Social Question

Cupcake's avatar

How would you handle your parent sending you confidential patient information?

Asked by Cupcake (16498points) 3 hours ago

My parent works in a healthcare setting with patients. She emailed me a detailed patient neuropsych report of her pediatric patient from her personal email, with a few small redactions but the patient name and other identifying information (family structure, number and ages of siblings, full list of diagnoses, etc.) remained. She has just left this position on good terms with her employer.

I have recently realized that this person is a narcissist and have gone no-contact with her, partly due to her egregious violation of HIPAA and her refusal to take any responsibility for this action, as well as other boundary violations and abuse.

I feel strongly that I should report this HIPAA violation (federally and maybe also to her state licensing board), but acknowledge that it may be the “nail in the coffin” of our relationship, and also that I will likely be viewed negatively within the family. But I feel complicit in this crime and am livid to have been sent this patient information for absolutely no valid reason.

Outwardly, my mother is very well respected and viewed as highly ethical and empathetic. But it is a different case behind closed doors. There have been decades of listening to her talk about her patients and clients in inappropriate detail, which I now realize was a part of her narcissistic supply.

I’d appreciate your thoughts and advice on how to manage this difficult situation.

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3 Answers

canidmajor's avatar

I would research how to have your identity protected by the HIPAA people, but I would definitely report this, one way or another. Their lack of discretion is nothing less than criminal, and if they are this indiscreet with you, they may well be the same with others.

And how awful that they put you in this position.

ETA I was raised by a narcissist who told me other people’s secrets and confidences, even though I asked her not to, repeatedly. It caused me trouble more than once, knowing things I should not, but it was never criminal. That may be why I can answer this so quickly and absolutely. Yes, I understand the dilemma caused by familial ties, but this is beyond reprehensible.

SnipSnip's avatar

Relax. Don’t report your mother. Don’t tell this little story again. People might think you to be a fool and/or petty, or vindictive, or many things. I repeat. Don’t tell this little story again.

canidmajor's avatar

Violation of these HIPAA rules can compromise someone’s employability and insurability (just to name a couple of problems), so, although @SnipSnip seems adamant about supporting criminal and potentially damaging-to-others activity, what your parent is doing is wrong on many levels.

It’s a crap shoot with the family, but they may also be the uncomfortable recipients of inappropriate information.

If you still have the email, it may be necessary evidence.

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