This practical guide features key tools and principles to help health centers (HCs) develop safe documentation for intimate partner violence, human trafficking, and exploitation (IPV/HT/E) in their electronic health records (EHRs) and other technology tools.  In 2020, the Health Resources and Services Administration’s (HRSA) introduced new Uniform Data System (UDS) data elements for health centers (HCs) to report on IPV and HT/E. With the evolving landscape of data use in medical settings, it is imperative that HC staff understand privacy principles and implement best practices to protect confidentiality for survivors of IPV/HT/E. This resource features guidelines on documenting IPV/HT/E in the EHR using a trauma-informed, survivor-centered approach. The guide also features tools that FUTURES has developed alongside health IT platforms, namely for eClinicalWorks and OCHIN Epic, to aid HCs in using the evidence-based CUES intervention that focuses on universal education approaches on IPV/HT/E. This guide is available as a PDF (4 pages) in English.

Ready to take the next step towards enhanced IT preparedness? The resources linked below, organized by topic, share actionable strategies that health centers can implement to move towards greater resilience.

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. 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.

This resource provides guidance to health centers for implementing FHIR in compliance with the Information Blocking Rule.  

This webinar discussed the importance and unique considerations for cyberthreats in pediatric health care settings, followed by a Security Risk Assessment (SRA) Tool walkthrough.

In March 2019, the Office of the National Coordinator for Health Information Technology (ONC) issued a Proposed Rule, 21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program. ONC released a final rule in March 2020, published in the Federal Register on May 1, 2020. The Final Rule on Information Blocking prohibits actors from blocking the exchange of electronic health information and seeks to increase the ease and choices available for patients to access their data. 

New guidelines from SAMHSA released in July 2020 are designed to improve coordination of care for patients in treatment for substance disorder, while protecting confidentiality against unauthorized disclosure and use of patient information. View this HITEQ webinar on changes to SAMHSA’s 42 CFR Part 2 rule (Part 2) which protects individuals receiving substance use disorder treatment by defining privacy and security requirements for written, electronic and verbal information. This webinar features expert presenters from the University of New Hampshire Institute for Health Policy and Practice and the Center of Excellence for Protected Health Information who present on the new final Part 2 rule and future changes in the CARES Act, including what has changed, what has not changed, what this means for health centers in regard to consents and disclosures, and the implications for care coordination. This presentation also addresses privacy considerations for tele-behavioral health and exceptions during the state of emergency waiver.

We are adding additional telehealth policy information relevant to coronavirus/ COVID-19 pandemic as it impacts health centers as it becomes available.

This decision tree, developed through funding from the  Substance Abuse and Mental Health Services Administration (SAMHSA) helps organizations determine if Part 2 of CFR 42 applies to them. It should be noted that FQHCs will always be designated as “federally assisted” due to certified status as Medicaid providers and/or federal funding.