[Viva] Fwd: For your review and comments - HIV Pre and Post Test GuidelinesDecember 14, 2010 - Draft 2.doc
shelly tognazzini
shetognazzini at gmail.com
Fri Feb 18 15:10:42 PST 2011
Thank you for all of this information.
A very important twist. Matters to me and I will pass on to those it may.
Thank you Ross, Denise and VIVA
kind regards,
Shelly
On Fri, Feb 18, 2011 at 2:28 PM, Denise Becker <dbecker106 at gmail.com> wrote:
>
>
> ---------- Forwarded message ----------
> From: Ross Harvey <rossh at bcpwa.org>
> Date: Fri, Feb 18, 2011 at 1:59 PM
> Subject: RE: For your review and comments - HIV Pre and Post Test
> GuidelinesDecember 14, 2010 - Draft 2.doc
> To: "Elliot, Elizabeth" <Elizabeth.Elliot at bccdc.ca>, Elgin Lim <
> elginl at bcpwa.org>
> Cc: "Kathy.MacDonald at northernhealth.ca" <Kathy.MacDonald at northernhealth.ca>,
> "sammygarza at hotmail.com" <sammygarza at hotmail.com>, "Gilbert, Mark" <
> Meaghan.Thumath at vch.ca:>, "Ogilvie, Gina" <Gina.Ogilvie at bccdc.ca>, BCPWA
> Board of Directors <BCPWABoardofDirectors at bcpwa.org>, Alexandra Regier <
> alexr at bcpwa.org>, BCPWA Health Promotion <hp at bcpwa.org>, BCPWA Community
> Representation and Engagement <BCPWACollectiveAdvocacy at bcpwa.org>
>
>
> (My apologies to those of you for whom this email constitutes a possibly
> tedious repeat.)
>
>
>
> Dear folk,
>
>
>
> Okay. Things are starting to move very rapidly in very
> unpleasant directions.
>
>
>
> Attached is a copy of the January 11, 2011 “Designation Order”
> which spurs and governs the further development of the PLIS-HIB (Provincial
> Laboratory Information Solution - Health Information Bank – this is the
> eHealth “repository” databank which will store all laboratory work results –
> see article 2.2 – and make those results available as provided in the
> designation order).
>
>
>
> The Order provides that all lab work done in Northern and
> Interior Health Authorities will now be deposited in the PLIS-HIB (where it
> will join the lab work already being deposited from the Provincial Health
> Services Authority, principally from the BCCDC).
>
>
>
> The astonishing thing in this order is the scope of persons to whom it
> grants “roll-based access” to the information dumped into the PLIS-HIB.
> These include physicians, of course. But also included are such “roles”
> as: midwife, physiotherapist, dietician, and a host of similar others *and
> those studying to become such professionals*. (See schedule 4-1 on page
> 12.)
>
>
>
> So far, under this Order, such role-based access is so widely granted only
> in Vancouver Coastal (presumably including Providence) and Provincial
> Health; oddly, both Northern and Interior Health are currently restricted to
> “Clinical Validator” roles (schedule 4, page 10). But that will change.
> Possibly quite soon.
>
>
>
> Given the way this is now rolling out, it is imperative that systems be put
> in place as quickly as possible to advise patients/clients of these
> developments, and to assist them, should they wish it, in securing the only
> protection available to them: disclosure directives on the PLIS-HIB, and
> “lock downs” in the pertinent Health Authority personal health information
> management systems.
>
>
>
>
> Yours peeling myself off the ceiling,
>
>
> Ross
>
>
>
> P.S.: For those of you who haven’t yet seen it, attached, too, is a copy
> of the Canadian Medical Association’s recently released “Principles for the
> Protection of Patients’ Personal Health Information”, undated but copyright
> 2011. Note, in particular, section 13 on page 4, which starts as follows:
>
>
>
> “13. Patients should be informed that the treating physician cannot
> control access and guarantee confidentiality for an electronic health record
> (EHR) system.”
>
>
>
> P.P.S.: So ... when might we look forward to receipt of the newly revised
> guidelines?
>
>
>
> Ross Harvey
>
> Executive Director
>
> BC Persons With AIDS Society
>
> 1107 Seymour Street, 2nd Floor
>
> Vancouver, BC V6B 5S8
>
> t. 604.893.2252
>
> f. 604.893.2251
>
> c.604.788.9111
>
> 1.800.994.2437
>
> www.bcpwa.org
>
>
>
> *Add energy to your New Year’s resolution with BCPWA’s free holistic
> services, including:*
>
> *yoga; nutrition consultation; rejuvenating naturopathic massage; Thai
> Massage; Reiki and Tai-Chi.*
>
> * *
>
> *Call 604.646.5311 now or email clinic at bcpwa.org for appointments.*
>
>
>
> *From:* Ross Harvey
> *Sent:* December-29-10 4:00 PM
> *To:* 'Elliot, Elizabeth'; Elgin Lim
> *Cc:* 'Kathy.MacDonald at northernhealth.ca'; 'sammygarza at hotmail.com';
> 'Gilbert, Mark'; Ogilvie, Gina; BCPWA Board of Directors; Alexandra Regier;
> BCPWA Health Promotion; BCPWA Community Representation and Engagement
> *Subject:* RE: For your review and comments - HIV Pre and Post Test
> GuidelinesDecember 14, 2010 - Draft 2.doc
>
>
>
> Dear Elizabeth and All,
>
>
>
> After lengthy consideration in its Community Representation and
> Engagement (CRE) Standing Committee one week ago today, and upon receipt of
> that Committee’s recommendation, the BCPWA Board of Directors this afternoon
> formally adopted the position statement on pre- and post-test counselling
> and disclosure directives attached to this email.
>
>
>
> On the basis of that position statement a series of amendments
> are suggested to the draft Pre- and Post-Test Counselling Guidelines
> previously circulated. These suggestions are made using “Track Changes” in
> the originally circulated document, also attached.
>
>
>
> BCPWA is most grateful for the opportunity to offer these
> suggestions. We realize that they are very difficult. We do truly wish
> there were a workable alternative; unfortunately, in the current climate of
> careless disregard for individuals’ privacy rights codified in provincial
> statute, we see no such alternative.
>
>
>
>
> Yours sincerely,
>
>
> Ross Harvey
>
>
>
> Ross Harvey
>
> Executive Director
>
> BC Persons With AIDS Society
>
> 1107 Seymour Street, 2nd Floor
>
> Vancouver, BC V6B 5S8
>
> t. 604.893.2252
>
> f. 604.893.2251
>
> c.604.788.9111
>
> 1.800.994.2437
>
> www.bcpwa.org <http://www.bcpwa.org>
>
> *Add energy to your New Year’s resolution with BCPWA’s free holistic
> services, including:*
>
> *yoga; nutrition consultation; rejuvenating naturopathic massage; Thai
> Massage; Reiki and Tai-Chi.*
>
> * *
>
> *Call 604.646.5311 now or email clinic at bcpwa.org for appointments.*
>
>
> ------------------------------
>
> *From:* Elliot, Elizabeth [mailto:Elizabeth.Elliot at bccdc.ca]
> *Sent:* Sunday, December 19, 2010 1:36 PM
> *To:* Elgin Lim
> *Cc:* Ross Harvey
> *Subject:* RE: For your review and comments - HIV Pre and Post Test
> GuidelinesDecember 14, 2010 - Draft 2.doc
>
>
>
> Hi Elgin and Ross,
>
>
>
> Hope your holidays are great Elgin! Thank-you for taking the time to
> review the document Ross.
>
>
>
> This document has a number of hoops still to jump through so I will
> continue it on its path and will greatly appreciate your comments Ross.
> Additionally, because there will be further iterations Elgin, please feel
> free to add comments once you return from your holiday - if you would like.
> I can incoporate them into the last draft.
>
>
>
> Regards,
>
> Liz
>
>
>
>
>
>
> ------------------------------
>
> *From:* Elgin Lim [elginl at bcpwa.org]
> *Sent:* December 16, 2010 5:43 PM
> *To:* Elliot, Elizabeth
> *Cc:* Ross Harvey
> *Subject:* RE: For your review and comments - HIV Pre and Post Test
> GuidelinesDecember 14, 2010 - Draft 2.doc
>
> Hi Elizabeth,
>
>
>
> Unfortunately, I was not able to review the guidelines before I departed
> for my winter holiday. I'm currently out of the office until Jan 10. I've
> therefore forwarded the guidelines to my Executive Director, Ross
> Harvey. Should he have any comments or concerns, I've ask him to forward
> them directly to you.
>
>
>
> Seasons greetings and a happy new year to you.
>
>
>
> *Elgin Lim*
>
> *Director of Health Promotion*
>
> *BC Persons With AIDS Society*
>
> *1107 Seymour Street, 2nd Floor*
>
> *Vancouver, BC V6B 5S8*
>
> *t. 604.893.2225*
>
> *f. 604.893.2251*
>
> *1.800.994.2437*
>
> *www.bcpwa.org* <http://www.bcpwa.org/>
>
>
>
> *Add energy to your New Year’s resolution with BCPWA’s free holistic
> services, including: *
>
> *yoga; nutrition consultation; rejuvenating naturopathic massage; Thai
> Massage; Reiki and Tai-Chi.*
>
> * *
>
> *Call 604.646.5311 now or email clinic at bcpwa.org for appointments.*
>
>
>
>
> ------------------------------
>
> *From:* Elliot, Elizabeth [mailto:Elizabeth.Elliot at bccdc.ca]
> *Sent:* Tuesday, December 14, 2010 5:17 PM
> *To:* Kathy.MacDonald at northernhealth.ca; Elgin Lim; Sam Milligan; [VCH]
> Thumath, Meaghan [VC]
> *Cc:* Gilbert, Mark; Ogilvie, Gina
> *Subject:* For your review and comments - HIV Pre and Post Test
> GuidelinesDecember 14, 2010 - Draft 2.doc
>
> Hello All,
>
>
>
> Thank-you for offering to review the attached Pre and Post Test HIV
> Guidelines.
>
>
>
> The guidelines have undergone a preliminary review by the STI/HIV clinical
> leadership team at BCCDC and that feedback has been incorporated into the
> document that you will be reviewing titled Draft #2. There are some
> comments and track changes that persist in your copies because these need
> further consideration and follow-up on my end.
>
>
>
> This document will be heading out to the provincial working groups the
> first week of January and to the broader provincial CD working groups. I
> recognize that the holidays are right around the corner, but please provide
> your feedback by December 30 (please use track changes if possible - it
> makes it much easier to see and incorporate feedback).
>
>
>
> I will be sending the 3rd draft that incoporates your changes on Tuesday
> January 4. I am hoping that it is a relatively easy read.
>
>
>
> As you will see, the appendices remain works in progress and will be
> further developed over the next few weeks; however, these will not change
> the overall gist of the document.
>
>
>
>
>
> In your review, I am particularly looking for:
>
>
>
> - any obvious typos
> - guideline construction that is confusing
> - content that contradicts itself or other documents currently in use
> - ease of the reader in discerning the differences and
> commonalities between POC and standard lab testing pre and post discussions
> - any missing or needed definitions
> - bits that you think need to be added that are essential to the
> discussion with clients and would not be covered in pre and post test
> education sessions provided to health care providers
>
> Additionally, the pregnancy component is purposefully absent because of the
> current BC guidelines that exist related to perinatal testing.
>
>
>
> Thank-you for your offer to review!!! If you would prefer to offer
> feedback by phone, please feel free to give me a call.
>
>
>
>
>
> Regards,
>
> Liz
>
>
>
>
>
>
>
> Elizabeth Elliot RN, MN
>
> Education Leader
>
> STI/HIV Prevention and Control Division
>
> BC Centre for Disease Control
>
> 655 West 12th Avenue
>
> Vancouver, BC Canada V5Z 4R4
>
> Phone: 604.707.5618
>
> Fax: 604.707.5604
>
> email: elizabeth.elliot at bccdc.ca
>
> website: www.bccdc.ca
>
>
> _______________________________________________
> Viva mailing list
> Viva at lists.resist.ca
> https://lists.resist.ca/cgi-bin/mailman/listinfo/viva
>
>
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