A Memorandum for Patient Displacement and Relocation
Jacqueline Black
HCS/320
December 8th, 2014
Tricia Tran

On February 20th 2015, Newfoundland assistance Living Center will become the new owners of KinderCare Nursing Home, in their efforts to accommodate and afford the baby boomer generation, a more productive and healthier way of life, Newfoundland Assistance Living Center is creating a self-sustained facility for the 55 year old and older crowd, who only need a minimal amount of care and assistance.
As Administrator, it is the sole responsibility of this facility and all its medical affiliates to ensure that the appropriate placement is found and obtain for the residents of KinderCare Nursing Home, who need maximum assistance and care. To accomplishing this task, the following people are assigned to help handle the challenges in this major transition: Support Coordinator, Public Relations team, and all Administrative Assistance.
There are ten patients who require placement. According to KinderCare Nursing Home policies and procedures, we will first publicly announce our closing through emails, newsletters and as much network media as possible local and national. Some of our residents don’t have family locally, so we must contact family out of state if possible, we will do this by mailing out formal certified letters to all the families.
Furthermore, some of the residents cannot give consent to release their PHI, in these cases, according to Ann Bachman (2008), the “Opportunity to Object” can be used, this HIPAA provision allows the covered entity to disclosed and discuss the residents PHI with “relative, other family member or a close personal friend of the individual, or any other person identified by the individual” to the extent that person needs the information for the individual’s care. Also if the individual is not present or is unable to agree or disagree, the healthcare provider must use professional judgment in releasing information.” (para. 5, 6)
The planning for placement will begin with the Administrative Assistance, contacting other facilities in the surrounding areas, inquiring about availability for resident placement. The placement options are made rather it is used or not. According to Ann Bachman (2008), “AUTHORIZATION/OPPORTUNITY TO OBJECT NOT REQUIRED HIPAA allows covered entities to use or disclose protected health information without a signed authorization or an opportunity to object for the following purposes. These purposes, however, must be included in the covered entity’s Notice of Privacy Practices,” which was sign during admission:
• Treatment, payment, or health operations.
• Communication with friends or family in an emergency.
• Disclosures required by law (minimum necessary applies).”(para. 8)

Secondly, the Public Relations department will see that all public announcement are made via, broadcast networks, being it radio or television, whichever is more feasible in cost and production. The use of social media is an avenue to consider, however the cost of advertisement must be considered. The budget for all announcements is 5,000 dollars. The only data and information made available in this forum is the closing of this facility, no residents personal information shall be made available. The Administrator will make available the details in this fashion:

KinderCare Nursing Home
0000 West Standby Avenue
Phoenix, AZ 85041
(602)000-000

December 2, 2014

Dear Sir/Madam

KinderCare Nursing Home is being purchased by Newfoundland Assistance Living Center; KinderCare will be closing on February 20th 2015.

I am writing to thank you for the honor of caring for your family member for many years; it has been a great pleasure in having the responsibility of your love one to care for.

We will be providing all residents the option of replacement care; KinderCare Nursing Home respects your choice and decision in the placement care of your love one, However if you chose to use one of our options for continued care.

Please feel to contact KinderCare, before February 20th 2015 for further assistance.

Sincerely,

Jacqueline Black
Administrator

KinderCare Nursing Home
0000 West Standby Avenue
Phoenix, AZ 85041
(602)000-000

December 2, 2014

Dear Sir/Madam

KinderCare Nursing Home is being purchased by Newfoundland Assistance Living Center; KinderCare will be closing on February 20th 2015.

I am writing to thank you for the honor of caring for your family member for many years; it has been a great pleasure in having the responsibility of your love one to care for.

We will be providing all residents the option of replacement care; KinderCare Nursing Home respects your choice and decision in the placement care of your love one, However if you chose to use one of our options for continued care.

Please feel to contact KinderCare, before February 20th 2015 for further assistance.

Sincerely,

Jacqueline Black
Administrator

No HIPAA violations

Thirdly, the Support Coordinator shall identify family or close friends of the residents, telephonically, by email or web newsletter, alerting all concerned parties to the situation and circumstance about the displacement and replace of the residents. The support Coordinator will provide options to the family for placement if needed. To stay within the define methods of HIPAA please be advise to only communicate in private, according to Michael McBride (2012), “Get to know the site and remove identifiable information familiarize yourselves with how the various social media Web sites operate to better understand and explain the dangers.
In a public Social Media Forum make this statement:

KinderCare Nursing Home
Kinder care Nursing Home
000 West Standby Avenue
Phoenix, AZ 85041
(602)000-0000

December 2, 2014

Dear Mr. and Mrs., Bridge
This letter is to inform you that KinderCare Nursing Home is closing its door on February 20th, 2015.
Your love one will have to be relocated into another nursing facility, we are preparing to help you by finding other accommodations for all our displaced residence.
In the event that you want to find your love one accommodations outside or without KinderCare assistance, we here at KinderCare will do all we can to make the transition to another facility as quick and easy as possible.
We must tell you, however that your love one requires a Skilled Nursing Facility that provides 24 hour licensed nursing services, eight hour of which are RN coverage per practitioners order.
We like to thank you again for allowing KinderCare to care for you Love one for the past five years.
Sincerely,
Jacqueline Black
Administrator

Kinder care Nursing Home
000 West Standby Avenue
Phoenix, AZ 85041
(602)000-0000

December 2, 2014

Dear Mr. and Mrs., Bridge
This letter is to inform you that KinderCare Nursing Home is closing its door on February 20th, 2015.
Your love one will have to be relocated into another nursing facility, we are preparing to help you by finding other accommodations for all our displaced residence.
In the event that you want to find your love one accommodations outside or without KinderCare assistance, we here at KinderCare will do all we can to make the transition to another facility as quick and easy as possible.
We must tell you, however that your love one requires a Skilled Nursing Facility that provides 24 hour licensed nursing services, eight hour of which are RN coverage per practitioners order.
We like to thank you again for allowing KinderCare to care for you Love one for the past five years.
Sincerely,
Jacqueline Black
Administrator

Make the above statement in a private social media forum or letters.
KinderCare Nursing Home staff and affiliates, should understand the importance of the advantages and disadvantages of using media, electronic and traditional methods of notice. Traditional methods are costly, timely and can sometimes be unreliable, because people don’t always except mail in fear of reprisals, traditional phone contact is costly in that the conversation may be detailed and long , which will cost the company a telephone fee, which may or may not be necessary for personal contact and clarification, where as electronic methods are inexpensive in a global circuit and can be more reliable, because most people read their emails and other types of electronic communication in Anonymity. Global Media is a great advantage, because it reaches the masses and a vast number of people are privy to the information to be spread through the grapevine.
While making this information public, KinderCare Nursing Home staff and affiliates must use care in making the residents personal and private PHI public, according to Michael McBride (2012), “'Don't identify someone specifically on social media.” Do not use addresses, names, age or any identifiable information that pertains to any resident in any form of public communication.

Reference:
Bachman, A. (2008). PHI authorizations required By HIPAA. Tennessee Medicine: Journal Of The Tennessee Medical Association, 101(9), 33.
McBride, M. (2012). Social media hold great promise, danger. Complying with HIPAA requires a staff strategy and properly defined patient information. Medical Economics, 89(19), 70.