Hospitals at the University of Iowa review access to parent-child records

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CITY OF IOWA – Health care administrators at the University of Iowa are reviewing their nearly decade-long practice of restricting parental access to adolescent medical records after talking to other health systems, patients and families.

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"That The review is not yet complete, but we plan to share the revised practice in a matter of months, "UIHC spokesman Tom Moore told The Gazette.

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Practice Current UIHC allows parents or guardians to access their child's medical record through the university's MyChart electronic tool until their 12th birthday. At that time, parents or guardians lose most of the access to their child's medical record. Immunization records, for example, or send and receive basic messages.

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Parents Near the 12th birthday of their children they receive a reminder reminding them of the change and the reasoning behind it.

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"We believe that children at this age should have a more active role in their own medical care and have the option of keeping certain information private, "according to the parent's message.

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University policy that restricted parental access to 12 years began in 2010, when the hospital system began offering access to MyChart. It aligns with state laws that grant privacy of adolescent health care, according to Moore, who said UI follows the recommendation of the American Academy of Pediatrics on protecting adolescent patient confidentiality.

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" The University of Iowa Health Care takes very seriously the fact that teens feel they can have private conversations with their doctors and other health care providers, especially those seeking certain sensitive services or types of care, such as counseling about the substance abuse, testing for sexually transmitted diseases, etc. ", said Moore.

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Still, he said, administrators acknowledge that some children have chronic illnesses or Long-term diseases that require full access to MyChart from parents or guardians "to help manage their care."

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" Tools like MyChart have made it easier for parents and legal guardians to manage the medical care of their children, especially those who have chronic diseases or long-term illnesses, such as cystic fibrosis or transplant recipients, "he said.

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In the battle to balance the privacy of adolescents with the needs of parents, while following state and federal laws in an attempt to prioritize health and safety, UIHC recognizes its unique role in the care of the most needy patients.

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" As the only nationally ranked Iowa children's hospital, we see that many of these chronically ill patients can make it more important for their parents or guardians to have full access to MyChart than many of our similar institutions, "said Moore. .

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The revision of the university is tentatively scheduled to be completed in the coming months.

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The The existing practice of the UI includes a warning for children with a mental condition or disability, and quotes options for children over the age of 12 who wish to create their own MyChart accounts.

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Moore He noted that UIHC is among other hospitals across the country that weigh these problems.

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Sarah Corizzo, marketing communications leader for UnityPoint Health-St. Luke's Hospital told The Gazette that his institution also recognizes the "sensitivity surrounding limited access by parents to certain protected health information for their minor children."

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In this state, he said, minors are entitled to receive certain services without parental consent.

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"Por therefore, health care providers are legally bound to restrict parental access to medical information related to those services, "he said. "At UnityPoint Health, this is effective for children under the age of 12 to 17."

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Likewise At UIHC, St. Luke's parents can access appointments, test results, immunizations, medications and messages for children under 12 through an online portal. From 12 to 17 years old, parents and guardians can only schedule appointments and view immunization records through the portal.

PROBLEMS THAT COULD CONSIDER A CHILD

• Screening for sexually transmitted diseases, contraceptive services (Iowa Code 141A.7)

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• Prevention, detection or treatment of HIV or other sexually transmitted diseases (Iowa Code 139A.35 and 141.7)

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• Medical and mental health services for victims of sexual abuse or assault (Iowa Code 915.35 (1) – (3)

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• Blood donation (Iowa Code 599.6)

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• Treatment of Substance Use Disorders (Iowa Code 125.33 (1))

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• Smoking cessation services (Iowa Code 142A.11)

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• Donation of Organs (Iowa Code 142C)

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The consent list related to adolescents can be seen at https://bit.ly/2RdmYCh

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l Comments: (319) 339-3158; vanessa.miller@thegazette.com