HIPAA Compliance

Test users are encouraged to delete client names when their assessment process is completed. This proprietary "name deletion" procedure involves a few keystrokes. Once names are deleted, they are gone and cannot be retrieved. Deleting names does not delete demographics or test data which is downloaded into a database for subsequent analysis. This name deletion procedure insures confidentiality and compliance with HIPAA (federal regulation 45 C.F.R. 164.501) requirements.

The "Delete Client Name" option is provided on the "Supervisor Options" section of the test's webpage. To delete the client's name, log in and navigate to the test that the client has taken. On that test's main menu, click on that client's name and then click the "Supervisor Options" button. On the Supervisor Options page, click on the "Delete Client Name" button and then click the "Continue" button. When this step is completed, the test report will no longer be available for review or printing.

This proprietary software feature is provided to give Online Testing customers client confidentiality at no additional cost. It is the test user's responsibility to delete the client's name, thereby insuring that they are HIPAA (federal regulation 45 C.F.R 164.501) compliant.

American Society of Addiction Medicine (ASAM)

ASAM provides patient placement criteria for the treatment of substance-related disorders, 2nd Edition (ASAM, PPC-2).

To increase the effectiveness of patient's substance (alcohol and other drugs) abuse care and to foster the development of universally accepted patient placement criteria, ASAM published the "ASAM Patient Placement Criteria for the Treatment of Psychoactive Substance Use Disorders." These criteria have been accepted by many evaluators and mental health professionals. In the public sector, some states are requiring that providers and managed care companies within these states use the ASAM criteria. However, it should be noted that ASAM Criteria are not universally accepted by evaluators and mental health professionals

There is sentiment that ASAM is not "universally accepted." Some mental health professionals are of the opinion that ASAM escalates its recommendations for inpatient treatment too rapidly. Others argue that a "universally accepted" patient placement criteria is too "rigid" and "limiting", and many patient's substance abuse-related problems require individualized consideration.

ASAM requires organizations to submit hard copy print or guidelines to the ASAM Criteria Committee for review and approval. ASAM charges a review fee for guideline review and a license fee or royalties will be charged for the use of ASAM "criteria."

Since ASAM will not authorize the incorporation of "ASAM Criteria" in whole or in part into non-ASAM-owned and copyrighted software, Professional Online Testing Solutions, Inc. does not attempt to present or impose ASAM criteria beyond noting that many of ASAM's criteria are generic, all inclusive and sweeping in nature. And it is these all-encompassing recommendations that Professional Online Testing Solutions, Inc. refers to when it states that its substance (alcohol and other drugs) abuse recommendations are ASAM compatible. Professional Online Testing Solutions, Inc. does agree with ASAM that "problem severity" is an important consideration when deciding upon treatment intensity.

The following observations are simply ASAM quotes that were abstracted for clarity:

"Within the context of DSM-IV classification of substance abuse, ASAM notes there are exceptions to ASAM's recommended levels of care and these exceptions are based on symptom severity.

Continuing, treatment within any level of care may be modified according to the severity of a client's substance (alcohol or other drugs) abuse condition.

Individuals must meet DSM-IV criteria for substance abuse "or other standardized and widely accepted criteria, but whose symptoms are severe enough to warrant assessment."

ASAM continues, noting that treatment within any level of care may be modified according to the severity of the client's substance (alcohol and other drugs) - related condition.

Behavior Data Systems, Ltd.
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