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Resource Overview

General cybersecurity guidance would suggest that Health IT breach should not be considered a matter of "If", but rather a matter of "when". How an organization prepares and responds to an episode of breach is just as important as defending itself from breach. Unfortunately, Health Centers are seen as a domain with high potential for data breach and consequently it is critical for Health Center leadership to embrace breach mitigation across their entire organization vs being a matter to be addressed by their Health IT team.

Breach can occur through both internal and external network leaks, through malware such as Ransomware, and through physical means on site. The resources provided below are meant to provide general knowledge about breach mitigation and methods for mitigating against breach incidences.

Breach Mitigation and Response Resources
I Provide SUD Services in an FQHC: Does Part 2 Apply to Me?
HITEQ Center
/ Categories: Privacy and Security, HIPAA

I Provide SUD Services in an FQHC: Does Part 2 Apply to Me?

A Decision Tree from the Legal Action Center

This decision tree, developed through funding from the  Substance Abuse and Mental Health Services Administration (SAMHSA) helps organizations determine if Part 2 of CFR 42 applies to them.

It should be noted that FQHCs will always be designated as “federally assisted” due to certified status as Medicaid providers and/or federal funding. Under 42 CFR Part 2 (hereafter referred to as “Part 2”), a patient can revoke consent to one or more parties named in a multi-party consent form while leaving the rest of the consent in effect. In a non-Health Information Exchange (HIE) environment, this can be accomplished simply by the Part 2 program indicating on the consent form or in the patient’s record that consent has been revoked with respect to one or more named parties. In an HIE environment, the revocation with respect to one or more parties should be clearly communicated to the Health Information Organization (HIO) as well as noted in the patient’s record by the Part 2 program.

Documents to download

Resource Links

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Tags: Privacy and Confidentiality SUD SAMHSA 42 CFR 42 CFR Part 2 substance use disorders 42 CFR Part 2 Badge
Intended Audiencehealth center staff

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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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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