NELIGH, Neb. — Practices which helped neighbors stay connected in this
community of 1,200 and others like it across the country are largely gone —
partly because of the nation’s new medical privacy laws under the Health
Insurance and Portability and Accountability Act.
It used to be easy for Hope Weaver to comfort friends when they were in the
hospital. If she didn’t hear that someone needed a visit by word-of-mouth, she’d
simply pick up the newspaper, tune in her radio or look at the patient list
posted in the hospital’s front lobby. “You like to send people a card or keep in
touch with them,” the 79-year-old resident notes.
Designed to better protect a patient’s right to privacy, the sweeping
overhaul of federal health-care laws went into effect in April 2003. That same
month, Antelope Memorial Hospital in Neligh shut off general access to its
The federal regulations “closed the openness that small communities have,”
said Shirley Clinton, a hospital privacy officer for Antelope. Now, printing and
broadcasting names of patients makes a hospital liable under the law if
someone’s name is released without permission.
Clinton said HIPAA has helped in some ways. In the past, well-meaning people
who didn’t have loved ones in the hospital could bother patients who did not
want to be disturbed, she said.
But the changes still don’t sit well with some people in Neligh.
Gary Snodgrass, of nearby Clearwater, used to keep tabs on who was in the
hospital as he listened to KBRX radio while driving his gravel truck for the
Antelope County roads department. A list of people admitted and released was
read, and hospitalized friends at least received a telephone call, Snodgrass
The new rules also upset Snodgrass’ 88-year-old mother, Lois Snodgrass, and
many of her friends, who once watched the newspaper carefully for people they
“Even people I didn’t know too well, people from church, we’d send cards,”
Mrs. Snodgrass benefited from the old policy, too. Eight years ago, she was
in the hospital for about a month with complications from gall bladder surgery
and other health problems.
“At that time, people could come and visit,” she said. “It helped make my
stay a lot more pleasant.”
Now, word of mouth or announcements at church have to suffice if the wider
community wants to know who is hospitalized.
The HIPAA regulations, which carry civil and even criminal penalties if
violated, require doctors, hospitals, pharmacies and insurers to notify patients
about the privacy rules, describe how their medical information may be used and
explain patients’ rights under the new guidelines.
Unless patients insist on strict privacy, hospitals still can tell people who
ask for patients by name what their general condition is, and hospitals can
issue names of patients to clergy who want to visit ailing parishioners.
If patients don’t want their names or other information released, health
officials cannot even acknowledge that those individuals are in the
Antelope Memorial is far from alone in stepping up patient privacy.
Robert Dockter, chief executive of a hospital and assisted living center in
Eureka, S.D., said his facility stopped broadcasting patient names about three
years ago, as patients in the town of 1,100 began opting out of being identified
and HIPAA regulations loomed.
Rosemary Blackmon, a spokeswoman for the Alabama Hospital Association, said
the practice of publishing names in that state began fading away even before
HIPAA, largely because people became more protective of their privacy.
“Years ago, that was the practice,” Blackmon said. “Everybody in the world
wanted to know who was in the hospital.”
Joan Wright, owner, editor and publisher of the weekly Neligh News &
Leader, said the newspaper received a number of telephone calls after it ran
a notice explaining that names of hospitalized residents no longer would be
Townspeople complained, “’My neighbor was in the hospital and I didn’t even
know it,’” Wright said.