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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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Improving Quality and Value

Sensitive Information and the Electronic Patient Record
Molly Rafferty
/ Categories: EHR Selection and Implementation, EHR Implementation, Health Information Exchange, Relevance of HIE, Description of HIE, Implementation of HIE, Promoting Interoperability, Privacy and Security, Privacy & Security Best Practices, HIPAA, Ending the HIV Epidemic, HIV, PrEP

Sensitive Information and the Electronic Patient Record

HITEQ Center, June 2023

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.

This brief resource describes the risks and benefits of differing strategies to capture and steward sensitive information while emphasizing privacy and accessibility. These examples are shared to facilitate health center teams in developing workflows that are most appropriate for their settings and patient populations.

Download the resource in the Documents to Download Section below.

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Tags: EHRscreening testEHR Safetyscreening toolEHR TipsICD-10ICD10EHR PlanningscreeningEHR protocolHIVPrEPEnding the HIV EpidemicHIV screeningHIV preventionintimate partner violenceIPV/HTsexual historyPrEP IdentificationEHR trainingEHR documentationSOGIEHR Workflowsinformation blocking badge

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable contributions from the National Association of Community Health centers (NACHC) as well as HITEQ's Advisory Committee and many health centers who have graciously shared their experiences with HITEQ.

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