Health Information Exchange
Health Information Exchange (HIE) at UCLA Health
If you are a patient at UCLA Health, 您的电子健康信息自动登记在健康信息交换中，以便您的重要健康数据可以安全地提供给医生-无论您在哪里接受治疗.
Health information exchanges exist to improve the quality, safety, and cost-effectiveness of healthcare. UCLA Health currently participates in the following HIE:
- Epic’s Care Everywhere, 它允许您的提供者查询使用Epic平台进行电子病历保存的其他治疗中心.
What Does This Mean to You as a Patient?
By participating in a health information exchange, 医生和其他卫生保健人员只允许在hipaa允许的目的下通过健康交换网络使用和共享您的健康信息.
Your electronic health information is made accessible only to doctors and health care personnel, providing you with medical care. 您的电子健康信息仅存储在每个治疗提供者的安全电子病历系统中.
UCLA health参与的健康信息交换仅存储您的识别信息和有关您接受治疗地点的一些标记. The health information exchanges do not store any clinical information about you. They are only a means of exchanging information.
This means that UCLA Health may share your personal health information to:
- Providers who are treating you
- The Los Angeles Immunization Registry
- Los Angeles County Department of Public Health services as mandated by federal and state laws
What Information Is “Exchanged”?
At a minimum, lists of your ongoing health conditions, medications, and allergies are shared with other participating providers. Your lab and procedure results and physician notes can be exchanged with some, but not all, health information exchange participants.
What Information Is Not “Exchanged”?
Certain types of sensitive health information (such as psychotherapy notes, records of substance use treatment, 在没有患者事先书面授权的情况下，根据联邦法律不得披露基因检测结果.
Opting Out of the Health Information Exchange
您或您的个人代表可以在任何时候选择退出健康信息交流，而不会影响您在皇冠hga025大学洛杉矶分校健康中心获得医疗服务. 选择退出可防止您的个人健康信息在健康信息交换中被共享, with two exceptions:
- 选择退出权不适用于向公共卫生当局披露信息，并且是HIPAA和适用CA法律都允许的.
- 您的信息也可能通过健康信息交换被披露，以方便紧急医疗.
您的退出通知将自您在系统中启动退出之日起适用于Epic的CareEverywhere. Please allow up to 5 business days for processing an opt-out request.
How to Opt-Out of Epic CareEverywhere Health Information Exchange
您可以选择以下三种方法中的一种来通知皇冠hga025大学洛杉矶分校健康中心您选择退出健康信息交换的决定:
- Contact a staff member at the UCLA Health Medical Records office during business hours at 310-825-6021.
- Print out and complete the Health Information Exchange Opt-Out Form, and
- Email: [email protected]
- Fax: 310-983-1468
- Mail: UCLA Health Medical Records, 10833 Le Conte Avenue, BH 265, Los Angeles, CA 90095
Informing Individuals of Their Right to Opt-Out of Health Information Exchanges
UCLA Health provides information to individuals or their personal representatives about:
- The benefits of the health information exchanges
- An individual’s right to opt out of the health information exchanges and the potential consequences
- An individual’s right to rescind a previous decision to opt-out
- The process of exercising the right to opt-out or rescind a previous decision to opt-out
For patients that do not opt-out, 医疗保健参与者被允许通过健康信息网络为任何hipaa允许的目的使用和共享患者信息. Additionally, California state law allows mental health patient information, pharmacy records, communicable disease records, 家庭医疗记录可以通过健康信息交换网络访问和披露, except that participants may not make available to the health information exchange any psychotherapy notes, substance abuse treatment records, 或其他类型的健康信息，在没有患者事先书面授权的情况下，根据适用的联邦法律不得披露.
FAQs
Why is health information exchange important?
卫生信息的交流有助于提高病人护理的质量，并通过以下方式降低成本:
With health information from outside sources, 你的医疗保健提供者可能会对你的病史有一个更全面的了解，并把它们都放在一个地方, reducing the likelihood of conflicting diagnoses, prescriptions and treatment plans.
It helps to get your health information to your providers quickly. This means less time searching, calling and faxing your information. 如果你的医生几乎可以立即获得你的护理所需的医疗信息，你可以避免不必要的复诊.
With access to your medical records, 您的医疗保健提供者可能不需要订购您已经在其他医疗机构完成的测试或程序.
If you see multiple doctors who participate in the health information exchange, they will be able to see a more complete picture of your health, and make more informed treatment decisions. The goal is for you to receive coordinated care more efficiently.
Who from “outside” health care organizations?
1996年的《皇冠hga020电脑版》(HIPAA)禁止医疗服务提供者出于治疗以外的大多数目的共享您的个人健康信息, payment, or health care operations without first obtaining special written authorization from you to do so. As a result, 只有参与的HIE组织需要您的个人健康信息用于治疗目的, or for verifying public or private insurance coverage, can request your information.
How does UCLA Health ensure the privacy and security of my health information, especially when it is being transferred or exchanged?
Your health information is protected by advanced systems that use many security measures. 所有系统必须遵守HIPAA的隐私和安全规定以及可能适用的类似州法律.
Can I opt out of one exchange and still participate in another exchange, or share one type of health information (lab results) but not another (ongoing conditions list)?
At this time, 如果您决定退出交换您的信息，因为担心特定类型的信息或提供商, none of your information will be shared through our health information exchange network. In other words, 选择退出是一个“全有或全无”的概念，您不能选择特定的提供者或信息类型进行电子交换而拒绝其他提供者或信息类型. For example, 如果您选择退出健康信息交换，因为您反对共享您的持续状况列表, 您的持续病症列表和任何其他类型的受保护健康信息都不能用于与任何其他健康信息交换参与者进行电子交换.
If I opt out of UCLA Health’s networks, does that mean I have opted out of all outside health information exchange networks?
No. 完成皇冠hga025大学洛杉矶分校健康中心的选择退出表格不会选择您退出皇冠hga025大学洛杉矶分校健康中心提供者不参与的其他健康信息交换. If you wish to opt out of another network, you are responsible for arranging the other network. By opting out of our network, 皇冠hga025大学洛杉矶分校健康中心不会将您的健康信息以电子方式与通过健康信息交换请求此信息的外部组织共享. But it may be sent to outside health care providers or organizations by other means such as fax or mail, if requested by your health care provider.
Does opting out of the health information exchange impact my care at UCLA Health?
您选择退出健康信息交换不会影响您获得医疗服务的能力. 选择退出并不会阻止您的护理人员在州和联邦法律允许或要求的公共卫生或研究目的必要时与授权实体共享您的健康信息. In cases of medical emergency, 您的医生可能会要求查看您的健康记录，以诊断或治疗您的紧急医疗状况，皇冠hga025大学洛杉矶分校健康部将在这种情况下提供您的记录，并将审核这些请求.