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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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Resource Overview

The process of finding and hiring the best-qualified candidate for a Quality and/or Health IT job in your health center is time-intensive and challenging. Having job vacancies or recruiting the wrong person can cost the organization in terms of real money, time spent, morale, and productivity. Successful hiring requires refining the recruitment process, which includes analyzing the requirements of a job, attracting employees to that job, screening and selecting applicants, and hiring the new employee to the organization.

This section includes resources to help you define and refine your recruiting methods.  These are tools that have been tested by health centers in the field and are proven to work. These resources reflect the combined experience of several successful health centers around the country.

Also available are templates for Health IT Job Functions and samples of Health IT Job Descriptions.

Health IT Staff Recruitment Tools
Navigating Compliance Challenges with the Information Blocking Rule: A Collection of Case Studies
Molly Rafferty
/ Categories: EHR Implementation, Health Information Exchange, Relevance of HIE, Description of HIE, Implementation of HIE, Information Blocking, Promoting Interoperability, Privacy and Security, Privacy & Security Best Practices, HIPAA

Navigating Compliance Challenges with the Information Blocking Rule: A Collection of Case Studies

HITEQ Center and Feldesman Tucker Leifer Fidell LLP, September 2023

The Office of the National Coordinator for Health Information Technology’s (ONC) 21st Century Cures Act Information Blocking Rule (Info Blocking Rule) prohibits covered actors – including health care providers, health IT developers of certified health IT, and health information exchanges/health information networks– from engaging in practices likely to interfere with, prevent, or materially discourage access, exchange, or use of electronic health information (EHI). The Info Blocking Rule includes eight exceptions that provide actors with certainty that, when their practice interferes with the access, exchange, or use of EHI and meets the conditions of one or more exception, such practice will not be considered information blocking.1 An actor’s practice that does not meet all the conditions of an exception will be evaluated on a case-by-case basis to determine whether information blocking has occurred.2

Since the Info Blocking Rule went into effect in 2021, EHI has become more available than ever as it is posted to portals, sent through health information exchanges, and available via health-related apps upon request by patients.3 As the availability of EHI has increased, so too have concerns about the privacy of EHI. Like other actors, health centers are faced with new compliance challenges, including how to best protect sensitive EHI, how to respond to patient requests to restrict access to their EHI, and how to respond when patients request changes to their EHI. Health centers must navigate complex and, at times, conflicting federal and state laws and regulations.

The case studies in this Issue Brief demonstrate recent compliance challenges faced by health centers. Each includes a review of the applicable federal, legal, and regulatory requirements and recommendations for navigating conflicting requirements.

Download the resource in the Documents to Download Section below.

1 45 CFR 171.200; 45 CFR 171.300.

2 “Frequently Asked Questions,” HealthIT.gov, The Office of the National Coordinator for Health Information Technology (ONC), April 2023, https:// www.healthit.gov/faq/would-it-be-information-blocking-if-actor-does-not-fulfill-request-access-exchange-or-use-ehi.

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Tags: health information exchangeCase StudyPrivacy and Confidentialitycase exampleHIPAAconfidentialityelectronic health informationprivacyprivacy & securityinformation blockinginformation exchangePrivacy and Securityinformation blocking ruleEPE Badgeinformation blocking badge

Documents to download

Related Resources

Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Chris Espersen, HITEQ Advisory Committee member and Independent Contractor and Past President of Midwest Clinicians Network; Shane McBride, Independent Contractor and Past Vice President of Quality and Clinical Systems at South End Community Health Center; Chris Grasso, Associate Director for Informatics & Data Services- The Fenway Institute; and Ed Phippen, Principal - Phippen Consulting, LLC.