Wednesday, March 31, 2010
The ONC Whitepaper on Consent
Last week was a busy one for healthcare IT. In addition to the DEA Interim Final Rule on e-prescribing of controlled substances, the launch of NHIN Direct, and the introduction of new ONC interoperability framework processes, HHS released the Whitepaper on Consent.
The entire document and its 3 appendixes are worth reading. The Executive summary contains a great classification of consent models found throughout the world:
Health information of patients is automatically included—patients cannot opt out
Default is for health information of patients to be included automatically, but the patient can opt out completely
Opt-out with exceptions
Default is for health information of patients to be included, but the patient can opt out completely or allow only select data to be included
Default is that no patient health information is included; patients must actively express consent to be included, but if they do so then their information must be all in or all out
Opt-in with restrictions
Default is that no patient health information is made available, but the patient may allow a subset of select data to be included.
Appendix A is a very helpful list of State-Led Examples of Exchange in the U.S
For more details about the Massachusetts efforts to date, including the educational materials we used, see my blog about patient privacy preferences.
Appendix B is an overview of Selected State Laws which can be empowering as we implement consent models.
Appendix C contains examples of Exchange in Other Developed Countries.
I've worked closely with the county council in Jonkoping, Sweden which has a very high percentage of EHR and hospital information system adoption
The consent whitepaper was timed perfectly to align with the HIT Standards Committee review of existing standards for storing and transmitting consent preferences.
Posted by John Halamka at 3:00 AM