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Avoiding Malpractice Tips

Protecting Client Records

Sep 2, 2014 | Avoiding Malpractice Tips

As a Practicing Social Worker Are You at Risk to Protect Client Records?

Are You Fully Covered by Your Insurance Plan for Protecting Client Records and for Third Parties Handling Your Client Records?
YES, and Most Probably, NO.

Common practice methods require the social worker to first engage the client in early meetings to promote a collaborative relationship. This is where malpractice liability exposure, cyber liability data breach exposure, and general liability exposure begin the social worker’s total risk exposure.

The social worker must buy insurance coverage to protect against risks. Examples of risk elements include proper practice techniques, documentation creation and protection, client records management and retention, and even accidents in the workplace.

Many people are unaware that there is a distinct insurance risk difference between a social worker causing a client records breach, and a third party causing a client records breach. HIPAA holds the social worker responsible for both events and penalizes the social worker for both events.

Most professional liability insurance policies deliberately exclude covering damages and legal defense of the social worker for records information breaches when the records are under the direct control of the social worker. Most professional liability insurance policies do not cover records information breaches committed by third parties such as movers, storage facilities, and online records repositories for example.

All of these risks are covered by the Preferra Insurance Company RRG Professional Liability Policy and by its Cyber Liability Personal Data Breach Response Policy. It is extremely rare that any professional liability insurance policy covers the social worker for legal defense and damages arising from misdirected emails and faxes containing client information, but the Preferra Insurance Company insurance plans cover these information records breaches.

Preferra Insurance Company offers insurance solutions for risks covered by its Professional Liability, Cyber Liability, and General Liability insurance policies. These insurance protection solutions are NASW ASI proprietary, designed especially for social workers, have comprehensive benefits, have low premiums, and in Preferra Insurance Company’ opinion, provide the highest value in the marketplace.

In the Assessment phase of treatment, information is gathered by the social worker that guides a plan of action to help the client. This is a particularly important core function from an insurance perspective. When information is documented, these records become client records subject to protection under HIPAA legislation, that holds the social worker liable for breach by the social worker and breach by any third parties who handle the records information.

These client records become subject to potential subpoenas and related social worker depositions. What the social worker says in writing and verbally can be used against the social worker in licensing board inquiries and in court. Even how the client records are stored on premises, or with a third party, or even moved by a third party is relevant. Risks increase exponentially, and it is in the social worker’s best interest to buy liability insurance plans through Preferra Insurance Company.

This is a very serious matter. For example, in 2013, Congress added third party breach liability to HIPAA, specifically HIPAA HITECH 45 CFR part 160 which holds social workers liable for a third-party data breach. Violation of this law has civil penalties up to $25,000 for an accidental breach by the social worker’s records management company provider, or even a mover hired to relocate the social worker’s office or files. Criminal penalties range up to 10 years in jail and $250,000 in fines.

There is no doubt that social work is a noble profession with implicit values of service, social justice, human dignity, integrity, and clinical competence. Despite all of the sincere devotion provided by social workers,…

…they need to check and thoroughly read their Professional Liability Policy for exclusions in coverage for information records breach, and check their Cyber Liability Personal Data Breach Response Policy for third party information records breach.

The Preferra professional liability policy protect you for all of these types of records information breaches. These plans are offered by Preferra Insurance Company and designed for social workers. They have the oversight of the social worker Boards of Directors looking out for the interests of the social workers, and unlike other liability insurance plans, the Preferra Insurance Company plans are not owned by corporations who must attain Wall Street earnings numbers each quarter.

Do you have a question you would like to see addressed in the Tip of the Month, or wish we would address a previous Tip in more detail? We welcome your ideas! Please email suggestions to [email protected] (include “Tip Idea” in the email title). A new topic will be profiled each month.

Small Groups, LLC’s and legal entities do not qualify for Cyber Liability Insurance. For General Liability rates for Small Groups and Agencies, please contact [email protected].

Published September 2014

Avoiding Malpractice Tips

Monthly advice and information to help you manage risk. See list of past articles.

Resources and References

  • Are You Considering Teletherapy? Check out what you need to know BEFORE You start.
  • Have a question about your policy or need specific information, you can speak with a knowledgeable, licensed insurance representative by calling 888-278-0038.

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