Parents May Be Refused Details of Adult Child's Medical Care

Michelle Andrews, from Kaiser Health News, has penned an excellent article explaining why many adult children should execute health care powers of attorney and a HIPAA release in favor of a parent or parents.  The article, entitled, "Parents May Be Refused Details of Adult Child's Medical Care," was recently reported by Health News from NPR:

When Sean Meyers was in a car accident on a November evening three years ago, he was flown by air ambulance to the emergency department at Inova Fairfax Hospital, in Northern Virginia. With his arm broken in four places, a busted knee and severe bruising to his upper body, Meyers, 29, was admitted to the hospital. Though he was badly hurt, his injuries didn't seem life threatening.

When his car went off the road, Meyers had been on his way to visit his parents, who live nearby in Sterling. They rushed to the hospital that night to wait for news and to be available if Sean or the hospital staff needed anything. But beyond the barest details, no one from the hospital talked with them about their son's condition or care, not that night nor during the next 10 days while he was hospitalized.

"All the time he was there, the hospital staff was very curt with us," says Sam Meyers, Sean's dad. "We couldn't understand why we were being ignored."

After leaving the hospital, Sean moved into his parents' spare bedroom temporarily to continue his recovery. About a week later, he was in their kitchen one evening with his girlfriend when suddenly he collapsed. He was rushed to the nearest hospital, where he died. An autopsy revealed that he had several blood clots as well as an enlarged heart.

For Sean's parents, the results were particularly wrenching because there's a history of blood clots on his mother's side of the family. How much did the hospital staff know?

"It might have saved his life if they'd talked to us," Sam Meyers says. 

 A spokeswoman for Inova Fairfax says, "We cannot comment on specific patients or cases." But she noted that information about a patient's care can be shared in a number of circumstances.

These days when people think about patient privacy problems, it's usually because someone's medical record has been breached and information has been released without his consent. But issues can also arise when patient information isn't shared with family and friends, either because medical staff decides to withhold it or patients themselves choose to restrict who can receive information about their care.

The federal Health Insurance Portability and Accountability Act of 1996 — HIPAA — established rules to protect the privacy of patients' health information while setting standards for hospitals, doctors, insurers and others sharing health care information.

Stepped-up enforcement in recent years and increased penalties for improper disclosure of patient information under HIPAA may lead hospitals and others to err on the side of caution, says Jane Hyatt Thorpe, an associate professor at George Washington University's department of health policy and an expert on patient privacy.

"For a provider who's uncertain about what information a provider may or may not be able to share, the easiest and safest route is to say no," Thorpe says.

Go here to read the remainder of the article.

Happy 18th Birthday! You'll Never Guess What I'm Getting You!

What are you planning to give the teenager in your family when he or she becomes an adult? A car, money for an apartment, a trip to Europe? Those are all fine gifts, depending on what you can afford to spend. But here’s one you may not have thought of, and the benefits could be far greater. Bring your new adult (child or grandchild) to our office, introduce us and have us prepare a basic estate planning package of documents: a simple trust or will, a durable power of attorney, a medical power of attorney, a HIPAA Release and a living will.

Actually, it’s a gift for the entire family, because once the child reaches legal age, parents will no longer be able to automatically make medical and legal decisions for him or her without the appropriate legal documents authorizing them to do so. If an adult child becomes ill or injured and cannot handle his own financial affairs, no one, not even Mom or Dad, will be able to step in and conduct business (sign checks, sell assets, etc.) unless he has a trust or a durable power of attorney and has named them as his successor or agent. If he hasn’t, they will have to go through the courts.... and that will take time, cost money, and restrict them in ways you cannot imagine.

If an adult child cannot make his own medical decisions, it will be much easier for Mom, Dad or another adult to make decisions if he has a medical power of attorney that names them as his agent. And what if he is placed on life support before they can get to the hospital? Unless he has made his wishes known through a legal document, they may not be able to have life support discontinued without court approval.
Finally, if your new adult should die without a will, the court will distribute his assets according o the laws of the state in which he lived . . . regardless of what the family or he would have wanted.

Make sure your new adult understands these documents will need to be changed as life changes-as s/he accumulates more assets, and as s/he and those s/he cares about move, marry, have children, divorce, die and so on.

Helping your children or grandchildren get started with this adult responsibility at the moment when he or she becomes an adult is just one more responsibility we as parents and grandparents have. It fits right in there with how to balance a checkbook, how to manage credit, and how to buy insurance.

Chances are, it will be a long time before any of these documents will be needed, but you’ll be sending your new adult out of the newest with a full layer of protection... just in case.

HIPAA

New Laws Require Estate Plan Review and Revision

Change is constant. Several recent changes in the law require you to review and possibly revise your trust or supporting documents. Moreover, although you may choose not to review your trust and supporting documents regularly, changes to Ohio and federal law last year make this year a vitally important year for review and revision.

The most important federal change affecting your estate plan is the adoption of the much touted privacy rules of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”) which took effect on April 14, 2003. Until the recent prescription drug bill, these regulations were considered to be the biggest development in health care legislation since the 1965 enactment of Medicare. The legislation applies directly to virtually every physician, dentist, nurse, pharmacist and health care provider in the nation. The legislation applies indirectly to virtually every industry that in any way obtains, records, reports, maintains, or relies upon health care information, including broker-dealers and insurance companies.