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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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Resource Overview

Conducting an SRA in accordance with HIPAA policy is a complex task, especially for small to medium providers such as community health centers. The HIPAA Security Rule mandates security standards to safeguard electronic Protected Health Information (ePHI) maintained by electronic health record (EHR) technology, with detailed attention to how ePHI is stored, accessed, transmitted, and audited. This rule is different from the HIPAA Privacy Rule, which requires safeguards to protect the privacy of PHI and sets limits and conditions on it use and disclosure. Meaningful Use supports the HIPAA Security Rule. In order to successfully attest to Meaningful Use, providers must conduct a security risk assessment (SRA), implement updates as needed, and correctly identify security deficiencies. By conducting an SRA regularly, providers can identify and document potential threats and vulnerabilities related to data security, and develop a plan of action to mitigate them.

Security vulnerabilities must be addressed before the SRA can be considered complete. Providers must document the process and steps taken to mitigate risks in three main areas: administration, physical environment, and technical hardware and software. The following set of resources provide education, strategies and tools for conducting SRA.

Security Risk Analysis Resources

Navigating Compliance Challenges with the Information Blocking Rule: A Collection of Case Studies

HITEQ Center and Feldesman Tucker Leifer Fidell LLP, September 2023

Molly Rafferty 0 3588

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.

FAQ: How can health centers comply with both 42 CFR Part 2 and the Information Blocking Rule?

July 2023

Molly Rafferty 0 4500

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.

FAQ: How will the upcoming changes to the Information Blocking and EHR certification requirements impact health centers?

October 2022

Molly Rafferty 0 8846

During the 4th 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.

 

Navigating Compliance Challenges with the Information Blocking Rule

HITEQ Highlights Webinar

Jodie Albert 0 2459

Since the 21 Century Cures Act Information Blocking Rule went into effect in 2021, electronic health information (EHI) has become more available than ever as it is posted to portals, sent through health information exchanges, and available via health-related apps upon request by patients. As the availability of EHI has increased, so too have concerns about the privacy of EHI. Like other actors, health centers are faced with new compliance challenges, including how to best protect sensitive EHI, how to respond to patient requests to restrict access to their EHI, and how to respond when patients request changes to their EHI. Health centers must navigate complex and, at times, conflicting federal and state laws and regulations. This webinar focused on how to navigate these challenges while complying with the Information Blocking Rule.

Patient Portals & Right of Access: Compliance with the Information Blocking rule and HIPAA

HITEQ Webinar in June 2023

Nye Day 0 4036

There are many questions about patient portals and the related requirements under the Information Blocking Rule. In this session, our expert speaker will review the impact of the Information Blocking Rule on implementation and use of the patient portal.

Over the last few years, the Office of Civil Rights has focused much of its enforcement efforts on ensuring patients are afforded their HIPAA right to access their protected health information (PHI). The Privacy Rule generally requires HIPAA covered entities to provide individuals, upon request, with access to the PHI (including electronic PHI) about them in one or more “designated record sets” maintained by or for the covered entity. This includes the right to inspect or obtain a copy, or both, of the PHI. It also includes an individual’s right to direct the covered entity to transmit a copy of their PHI to a designated person or entity of the individual’s choice.

HITEQ Highlights: Health Centers as Actors (in Information Blocking)!

HITEQ Highlights Webinar

Jodie Albert 0 6057

Join the HITEQ Center to discuss approaches to balance patient confidentiality, sensitive situations, vulnerable populations, and meeting the provisions in CURES act and information blocking. How should health centers best prepare themselves and their staff to meet the information blocking provisions and better serve our patient population?

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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