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The XY Files in an MT World

Potential Offshore Outsourcing Catastrophe - Medical Records For Sale In India

Published October 19, 2009 7:47 AM by Jay Vance

According to articles in The Economic Times and The Daily Mail, an undercover investigation by Britain's ITV1 television program "Tonight" has revealed that medical records of UK citizens are available for purchase from Indian black marketeers. Quoting from The Economic Times article:

The modus-operandi employed to procure the records was simple. Chris Rogers, the [television] programme’s presenter, contacted two Indian salesmen through an internet chat room, and posed as a marketing executive keen on buying medical records to sell insurance and medicines.

Rogers bought 116 files with detailed medical records of British patients from the two salesmen, whom the programme named as Jayesh Bagchandnani and Kunal Gargatti, the Daily Mail, a prominent British tabloid, reported on Sunday.

Bagchandnani reportedly said they came from staff at an Indian ‘transcription’ centre where medical records are computerised. Bagchandnani told Rogers: “We can do really good business with these leads. These leads will give you diagnose, entire diagnose of all the India’s top 10 BPO customers, what the customer is facing. There are 17 teams or you can say team managers. The floor managers, they are working as freelancers for me and I am telling them to pull the data for me. They work for me.”

Researchers for the programme then met Gargatti, in Mumbai. “You have the doctor’s name, doctor’s address, doctor’s phone number. Each and every thing here. I have 30,000 files to give you today, right now. I’ve around 140 diseases here. You just tell me which disease you’re looking out for — I can give you anything ,” he told them.

The files procured were of patients of London Clinic, one of Britain’s top private hospitals. Several hospitals in the National Health Service have also outsourced their transcription to India, sparking concern over data safety following the latest investigation. 

In this HITECH era of increased scrutiny of protected health information security here in the U.S., this has to be a worst-case scenario for offshore outsourcing firms already concerned about the effect HITECH will have on their business.

7 comments

I recently came across your blog and have been reading along. I thought I would leave my first comment. I don't know what to say except that I have enjoyed reading. Nice blog. I will keep visiting this blog very often.

eyeredtranscription eyeredtranscription, Medical Transcription November 13, 2009 2:32 AM
Delhi

From Na Vijayashankar ("Naavi") at www.naavi.org comes a strong response to the Indian black market medical

November 3, 2009 4:10 AM

I just read about Medical Records from the UK being sold to the black market in India. I personnally think each Country should handle their own tasks and stop outsourcing to countries with a cheaper labor force. I have been in the Manufacturing business for all of my working years and have slowly seen jobs outsourced to other countries. The manufacturing side of the Printing Industry offers very few jobs left in the U.S. I can no longer make a living in this Industry due to outsourcing. I am currently enrolled in classes in the Medical field to change careers so I can earn a decent living. I am sorry these other countries pay their employees so little, but I believe each Country should look after their citizens and try to stop employers outsourcing to these countries. We need someone in a position of authority to step in and stop what is happening to this country's jobs as well as other countries jobs. What about our children's future? Why are we letting this happen? I hope this incident concerning the UK's medical records will at last wake up Authority figures who will stop what is happening to our country's future as well as all country's future concerning outsourcing.

Debbie Rhodes

Debbie Rhodes October 30, 2009 7:23 AM
Mechanicsville VA

It's not just that the workers in India got ahold of the info and were willing to sell it, it's that it got to the people who sent it to the people in India.  That's private information, the property of the patient, and access should be restricted to the doctor; with patient's explicit permission, other doctors who are consulted or specific nurses providing care.  In a manner of speaking it shouldn't be going out of the room, let alone out of the country!

jgo October 26, 2009 2:46 PM

This is not the first incident like this. Sending confidential data to a country which does not have the same privacy laws doesn't seem like that great of an idea. Outsourcing MT work overseas does not save health care costs, and it is costly in terms of the quality of health care.

Yimji October 24, 2009 12:07 AM

Pat, that information was not provided in the articles I found on this topic.

Jay Vance October 21, 2009 11:43 AM

Do you know the company name where this incident happened?

Pat October 21, 2009 10:03 AM
Phoenix AZ

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    Jay Vance, CMT
    Occupation: Medical Transcription Industry Consultant
    Setting: Yuma, AZ
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