PURPOSE

To identify the Key Rules of confidentiality and review the challenges of maintaining confidentiality. Explore ways to protect the privacy of adults with disabilities, their families, and other support members.

1. Learn the three Key Rules of confidentiality.

2. Identify the consequences of breaking an employer’s     confidentiality.

3. Outline the challenges of maintaining confidentiality
4. Identify ways that a Support Broker can advocate with

    community members about the people they serve and still

    abide by the rules of confidentiality.

INTRODUCTION
Many Support Brokers in the My Voice, My Choice waiver option will have had experience working with people who have disabilities or who have received supports through another social service systems. This implies that Brokers should already have an extensive background on the legal aspects of confidentiality requirements. Many professionals discuss HIPAA (Health Insurance Portability and Accountability Act of 1996) which governs the sharing of health information. Health information relates to "any information, whether oral or recorded in any form or medium, that is created by providers, health authorities, employers, schools and so on. This information can apply to the past, present or future condition of an individual". 

Throughout the development of an individual's plan, you may be given information about the person, previous providers, or family members that could be negative, demeaning, or derogatory. Information shared could also be very positive and supportive; however, information should only be considered relevant if it has bearing on reaching the goals and dreams of the person with a disability, and only with that person's permission.  Consistent adherence to confidentiality means that the particulars of a person's private life is protected and can not be shared with anyone with out the expressed permission of the individual involved.

There are two primary types of information that you must protect. The first applies to written documentation of background or collateral information, planning events or meetings, as well as detailed changes to plans, contracts or agreements. Specific protocols for maintaining such documentation will be outlined by the Idaho Department of Health and Welfare at a later time.

The second applies to verbally transferred information. It is this type of information that will challenge Support Brokers in the small towns of Idaho. As you attempt to build community, create partnerships with potential community support providers, and maintain dynamic Circles of Support, the risk of giving out unauthorized information will be ever present. Support Brokers who are able to maintain a respectful attitude towards their employer's personal life will not only be strong professionals, but they will mentor others to adhere to confidentiality standards.

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