| A facility is going to offer psychiatric services to | | | | records. If state laws do cover records |
| certain residents with mental health issues or | | | | maintained by the facility, it must specify additional |
| psychiatric diagnoses. These services will be | | | | requirements for releasing the records. |
| provided by psychiatrists and psychiatric nurse | | | | Also see to it that HIPAA itself provides special |
| practitioners and will cover individual counseling and | | | | protection for psychotherapy notes. For instance, |
| group therapy. Will the facility need to have more | | | | the authorization for release of psychotherapy |
| HIPAA security related specifically to the | | | | notes cannot be combined with a general |
| psychiatric services? | | | | authorization for release of other types of |
| At the outset, decide in consultation with the | | | | records. However, the HIPAA definition of |
| psychiatric professionals involved what records | | | | psychotherapy is restricted and applies only to |
| the facility will maintain, and what records only the | | | | notes by mental health professional documenting |
| psychiatric professional will maintain. This distinction | | | | or analyzing the contents of conversation during a |
| is vital because the facility is responsible under | | | | counseling session that are maintained separately |
| HIPAA only for those records maintained by the | | | | from the medical record. |
| facility and the psychiatric professionals will be | | | | Remember that a psychotherapy note under |
| responsible for complying with HIPAA regarding | | | | HIPAA is not inclusive of summaries of diagnoses, |
| the records they maintain. | | | | functional status, treatment plans, symptoms, etc. |
| The facility, if it will maintain records of this type | | | | For more on this and other healthcare IT news |
| of treatment, should consult state laws. Many | | | | doing the rounds, sign up for a newsletter and |
| states have laws that provide more protection | | | | see the difference it brings to your practice. |
| than HIPAA regarding certain types of psychiatric | | | | |