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Here , the OII is exploring the socio-legal issues behind these developments : who now owns the intellectual property rights , for instance , and what about patient confidentiality when medical images are shared ? Instead , recent practices reported by HR professionals to partially offset the rapid rise in premiums have included cost shifting of premium increases to employees , higher deductibles , mail-order and generic prescription programs , and increased patient cost sharing . Discharge from acute care hospitals and independent rehabilitation facilities should be based on patient progress . Critical criteria for evaluating need at both the community and state levels should include consideration of actual and potential patient utilization assessed by patient type and patient need , taking into consideration such factors as age , demographics , income and poverty levels , prevalent diagnostic patterns , and community economic needs and planning . Mean task scores were calculated and the statements were combined to produce mean category and patient scenario scores . The importance of " caring " for and about the patient need , has to be emphasized . In addition to these concrete methods , however , healthcare providers should institutionalize a sense of responsibility for maintaining patient confidentiality at all levels , including individual staff , program managers , and organizational administrators . In the past it has been difficult to obtain medical data because of patient confidentiality . The linkage between PCC and the Behavioral Health Module will be reviewed in relationship to concerns about patient confidentiality , statistical reporting , and billing . In order to ensure that treatment is dictated by patient need and not by opportunities for profit , governments must continuously monitor payment mechanisms ( whether fee-for-service , salary , capitation , global budgeting or other ) .