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Health Information Exchange & Interoperability Resource Sets

Sensitive Information and the Electronic Patient Record

HITEQ Center, June 2023

Molly Rafferty 0 1672

With nearly 100% of community health centers utilizing electronic health records (EHR) to care for patients, focus has pivoted from implementation and new workflow development to enhancement in order to drive value and reflect patient needs and population trends. EHR technology presents potential opportunities and significant constraints. Providers frequently document and share potentially sensitive information in the EHR, such as risk for intimate partner violence (IPV), consistent offers of pre-exposure prophylaxis (PrEP), or patient sexual orientation and gender identity (SOGI). Capturing such information can be immensely helpful in providing care tailored to individuals’ needs, but additionally challenges teams to develop workflows that keep the data private rather than risk harm to patients through improper or unintended disclosure.

FAQ: How can health centers comply with both 42 CFR Part 2 and the Information Blocking Rule?

July 2023

Molly Rafferty 0 2027

Many healthcare providers, including health centers, are concerned about reconciling the need to protect patient privacy under HIPAA and 42 CFR Part 2 while avoiding interference with electronic health information sharing and violating Information Blocking regulations.

Interoperability Readiness Scorecard

HITEQ Center, July 2023

Molly Rafferty 0 1072

Many health centers struggle to reap the benefits of technological advancement and investments in health information technology (health IT), while others embrace them and reap rewards. Interoperability is one such example; requiring health centers assess systems, relationships, and implementation.

There are keys to successful interoperability implementation for which health centers must develop processes, stand up infrastructure (within the system, internally and externally, and organization), and then take action.

Process refers to structured processes, policies, and procedures within the health center.

Infrastructure refers to structural capacity and ability within the health center’s technology and staffing structure.

Action refers to full implementation to the point of active and ongoing use and engagement.

This scorecard encourages health centers to consider their processes, infrastructure, and action in a number of key areas. Each area key to interoperability are to be self-graded on a scale of 1 through 5, where 1 is poorly or not yet developed and 5 is well developed. Health centers can also use this to guide discussions and monitor progress over time.

FAQ: How will the upcoming changes to the Information Blocking and EHR certification requirements impact health centers?

October 2022

Molly Rafferty 0 6860

During the 4th quarter (October to December) of 2022, there are two major health information technology (HIT) requirement changes, with potential for significant implications to health centers. Read this FAQ to find out how your health center can respond.

 

FHIR 101: Opportunities to Improve Interoperability across Health Centers

HITEQ Highlights Webinar

Jodie Albert 0 9414

Fast Healthcare Interoperability Resources (FHIR) is an HL7® standard for electronic healthcare data exchange. This next generation exchange architecture is advancing interoperability in healthcare. FHIR provides a standard way to express and share information across health centers, providers, and related organizations independent of how local EHRs display or store data. For UDS+ and other information exchange needs, all health centers, PCAs, and HCCNs will want to be familiar with the basics of the HL7 FHIR standard. In this session we will discuss what FHIR is, what it basically does, how it impacts your EHR, and what it might mean to your health center and patients.

Health Center Case Examples in Coding and Documenting Social Risks: Introduction

Privacy and Data Sharing Considerations | HITEQ Learning Collaborative

HITEQ Center 0 12458

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series will present health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

Health Center Case Examples in Coding and Documenting Social Risks

Immigration Case Example | Privacy and Data Sharing Considerations | HITEQ Learning Collaborative

HITEQ Center 0 11155

Are you capturing information like immigration or refugee status, intimate partner violence, human trafficking, risk of acquiring HIV through sexual contact or substance use disorder, or other information that brings up questions about how to document or code while respecting the patient’s privacy?

This health center learning collaborative series presented health center case examples that explore the privacy and data sharing considerations of EHR documentation of sensitive patient information, such as social history and social risk, and encourage participants to discuss the implications for health centers and their patients. 

Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Mr. Dan Tuteur, the Colorado RHIO, OCHIN, and the Sequoia Project.

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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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