What Happens to Confidentiality When the Government Enters the Treatment Room via the PATRIOT Act, HIPAA, and Managed Care?

2012 ◽  
pp. 51-60
Author(s):  
Carole Bender
Keyword(s):  
Managed Care ◽  
Patriot Act ◽  
Treatment Room ◽  
The Government

Employing Dynamic Models to Enhance Corporate IT Security Policy

2012 ◽  
Vol 4 (2) ◽  
pp. 42-59
Author(s):  
Nathan A. Minami
Keyword(s):  
Security Policy ◽  
Dynamic Models ◽  
Insider Threat ◽  
Dynamics Modeling ◽  
Patriot Act ◽  
Individual Agent ◽  
Agent Behavior ◽  
System A ◽  
The Government ◽  
Government Surveillance

Since 9/11 and the creation of the U.S. Patriot Act, the intrusion of government surveillance into the lives of ordinary Americans has become a topic of great concern to many citizens. While many Americans view surveillance as a necessity in the name of national security, the government is not the only organization conducting surveillance. As technological capacity increases, an increasing number of employers are implementing technologies that allow them to maintain vigilance over the actions of their employees in the workplace. Despite many attempts to implement surveillance technologies, there is little evidence that companies are any safer now than they were ten years ago. This paper demonstrates how System Dynamics modeling can be utilized to help model the insider threat as a system. It provides analysis of the non-linear affect of decision making, assessing the 2nd, 3rd, and 4th order impacts of decisions, and demonstrates the important impact of delays in the system. A mathematical model is presented and simulations are conducted to determine the likely affect of company decisions and individual agent behavior.

scholarly journals Die USA nach dem 11. September 2001

2001 ◽  
Vol 31 (125) ◽  
pp. 541-555
Author(s):  
Margit Mayer ◽  
Thomas Greven
Keyword(s):  
Racial Profiling ◽  
Airport Security ◽  
Economic Sectors ◽  
Patriot Act ◽  
Usa Patriot Act ◽  
The Usa ◽  
The Government

The article outlines the domestic consequences of 9-11. It details the war on the homefront by describing steps taken in the immediate aftermath of the attacks, such as the passage and content of the USA Patriot Act, its consequences for immigrants as well as U.S. citizens, and the secrecy surrounding the detention of more than a thousand suspects in what looks like a massive campaign in racial profiling. It also looks at the congressional debate on how the government should intervene to support affected economic sectors and regulate airport security.

Allocating Scarce Resources in a Publicly Funded Health System: Ethical Considerations of a Canadian Managed Care Proposal

1999 ◽  
Vol 6 (3) ◽  
pp. 240-249 ◽  
Author(s):  
Trish Reay
Keyword(s):  
Managed Care ◽  
Publicly Funded ◽  
Ethical Considerations ◽  
Scarce Resources ◽  
The Public ◽  
Canadian Health Care System ◽  
Canadian Health ◽  
Canadian Health Care ◽  
The Government ◽  
Allocation Decisions

In the Canadian health care system, the Government is responsible for allocating scarce resources in a fair and equitable manner. A proposal to implement managed care as a method of reimbursing physicians in Alberta, Canada, needs careful ethical consideration, because physicians are not well prepared, and should not be asked, to make the resulting difficult allocation decisions. The Government must continue to be held responsible for ensuring that all citizens have equal access to necessary medical services, and we must find ways to encourage the public to become more involved in deciding how resources are best allocated. Health professionals other than physicians must take an interest and enter into this debate.

scholarly journals The Chains of the Constitution and Legal Process in the Library: A Post-USA Patriot Re-Authorization Act Assessment

2017 ◽  
Author(s):  
Susan Nevelow Mart
Keyword(s):  
First Amendment ◽  
Civil Liberties ◽  
Intellectual Freedom ◽  
Bill Of Rights ◽  
Legal Process ◽  
Patriot Act ◽  
Usa Patriot Act ◽  
The Usa ◽  
The Government ◽  
Act Assessment

[first paragraph] "In questions of power, then, let no more be heard of confidence in man, but bind him down from mischief by the chains of the Constitution."The forms of legal process authorized by the USA PATRIOT Act, as they apply to library patron information, implicate both First Amendment and Fourth Amendment values. Seizing evidence of what a person is thinking about by looking at what he or she is reading or perusing on the Internet is inimical to both of these tenets of the Bill of Rights. Librarians have been among the strongest critics of the USA PATRIOT Act's incursions into this realm of intellectual freedom. And the government has heaped scorn on librarians for their opposition. But librarians do not oppose law enforcement's legitimate efforts to fight terrorism through the use of legal process in libraries; what librarians oppose is government fishing expeditions directed at the content of what people read or access in the library. There is a balance that can easily be maintained between law enforcement's access to library records and the protection of library patrons' civil liberties. The USA PATRIOT Act upsets that balance.

Watching What We Read

2011 ◽  
pp. 91-127 ◽  
Author(s):  
Abby A. Goodrum
Keyword(s):  
Law Enforcement ◽  
Academic Libraries ◽  
Public Library ◽  
Structured Interviews ◽  
Law Enforcement Agencies ◽  
Patriot Act ◽  
Local Law Enforcement ◽  
State And Local ◽  
The Government ◽  
Similar Legislation

Libraries in the U.S. have long been places of interest to government law enforcement agencies, and academic and public librarians have long sought to balance their commitment to the protection of privacy and intellectual freedom, with their desire to support legitimate requests for assistance from the government (Foerstel, 1991; Starr, 2004). In some instances, librarians have even gone to jail to protect the privacy of their patron’s records (Horn, 1994). To better understand the nature of this contact and its impact on the public’s privacy and access to information, the American Library Association’s Office of Information Technology Policy (ALA OITP) funded a study which included a nationwide survey of public and academic libraries and structured interviews with librarians and library leaders. The study confirms that federal, state, and local law enforcement have been visiting libraries as part of their investigations and that law enforcement activity has precipitated change in the policies and practices of public and academic libraries. Finally, the data from this study suggest that overall, the Patriot Act and similar legislation passed as a result of the September 11 terrorists attacks have had limited or very limited direct impact on academic and public library activities. Most libraries have not changed policies related to the retention of patron information, use of library materials including government information, or removed material from the library, nor has there been any significant change in library material usage. In those instances when changes did occur, reasons appear to be due to budget and financial matters rather than concern over requirements of the Patriot Act or other similar legislation. Another issue central to this discussion has been the degree to which the ALA should engage in significant lobbying efforts to change or modify the Patriot Act and related terrorist laws. The general sense that one receives is that the Patriot Act is “awful” from an abstract perspective, but “it doesn’t really affect my library or patrons as directly as budget cuts and other day to day concerns.” Librarians can’t afford to lose local support, so they do not become politicized over legal issues that may be quite abstract in the minds of their patrons or staff.

A Review and Analysis of the Medicaid Prudent Pharmaceutical Purchasing Bill and Its Impact on Managed Care Pharmacy

1992 ◽  
Vol 5 (2) ◽  
pp. 86-96
Author(s):  
JoAnn Stubbings ◽  
Hind T. Hatoum
Keyword(s):  
Managed Care ◽  
Drug Utilization ◽  
Pharmacy Practice ◽  
Distinct Advantage ◽  
Utilization Review ◽  
Drug Utilization Review ◽  
Patient Counseling ◽  
Clinical Role ◽  
Major Player ◽  
The Government

The Medicaid Prudent Pharmaceutical Purchasing Bill is designed to improve Medicaid patients' access to medications in return for signed rebate agreements from pharmaceutical manufacturers. The legislation also recognizes and attempts to develop the potential clinical role of pharmacy through mandates for drug utilization review, patient counseling, and electronic claims processing for Medicaid patients. Managed care pharmacy has a distinct advantage in the achievement of these clinical roles; it has already implemented drug utilization review and has electronic claims capabilities. This article reviews the legislation and describes the potential impact of the law on managed care pharmacy practice. The government is a major player in terms of setting health policy and trends in this country, and managed care pharmacy departments should be keenly aware of the legislative impact on overall future pharmacy trends. The potential exists for other government agencies and eventually the private sector to require and reimburse for provisions similar to those described in the Medicaid legislation. Managed care pharmacists should take a special interest in ensuring that the demonstration projects and studies mandated by the legislation show positive documentation of pharmacists' intervention so that eventually pharmacists will be properly compensated for such services in the public and private sectors.

scholarly journals Protecting the lady from Toledo: Post-USA PATRIOT Act electronic surveillance at the library

2017 ◽  
Author(s):  
Susan Nevelow Mart
Keyword(s):  
National Security ◽  
The Internet ◽  
Electronic Surveillance ◽  
Patriot Act ◽  
Usa Patriot Act ◽  
Legislative Oversight ◽  
The Usa ◽  
The Government

Library patrons are worried about the government looking over their shoulder while they read and surf the Internet. Because of the broad provisions of the USA PATRIOT Act, the lack of judicial and legislative oversight, the potential for content over collection, and the ease with which applications for pen register, section 215 orders, or national security letters can be obtained, these fears cannot be dismissed.

scholarly journals Barriers to the Implementation of Dental Insurance in Indonesia as Perceived by Primary Dentists

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Iwan Dewanto ◽  
Sitichai Koontongkaew ◽  
Niken Widyastuti
Keyword(s):  
Managed Care ◽  
Community Health Centers ◽  
Dental Health ◽  
Geographical Area ◽  
Sampling Technique ◽  
Primary Care Providers ◽  
Care Providers ◽  
Funding Scheme ◽  
The Government ◽  
Perceived Constraints

  Introduction: In 2014, the government of Indonesia launched the National Health Insurance (NHI) system. The system faced challenges in terms of its implementation because it changed the funding scheme within the pre-established health services structure. Under the new NHI system, the funding scheme for primary care providers is a capitation system; in the field of dental care, this means primary dentists received payment based on the amount number of participants enrolled within their geographical area.   Objectives: The aim of this study is to describe primary dentists’ perceived constraints toward the implementation of the NHI system and their level of knowledge about managed care in Yogyakarta, Indonesia.   Methods: To determine dentists’ perceptions about the implementation of NHI and their knowledge about managed care, we surveyed dentists in a descriptive study. Two types of questionnaire were administered to 91 dentists who work at community health centers (CHCs) in Yogyakarta, using the total population sampling technique.   Result: Through the surveys, we determined that 78 dentists (71%) perceived constraints related to capitation, 65 dentists (72%) perceived constraints related to benefits packages, 59 dentists (65%) perceived constraints related to workload, and 23 dentists (25%) perceived constraints related to dental health facilities. In terms of their knowledge of managed care, 46 respondents (50.5%) demonstrated a good knowledge of managed care, 43 respondents (47.3%) had moderate knowledge, and 2 respondents (2.2%) had poor knowledge.   Conclusion: The constraints to managed care, as perceived by primary dentists, should be taken into account when implementing the NHI system in Yogyakarta, as these perceptions could affect the system’s success.

“We're From the Government and We're Here to Help You”. Libraries and the USA PATRIOT Act

2006 ◽  
Vol 6 (1) ◽  
pp. 55-58
Author(s):  
David Rogers
Keyword(s):  
Annotated Bibliography ◽  
Patriot Act ◽  
Personal Freedom ◽  
Usa Patriot Act ◽  
The Usa ◽  
The Government

The USA PATRIOT Act (“Uniting and Strengthening America by Providing Appropriate Tools Required to Intercept and Obstruct Terrorism Act”) has been troubling for libraries of all types, writes Dave Rogers, and recent legislation to renew provisions have brought the debate on balancing security and personal freedom to the foreground. The article contains an annotated bibliography.

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