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.

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.  

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.

During the 4^th 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.