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Psychotherapy Notes47. A covered entity must obtain an individual’s authorization to use or disclose psychotherapy notes with the following exceptions48:

The covered entity who originated the notes may use them for treatment.
A covered entity may use or disclose, without an individual’s authorization, the psychotherapy notes, for its own training, and to defend itself in legal proceedings brought by the individual, for HHS to investigate or determine the covered entity’s compliance with the Privacy Rules, to avert a serious and imminent threat to public health or safety, to a health oversight agency for lawful oversight of the originator of the psychotherapy notes, for the lawful activities of a coroner or medical examiner or as required by law.

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EHR | Health Maintenance Protocol eHealth

HealthWatcher automates sending those easy-to-forget reminders to your patients with medical advice and health care best practices

Providing sound health maintenance means including a full array of counseling, screening, and other preventive services designed to minimize the risk of premature sickness and death and to assure optimal physical, mental, and emotional health throughout the natural lifecycle. Today's leading EHR systems offer a wide variety of electronic health record (eHealth or EHR) features to optimize workflow and patient safety. For example, screening tests and physician counseling are important tools for identifying common yet potentially serious injuries, illnesses and diseases that can be prevented or cured with early intervention.

EHR Helps Obtain Successful Health Compliance Outcomes

EHR (eHealth) provides you the tools for successful management of patient populations, conditions, and preventive health routines ensuring patient compliance and preventive care. The HealthWatcher tool allows for customized profiles and protocols to ensure your practice complies with best practices and your patients adhere to your medical advice.

eHealth Maintenance Tailored to Your Practice Needs

With ADP AdvancedMD EHR, you can tailor your health maintenance solution to fit the unique needs of different groups of patients. For example, you can customize health maintenance information by diagnosis or by payer to accommodate carrier guidelines. Find out how ADP AdvancedMD can help your support staff quickly identify and reach out to patients who are due for tests or procedures.

Utilize Continuity of Care Protocols for Better Safety, Health Maintenance & Compliance
Our HealthWatcher (eHealth maintenance) module is part of our EHR and is a tool that helps the practice and provider follow continuity of care protocols. We support care plans, guidelines and protocols for the management of specific conditions based on factors such as age, sex, diagnosis and lab result values.

Benefits of HealthWatcher Maintenance in the EHR
Generates alerts for appointment recall, prescription refills and laboratory orders
Protocols can contain one or a series of tasks, renewable based on user-defined intervals
Health maintenance protocols can be assigned to an individual or group of patients

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A.D.H.D. Study Suggests Links Between Medication and Fewer Crimes
By PAM BELLUCK
Published: November 21, 2012
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A large study suggests that people with serious attention deficit hyperactivity disorder are less likely to commit crimes when taking medication.
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The study, published in The New England Journal of Medicine, examined records of 25,000 people in Sweden to see if those with A.D.H.D. had fewer criminal convictions when taking medication than when they were not.

Of 8,000 people whose medication use fluctuated over a three-year period, men were 32 percent less likely and women were 41 percent less likely to have criminal convictions while on medication. Patients were primarily young adults, many with a history of hospitalization. Crimes included assault, drug offenses and homicide as well as less serious crimes. Medication varied, but many took stimulants like Ritalin.

“The study adds a lot,” said Dr. Gabrielle Carlson, director of child and adolescent psychiatry at Stony Brook University medical school, who was not involved in the study. “Cutting the crime rate, that’s not trivial. Maybe it will get some help for people in jail. It gives people who were on the fence maybe a little more confidence in this treatment.”

Studies suggest that people with A.D.H.D. are more likely to commit crimes. And while people, especially boys, are often prescribed medication as children, they often resist taking it as teenagers. Studies have not shown that medication has long-term effects on symptoms.

Dr. Paul Lichtenstein, a study author and a professor at Karolinska Institute, cautioned against concluding that everyone with A.D.H.D. should be continuously medicated.

“There are pros and cons to medication,” he said. But “in young adults, the age where criminality is most common, you should consider medication because it is more harmful for these people to be involved in criminal activities. Also for prisoners and people who have left prison.”

Researchers said that correlations between medication and decreased crime held regardless of the type of medication or crime and the presence of other disorders. They tried to determine if patients stopped treatment because of criminal convictions, but found that treatment itself appeared linked to fewer crimes.

Among psychiatric experts, when, and sometimes whether, to prescribe A.D.H.D. medication is still debated. Drugs do not work for everyone, and side effects can include jittery feelings and suppressed appetite and growth.

William Pelham, director of the Center for Children and Families at Florida International University, said nondrug therapies like behavioral modification worked as well as medication in the short run. He said that the study did not prove that medication caused less criminality, and because most subjects were seriously ill adults, the results were irrelevant for most American children.

Jason Fletcher, an associate professor at the Yale School of Public Health, said that despite some weaknesses, the study provided a “very suggestive piece of evidence” supporting medication. “Because crime is so expensive, if you can reduce it, even by half of what they’re saying, you might still say this is really effective medication.”

He did wonder if medication is reducing crime or “making better criminals,” who avoid arrest. Dr. Lichtenstein deemed that unlikely. “I don’t think you would commit the crime,” he said, “and then just not get caught.”

Quoted from Box A Rox

When does NY's gun laws go into effect???

Quoted from BuckStrider

The part with the 'new' classification of what an assault rifle is (has any 1 of the following (used to be 2)...pistol grip,folding stock,flash suppressor, or bayonet mount) and ammo clips of 10 rounds were banned and illegal for sale as soon as he wrote the second 'O" in Cuomo.

Just to let you know Boxy, there is no such thing as a 7 round ammo clip because nobody makes them.

If you already own 10 round clips, you have a year from yesterday to sell them OUT OF STATE or face a misdemeanor charge if your caught with one.

So basicly all you can buy as of right now are most shotguns,lever action or bolt action rifles with a capacity of 7 rounds and under and revolver pistols.

EDIT: Now that I think about it you CAN buy a semi-auto rifle or pistol....You just won't be able to load it.

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•Bans possession of any high-capacity magazines regardless of when they were made or sold. Only clips able to hold up to seven rounds can be sold in the state. Clips able to hold seven to 10 rounds can be possessed, but cannot be loaded with more than seven rounds. If an owner is found to have eight or more bullets in a magazine, he or she could face a misdemeanor charge.

Quoted from joebxr

Thought I read that you could keep 10 round clip but only allowed to load with 7 rounds, or if found to have more than 7 it's misdemeanor.

Quoted from BuckStrider

If you currently own a 10 round clip you have 1 year from yesterday to sell it OUT OF STATE or face a misdemeanor charge if you are caught with it....As of now you cannot legally buy a 10 round magazine.

Quoted from joebxr

just posted the section of the law...yo ucan't buy 10 round but if you have one you can keep it but only load 7 rounds

Quoted from BuckStrider

LOL...How can you possibly enforce that?
,
In any case,the fact still stands that you can't buy a semi pistol or rifle because you can't load it.

Quoted from joebxr

I'm SOL right now anyway...was looking at Glock 23, and that has 13 round clip. Don't know what Glock will do. They sell Glock 36 and 39, .45acp with 6 round clip and 1 in chamber, but not wanting a 45.  Guess I'll wait and see.

Quoted from Box A Rox

To the Board Gun Huggers, From The Rest of America.

Quoted from BuckStrider

You still haven't answered on how these new totally unconstitutional gun laws are going to prevent another Sandy Hook.
And I'm sure that your totally fine and happy that Gov. Cuomo and the NY muppets just rammed this through without any public imput