Advisory Opinion 94-007
January 27, 1994; Ridgeview Medical Center
Background & Issues
A local newspaper challenged a public hospital's decision to stop providing information about newborn babies. The hospital had routinely shared birth records in the past but halted the practice due to safety concerns and patient privacy rules. The Commissioner was asked to determine whether birth information at a public hospital is considered public data.
Commissioner Decision
The Commissioner decided that newborn directory information is public data if the public hospital has historically treated it as such. The Commissioner added that safety concerns should be addressed by consulting parents directly regarding their preferences on releasing information about their newborns.
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Excerpted Ruling / ConclusionBased on the correspondence in this matter, it is my opinion that:
directory information concerning the births of babies in public hospitals is public data in an instance where a public hospital has previously treated that data as directory information as matter of practice. Legitimate concerns about the effect that the release of data to the public about births of babies may have on the personal safety of parents and newborns can best be addressed by public hospitals in their communications with parents about the parents' preference as to the release of directory information about their newly born children
January 27, 1994; Ridgeview Medical Center
1/27/1994 10:14:43 AM
This is an opinion of the Commissioner of Administration issued pursuant to section 13.072 of Minnesota Statutes, Chapter 13 - the Minnesota Government Data Practices Act. It is based on the facts and information available to the Commissioner as described below.
Facts and Procedural History:On January 7, 1994, the Public Information Policy Analysis Division (PIPA) received a request for an opinion from Mr. Mark R. Anfinson. Mr. Anfinson is the attorney for the Waconia Patriot, a newspaper of general circulation located in Waconia, Minnesota and hereinafter Patriot . The facts Mr. Anfinson alleged in his request were as follows.As part of its coverage of local news, the Patriot publishes news of local interest including reports of babies born at the local hospital, the Ridgeview Medical Center, hereinafter Ridgeview . Ridgeview is a publicly owned hospital and clinic and is an entity subject to the requirements of the Chapter 13 of Minnesota Statutes. Mr. Anfinson stated that in the past, Ridgeview had routinely supplied the newspaper with directory information concerning babies born at the hospital. Recently, however, Ridgeview has changed its policy and is refusing to provide any information about newborns, citing a 1993 amendment to Minnesota Statutes Section 144.651, the Patient's Bill of Rights . Mr. Anfinson then listed the pertinent parts of Section 144.651 and concluded that Ridgeview must be interpreting the 1993 amendment to Section 144.651 in such a way as to put the amendment in conflict with Minnesota Statutes Section 13.42, subdivision 2. This provision of the Minnesota Government Data Practices Act, hereinafter MGDPA , authorizes the release of directory information about patients in public hospitals to the public. Mr. Anfinson stated that he had advised his client that it was his belief that the legislature had not intended to nullify the Section 13.42 provision with the amendment to Section 144.651 because the two provisions serve two different functions. He then stated that, because he and his client were not able to convince Ridgeview of the same conclusion, a commissioner's opinion was being requested. In response to Mr. Anfinson's request, PIPA, on behalf of the Commissioner of Administration, wrote to Mr. John Devins, President of Ridgeview. The purposes of this letter, dated January 7, 1994, were to inform Mr. Devins of Mr. Anfinson's request, to acquaint him with the Commissioner of Administration's authority to issue opinions, to ask Ridgeview or its attorney to provide any information in support of its position and to inform him of the date on which the Commissioner was required to issue this opinion. A copy of this letter was sent to Mr. Anfinson. On January 20, 1994, via facsimile transmission, PIPA received a letter of response from Paul A. Melchert, the attorney for Ridgeview. In his letter, Mr. Melchert reviewed the part of Mr. Anfinson's request that discussed Minnesota Statutes Section 144.651's effect on the release of birth information, and stated that the proper issue to be addressed was, as per PIPA's letter to Mr. Devins, whether data about birth of children at public hospitals are public data. He then requested that the Commissioner find that birth information are not public data. Mr. Melchert stated that although hospitals once commonly provided birth information to local newspapers, the practice of doing so has been discontinued due to safety concerns. In support of that statement, Mr. Melchert enclosed copies of two articles from healthcare journals discussing the safety problems of releasing birth information to the public. He also enclosed an excerpt from a study done by Ridgeview's insurer that recommended that the hospital discontinue the practice of releasing birth announcement information to local newspapers. Lastly, he included an affidavit from Ms. Susan Wilson, the director of Maternal Care at Ridgeview. This affidavit discussed the articles, the recommendation from the insurer and included a statement of opinion from Ms. Wilson that in her position she has learned that all other metro area hospitals have discontinued the practice of providing birth information to local newspapers. Mr. Melchert elaborated on the concerns raised by the articles, pointed out that the recommendation from the insurer had come as part of its review of a variety of practices of Ridgeview and, relying on Ms. Wilson's affidavit, pointed out that the Ridgeview practice was consistent with practices of other hospitals in the metropolitan area. He indicated that these concerns had been previously communicated to the Patriot. Mr. Melchert then turned to his view of the proper interpretation of Minnesota Statutes Section 13.42, the medical data section of the MGDPA. He disagreed with Mr. Anfinson's argument that Section 13.42 compels a municipal hospital to release birth information to the public. Mr. Melchert's analysis was that birth information is not directory information. He discussed the definition of directory information, which appears in Section 13.42, subdivision 1, and pointed out that the definition does not include any reference to whether a given patient is newly born and that there is nothing requiring public hospitals to designate which patients are newly born. He went on to point out that information typically provided as birth information, including the names of parents of a newly born child and the height, weight and time of birth of a baby, are not items that are identified by statute as being part of directory information. In Mr. Melchert's view, those items of data are private data pursuant to Minnesota Statutes Section 13.42. Mr. Melchert stated that Ridgeview's interpretation of the directory information provision makes sense in view of the safety concerns that were discussed. He also noted that if municipal hospitals were required to disclose this information that children and their parents would be put at greater risk because a child was born in a municipal instead of a private hospital. Lastly, Mr. Melchert asked the Commissioner to point out that directory information is not public at all if a patient requests that the information not be made public. Issue:
In his letter requesting an opinion, Mr. Anfinson asked the Commissioner to issue an opinion to the effect that certain 1993 amendments to Minnesota Statutes Section 144.651 should not be reasonably interpreted to preclude the release of information about the births of babies of public hospitals. In requesting a response to Mr. Anfinson's request, PIPA asked Ridgeview to respond to the following issue:
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