It would be desirable to permanently repeal the laws allowing unique medical identifiers, therefore be it
RESOLVED, That the CMA develop and distribute an informational bulletin about the existence and consequences of the planned Unique Medical Identifier; and be it further
RESOLVED That the CMA actively support United States House of Representatives Bill # 2615 to repeal the Unique Medical Identifiers, and be it further
RESOLVED That the CMA actively oppose use of any patient identifier, including the social security number or biometric data, which might permit unfettered access by governmental agencies or other entities to confidential patient information, and be it further
RESOLVED That the CMA establish an Internal Review Board, accountable to the House of Medicine, to develop standards and procedures to securely store anonymous medical data for public health, research, and other uses, and be it further
RESOLVED That, in order to preserve the confidentiality of the medical record, the CMA only promote policies requiring that treating physicians control all personally identified medical data access, storage, transmission, distribution and use; release requiring patient authorization by valid, signed consent; and receipt requiring strict privacy and restricted use policies, and be it further
RESOLVED, That the CMA support development of systems that ensure secure data management of patient information, a cornerstone which must include patient selection of any unique medical identifier as well as unencumbered patient control of access and use of any patient specific data.