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8/14/2019 5.Overcoming the Legal Risks of New Media
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Overc om ing t he Legal
Elec t ron ic Com m unic a t ion
Jeffery P. Drummond
Jackson Walker L.L.P.
,Dallas, Texas 75202
(214) 953-5781
drummond@ w.com
www.hipaablog.blogspot.com
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.
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. . . the so-called Health 2.0applications such as information portals,
patient messaging, home healthapplications and personal health-recordsystems . . . .
-Modern Healthcare,
April 6, 2009
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Inform at ion Tec hno logypeople:
2010 definition:ogs
Microblogs (Twitter)Social Networks (Facebook, MySpace)
Video (Youtube)
Wikis
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Video webcasting of surgery
e ogg ng
Sick blogs Consultants using Web 2.0 (particularly blogs and
Twitter)
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e ac s a ea care mar e ers
cant just jump onto the Twitter
bandwagon without having a solid
strategy in place and also explainingclearly what theyre doing.
-- Glenna Shaw, Healthleaders Media, June 3, 2009
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Give me a break. Twittering
surgeries will quickly disappear as
notice of it.
-- Kerry Faunce, commenting on the same article
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patients perspective:
Privacy
Digni ty /Presentat ion
Mot ive (pub l ic educat ion or fami ly in format ion)
Care
as c nswer: u or za on
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publics perspective:
Who: o t her pat ient s , pot ent ia l pat ient s
At t i t ude :
Misinformed (surgeon drops his scalpel to tweet?)
Concerned (youre not tweeting about me, are you?)
Basic Answer: Education
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organizations perspective:
Legal
In t e l lec t ua l Proper ty
Const i tu t ional /organizat ional
Nonprofit organizations
Governmental entities
eputat on management
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HIPAA
pam
Advertising laws Responsibility for user-generated content
Ownership of content
SEC issues
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associates)?
How to avoid disclosures repor t ing
Marketin Restrictions
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Heal th c are provider
Doctor
Hospital
Other Heal t h Plan
Heal thc are Clear inghouse
Cont rac t s w i t h /serves Covered Ent i t y
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Protec t ed Heal th In format ion : In format ion about t hepast , present , or fu ture heal thc are condi t ion,
rea m en , or paym en s poss e o en y e
ind iv idua l from t he informat ion.
Basic Rule: Covered entities and businessassociates may not use or disclose PHI except for
specified purposes (for example, treatment or
payment) or with the individuals specificpermission.
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Fines and penal t ies
Pot ent ia l lega l dam ages
Publ ic repor t ing may be requ i red
Public Relations uses are not generally excepted So, patient authorization is required
Author izat ions have spec i f i c requ i rem ents ; m ak e
.
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conta ns spec c mar et ng restr ct ons
Geared more toward uses than disclosures
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Controlling the Assault of Non-Solicited
CAN-SPAM Act):
Limits use of email addresses obtained by
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ec i f ic Le al Issues:Adver t is ing
Federal IssuesGeneral: FTC fair trade practices
Specific: FDA marketing rules
State Law issues:State DTPA and fraud statutes
State HIPAA or medical record laws
Rules of regulatory agenciesE.g., Board of Medical Examiners
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pec c ega ssues: ver s ng
General overridin issue: Advertisin ma not be false or
misleading. Does your Web 2.0 effort count as advertising?
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User-Generat ed Cont ent
Communications Decency Act of 1996: ISP c ompanies are genera l ly imm une f rom l iab i l i ty
for t h i rd-par ty c ont ent t hat appears on t he i r in t ernet
fo rum s or w ebsi tes .
ISPs that shape or d i rec t t he cont r ibut ions o f c on ten t may no t be subjec t t o the sa fe harbor.
Control your content, or make appropriatedisclaimers.
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Ow nersh ip o f Cont ent
Copyright: website content is copyrightable. Who owns the co ri ht to the content third
parties put on your site?
Are the orks for hire?
Protecting your own copyright
copyright of which is owned by another party
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SEC Issues
Regulation FD (fair/full disclosure): Information on com an website is likel a ublic
disclosure by the company for purposes of
Regulation FD If so, information posted on the website cannot
contain false or misleading information or omit
information necessary to make the informationprovided not misleading
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SEC Issues
Antifraud provisions: Antifraud rovisions a l to statements on
company websites
Previousl osted materials that remain availablearent necessarily republished for antifraud
purposes, but might need to be segregated on the
company website to avoid confusion.
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SEC Issues
Hyperlinks to third party sites: Sim l linkin does not mean endorsement
But, it could, even if you dont mean it
What your s i te says about t he hyper link
Whet her you have a d isc la im er
How t he hyper link i s p resented
Consider click-thru screens or exit notices
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SEC Issues
Company sponsored blogs:
Employees posting speak
for the company
Electronic Shareholder Forums Generally, information posted here is not considered to be
a company statement or disclosure, but could be if the
Consider disclaimers either way
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company (dont forget Web 1.0) K n ow w h at i s b ei n s ai d a bo ut o u f or c o m m e rc i al
react ion purposes
K now i f your c opyr ight ed mat er ial i s be ing breached
Be aw are t ha t fa i lu re t o do so migh t c onst i tu t e
adopt ion of the in format ion or s ta t ement s
your ow n people
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Cont ro l your w ebsi te
Cont ro l your o f f ic ia l ex t erna l Web 2.0 ac t iv i t ies
Gain author izat ion f rom pat ients t o avo id HIPAA
a n perm ss on or r -par y po en a y-
c opyr ight ed in fo rmat ion
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At le ast h igh-level and per iodic legal rev iew
Depending on operat ions, at least have approval of
forms, form at s , and post ing ru les
Appropr ia t e de legat ion o f aut hor i ty
Board approval
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, .
-, ,
Sued for malpractice , . ,
plaintiffs and their lawyer, disclosed defense trial
strate , and bad-mouthed the urors Plaintiffs lawyer exposed him during the trial as
Dr. Flea
Lindeman knew she would expose him to thejury, so he settled for a substantial sum
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Overc om ing t he Legal
Elec t ron ic Com m unic a t ion
Jeffery P. Drummond
Jackson Walker L.L.P.
,
Dallas, Texas 75202(214) 953-5781
drummond@ w.com
www.hipaablog.blogspot.com