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Privacy of Medical
Information in the Workplace
Presented by Brittany Harris
September 9, 2010
About your Presenter
• HR Advisor with G&A Partners
since March 2009
• Located in Bryan/College
Station
• Enjoys the Training and
Development aspect of Human
Resources
Introduction
• Many laws and regulations govern
the privacy of medical information:
ADA
FMLA
HIPAA
ADA
• Prohibits employers from discriminating
against qualified individuals with
disabilities in job application procedures,
hiring, firing, advancement,
compensation, etc
• Requires employer to make “reasonable
accommodations” without “undue
hardship”
• Requires employers to keep medical
information confidential
ADA
The EEOC considers an individual with
a disability is a person who:
Has a physical or mental impairment that
substantially limits one or more major life
activities
Has a record of such an impairment
Is regarded as having such an impairment.
ADA
• Reasonable Accommodation:
adjustments or modifications provided by an
employer to enable people with disabilities to
enjoy equal employment opportunities.
• Examples:
A deaf applicant may need a sign language
interpreter during the job interview.
A blind employee may need someone to read
information posted on a bulletin board.
FMLA
• Covers employers with 50 or more employees
within 75 miles.
• Provides employees with up to 12 weeks of
unpaid, job-protected leave per year.
• Employees are eligible for leave if they have
worked for at least 12 months and at least 1,250
hours over the past 12 months
• Enforces confidentiality of medical information
obtained
FMLA
• Leave permitted for:
the birth and care of the newborn child of an employee
placement with the employee of a child for adoption or
foster care
care for an immediate family member (spouse, child, or
parent) with a serious health condition
medical leave when the employee is unable to work
because of a serious health condition.
care for immediate family members in the armed forces
called to active duty in the U.S. military, to care for a
service member who is suffering from a major illness or
injury.
HIPAA
• provides rights and protections for
patients, along with participants and
beneficiaries in group health plans
• Prohibits release of PHI without
consent
• Typically only applies to self-insured
When to be aware…
• When someone applies for a job
• When someone is offered a job
• When someone is employed
When Someone Applies
• “pre-offer stage”
• You cannot request medical exams
• You cannot inquire about disabilities
• Any medical information should be
kept confidential
When someone is offered a job
• Medical exam allowed
• Drug Screens are not “medical exam”
• Consistency is key
• Any medical information should be kept
confidential
When someone is employed
• Cannot request medical exam or
make inquiry unless employee poses
direct threat or it’s job related and
consistent with business necessity
• Examples
• Obtaining certifications or supporting
documentation is permitted
When someone is employed
• Any medical information obtained
should be kept confidential (with few
exceptions) and in separate file
• Exceptions include:
Supervisors or managers that need to be
aware of accommodations
Safety personnel
State Worker’s Comp office
Insurance purposes
How to protect yourself
• Be aware!
• Designate “permitted employees”
• Train managers and supervisors
• Ensure compliance
Contact Information
Brittany Harris
bharris@gnapartners.com
www.gnapartners.com

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Privacy of Medical Information in the Workplace

  • 1. Privacy of Medical Information in the Workplace Presented by Brittany Harris September 9, 2010
  • 2. About your Presenter • HR Advisor with G&A Partners since March 2009 • Located in Bryan/College Station • Enjoys the Training and Development aspect of Human Resources
  • 3. Introduction • Many laws and regulations govern the privacy of medical information: ADA FMLA HIPAA
  • 4. ADA • Prohibits employers from discriminating against qualified individuals with disabilities in job application procedures, hiring, firing, advancement, compensation, etc • Requires employer to make “reasonable accommodations” without “undue hardship” • Requires employers to keep medical information confidential
  • 5. ADA The EEOC considers an individual with a disability is a person who: Has a physical or mental impairment that substantially limits one or more major life activities Has a record of such an impairment Is regarded as having such an impairment.
  • 6. ADA • Reasonable Accommodation: adjustments or modifications provided by an employer to enable people with disabilities to enjoy equal employment opportunities. • Examples: A deaf applicant may need a sign language interpreter during the job interview. A blind employee may need someone to read information posted on a bulletin board.
  • 7. FMLA • Covers employers with 50 or more employees within 75 miles. • Provides employees with up to 12 weeks of unpaid, job-protected leave per year. • Employees are eligible for leave if they have worked for at least 12 months and at least 1,250 hours over the past 12 months • Enforces confidentiality of medical information obtained
  • 8. FMLA • Leave permitted for: the birth and care of the newborn child of an employee placement with the employee of a child for adoption or foster care care for an immediate family member (spouse, child, or parent) with a serious health condition medical leave when the employee is unable to work because of a serious health condition. care for immediate family members in the armed forces called to active duty in the U.S. military, to care for a service member who is suffering from a major illness or injury.
  • 9. HIPAA • provides rights and protections for patients, along with participants and beneficiaries in group health plans • Prohibits release of PHI without consent • Typically only applies to self-insured
  • 10. When to be aware… • When someone applies for a job • When someone is offered a job • When someone is employed
  • 11. When Someone Applies • “pre-offer stage” • You cannot request medical exams • You cannot inquire about disabilities • Any medical information should be kept confidential
  • 12. When someone is offered a job • Medical exam allowed • Drug Screens are not “medical exam” • Consistency is key • Any medical information should be kept confidential
  • 13. When someone is employed • Cannot request medical exam or make inquiry unless employee poses direct threat or it’s job related and consistent with business necessity • Examples • Obtaining certifications or supporting documentation is permitted
  • 14. When someone is employed • Any medical information obtained should be kept confidential (with few exceptions) and in separate file • Exceptions include: Supervisors or managers that need to be aware of accommodations Safety personnel State Worker’s Comp office Insurance purposes
  • 15. How to protect yourself • Be aware! • Designate “permitted employees” • Train managers and supervisors • Ensure compliance