Page 134 - Security Today, September 2017

HEALTHCARE SECURITY
ments in patient areas have proven to be controversial among some healthcare groups. Unions and patient privacy advocates have led to limited camera deployments for patient monitoring in some cases.
While the use of video surveillance in patient areas has proven to be controversial at several hospitals, many Risk, Security, and Ethics com- mittees are implementing the use of covert video surveillance cameras for patient safety.
Covert video applications have been able to be put into place on the bases that patients receive a written privacy policy stating that their Personal Health Information (PHI) may be shared for medical pur- poses as well as “to report neglect or abuse to the appropriate state authorities.” While convert video installments have been deployed to identify wrong doing these same covert systems have been instrumen- tal in establishing innocence for those parents and caregivers mistak- enly suspected of Munchausen.
In a 2000 study published by the American Association of Pediatrics and conducted by Children’s Healthcare of Atlanta at Scottish Rite, the use of covert video surveillance in suspected MSBP cases was instru- mental in the diagnosis of 56% of the cases. The study concludes that “All tertiary care children’s hospitals should develop facilities to per- form covert video surveillance in suspected cases.”
Security departments have a wide array of covert video options including high-resolution pin hole cameras with various mounting options. These off-the-shelf pin hole cameras can then be custom built into the natural environment using surrounding objects and equip- ment. Other options include covert camera clocks, pens, electrical receptacle plates, tissue boxes, and even covert video biomedical waste bins. Security departments will then choose a systems architecture to identify how video will be transferred and recorded. Some covert cam-
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eras have on edge recording within the camera using micro USB cards, while others integrate with external recording devices. Security depart- ments can then choose a wired or wireless approach to retrieving live or recorded video.
While MSBP is relatively rare, the abuse of elderly and disabled patients is at an all-time high with an expected 2.1 million abuse cases in 2016; of which covert cameras could also help identify and prose- cute. These are all things to consider when asking the question, is it ever acceptable for healthcare facility to install and
mother covert cameras within patient’s room?
Derek Martinez is a sales and marketing strategist with 20 years of experience as an integrator, design consultant, end user practitioner and demand cre- ation specialist.
References
Hall, D, Eubanks, L. “Evaluation of Covert Video Surveillance in the Diagnosis of Munchausen Syndrome by Proxy: Lessons From 41 Cases.” AAP News & Journals, 19 Jan. 2000, Web. Accessed 5/9/2017
The Cleveland Clinic Foundation. “Munchausen Syndrome by Proxy” Health Library Articles 1995-2016. Web. Accessed 5/9/2017
Dr. Keneshiro, N. “Munchausen syndrome by proxy” U.S. National Library of Medicine, July 10, 2015, Web. Accesses 5/9/2017
Russell, C. (2001) “Hospital and Healthcare Security, Fourth Edition” Butterworth-Heinemann, Woburn, MA. Print.
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