Acknowledgements

This resource collection was compiled by the HITEQ Center staff with guidance from HITEQ Advisory Committee members and collaborators of the HITEQ Center.

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Overview

The HHS-wide initiative Ending the HIV Epidemic: A Plan for America seeks to leverage the powerful data and tools now available to reduce new HIV infections in the United States by 75 percent in five years and by 90 percent by 2030. HITEQ is identifying best practices and barriers to using health IT to support early diagnosis, application of proven prevention interventions including access to PrEP, and sustained treatment for people living with HIV to achieve and maintain viral suppression.

Ending the HIV Epidemic Resources
Sensitive Information and the Electronic Patient Record

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.

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