Childhood Obesity Preventer

CoE-PHI resource that describes the Information Blocking Rule and explains that it does not preempt stricter privacy laws and regulations such as 42 CFR Part 2.

Key Points:

• Information blocking includes practices that would “interfere with, prevent, or materially discourage the access, exchange, or use of electronic health information.”
• Following a legal requirement to obtain patient consent for a disclosure meets the “privacy exception” in the Information Blocking Rule and is not considered information blocking.
• If a portal cannot segment Part 2-protected records or prevent a patient’s proxy from unconsented access to such records, the healthcare provider should not share Part 2-protected records on the portal.

This training guide provides patients with knowledge and awareness about cybersecurity threats to protect their personal health data and to minimize risks from computer viruses and malware.

Health centers are increasingly interested in embedding oral Pre-Exposure Prophylaxis (PrEP) programs into primary care, which calls for the embedding of PrEP care processes into electronic health record (EHR) systems. Health centers have had success with automation in HIV testing, and are looking to apply automated algorithms, order sets, and templates to the development of PrEP programs. This resource outlines EHR and health information technology (IT) configurations and tools that support PrEP care processes and provides examples of successful implementation from health centers and primary care settings.

Can a more advanced patient portal improve face-to-face visits? Appointments are often so jampacked with questions, screenings, and taking notes that it’s increasingly difficult to analyze patient data and provide insightful, in-the-moment guidance. Shasta Community Health Center bet that a revamp of its patient portal could enable patients to take a more active role in their care while also improving provider workflows. In this episode, we discuss how staff, patients, and other key stakeholders all collaborated on retooling and expanding this platform.

Lack of Internet and broadband access prevents some patients from using telehealth and other technology that can support their own health care and getting accurate health care information. In one 2020 study, 42 million Americans lacked adequate access to broadband (high speed internet). As of 2019, about one in five people did not have smartphones, and among low income people nearly one third do not have a smartphone. Rates of computer ownership are not much better. Those patients who do have access to the technology may or may not have the capacity and willingness to use it, depending on past experiences. Some patients aren't comfortable with technology, while others don't trust it or believe that virtual care is sub-par, despite growing evidence of its benefits. This culminates in a clear digital divide that can hinder the ability for patients to fully engage in their care or take advantage of things like remote
patient monitoring, telehealth, mHealth, or patient portal.
This resource provides an overview and some tips for assessing a patient's ability to engage with technology for virtual care, and and interventions that can be used to bridge gaps that are uncovered.

Health Center clients represent a broad range of cultures, many of whom do not speak English, or at the least have a limited vocabularly and find it difficult to read or write in English. Unfortunately, many of the current patient portals supported by some of the primary electronic health record (EHR) systems used by Health Centers do not provide a broad range of available languages. Provided in this resource is a listing of the current status of patient portals and the degree to which they provide multi-lingual support.

This article provides an overview of a patient portal implementation conducted by Patients First within east central Missouri counties. The NextMD patient portal was rolled out in August 2010 and serves three core functions:  1) Providing patients with an electronic clinical summary, 2) Providing timely access to lab results, and 3) Providing secure messaging with clinical and office staff.