Treating patients in the parking lot: You can, but proceed with caution

Why This Topic Matters

Unexpected disruptions can force practices to make rapid decisions about where and how to see patients. Understanding the general compliance and risk-management themes helps practices prepare for emergencies without exposing themselves to avoidable legal or operational problems.

Article Sections

1. Emergency care in unconventional settings

   Introduces the scenario of treating patients outside the office during a disruption and discusses the broad distinction between emergent and non-emergent situations. It also raises the role of liability and consultation with insurers or counsel.

2. Preparedness and guidance for power outages

   Addresses the importance of having an advance plan for disruptions and references federal emergency guidance for health care facilities. The discussion is framed around readiness and recovery from operational interruptions.

3. Medical records

   Covers broad documentation and record-handling considerations when care is provided under unusual circumstances. It includes temporary documentation and later incorporation into the practice record system.

4. Record consent

   Discusses documenting the patient’s agreement to receive care in the temporary setting instead of returning another day. The emphasis is on preserving a clear record of the circumstances.

5. HIPAA

   Addresses privacy concerns related to conducting an encounter in a location where others might overhear. The section focuses on maintaining confidentiality during care delivery.

6. Place of service 99

   Mentions a billing or reporting-related place-of-service designation associated with care delivered in a nontraditional location. The article presents it as the relevant general category for this scenario.