Confidentiality, Privacy and Security

Information Blocking Preparation

  • 1.  Information Blocking Preparation

    Posted 07-24-2020 11:50
    I'm interested in learning how your HIM departments are involved in preparing for the Nov 2020 Information Blocking rule.    For those that are involved, what resources have been the most helpful?

    21st Century Cures Act: Interoperability, Information Blocking, and the ONC Health IT Certification Program

    Bridget Leon
    Operations Manager, ROI
    Mayo Clinic

  • 2.  RE: Information Blocking Preparation

    Posted 07-24-2020 15:36

    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



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  • 3.  RE: Information Blocking Preparation

    Posted 07-24-2020 15:41
    Thanks Rebecca...I'll check that one out, too.  I finished doing a review of the 300+ pages of the Fed Reg for an online presentation...BUT...never hurts to look at other write ups and such.  Helps me see if I missed anything.

    On the flipside, by doing my own review of the regs...I can sometimes find when people leave out info (sometimes very important) in other write ups.  Enough learning to go around for sure!

    Frank Ruelas
    Compliance Professional

  • 4.  RE: Information Blocking Preparation

    Posted 07-26-2020 22:57
      |   view attached
    Hi Bridget,

    I would recommend The Sequoia Project's new Resource Center for Information Blocking (just recently launched), in addition to the ONC's website (links below).  We are definitely on the countdown-clock with November 2, 2020 as the effective date.

    (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)

    The ONC also has great information --> ... and lot of fact sheets to go with explaining what qualifies and doesn't qualify as information blocking.

    Hope this helps -- please feel free to reach out to me directly, as well, if desired.


    A. Andrews Dean, CPHIMS, CHDA, CPHI, CPPM, CPC
    AHIMA-Approved Data Analytics Trainer
    Health IT Regulatory Affairs & Healthcare Compliance Consultant

  • 5.  RE: Information Blocking Preparation

    Posted 10-01-2020 09:18
    I agree with our colleagues regarding information resources! My team is is loging onto Galaxy daily and I have joined the Sequoia Bootcamp.

    I would like to take the regs and "apply" them to processes. I want to go down that rabbit hole so to speak and get down to the tactical level.  For example, how are organizations interpreting "immediately available," "notes cannot be held" "you can't hold all path reports but you can hold path reports for certain types of results." Basically, misery loves company and i would like to ensure we are on the correct path. We are a "provider" at this point.

    We are preparing our practitioners that we may see an increase in patient calls when we change our parameter of holding some results a certain number of days (4) before pushing them (unless requested by the patient and then HIM pushes them). How significant will the impact be to physicians if patients see the result prior to the physician? Will patients contact the Radiologist because of the impressions given?

    Steve Gravely, one of the presenters for Sequoia Bootcamp, responded to this question "what about path reports with terminal diagnoses, can they be held? (this is not the exact question but a paraphrase): well, the path report is not really providing a terminal diagnosis. They are delving into exceptions currently s there may be more explanation. Steve said the patient safety exception is really to be applied to life or death situations. Etc.

    How are HIM Professionals proceeding?



    System Director - Him
    Norton Healthcare

  • 6.  RE: Information Blocking Preparation

    Posted 10-01-2020 14:39

    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.

    Lori Black, RHIA, CCS, CHTS-IM
    HIM Director
    INTEGRIS Health