21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program
If you use Epic, go to Galaxy and search 21st Century Cures. They have A LOT of information and great resources!
Becky Kilen, MS, RHIA, CHPS
GHS Privacy Officer | Manager of Privacy
GUNDERSEN HEALTH SYSTEM
1900 South Avenue | Mail Stop: AVS-001
La Crosse, WI 54601
Phone: (608) 775-3549 | Fax: (608) 775-4706
Privacy Office: (608) 775-7439 | PrivacyOffice@gundersenhealth.org
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(Earlier this year, in late May, the ONC selected the Sequoia Project to continue its role implementing the Trusted Exchange Framework and Common Agreement (TEFCA). ONC had originally selected the Sequoia Project to be the Recognized Coordinating Entity (RCE) for TEFCA last year.)The Sequoia Project has a lot of PDFs, on-demand (free) webinars/videos, slide decks, educational content, and resources from other partners in their online Information Blocking Center. (The Boot Camp and some other resources are not free or members-only, but many of the other resources in their Info Blocking Compliance Center are courtesy and for use by the HIM/HIT community)https://sequoiaproject.org/resources/information-blocking/
Our focus has primarily been on patient access up to this point. Our plan is to not hold or delay any broad categories of information: lab, pathology, radiology, etc. We are building tools in our EHR to allow providers (physicians/mid-levels) to make individualized exceptions and document exceptions reasons where possible. For example, when ordering certain labs, a provider can opt to not share the results to the patient portal and select from list of appropriate exceptions. We will be sharing the note types included in the USCDI by default; and providers may also decide not to share on a case by case basis when an exception is applicable. They will be expected to document the exception. As you can see, it will be up to the providers to apply exceptions in many cases so it will be important to spend time educating them on appropriate application of exceptions and the importance of documenting when they are applied. We also plan to monitor exception utilization.