TY - JOUR
T1 - The 21st Century CURES Act in Pediatric Gastroenterology
T2 - Problems, Solutions, and Preliminary Guidance
AU - Lee, Jennifer A.
AU - Miller, Steven D.
AU - Mezoff, Ethan A.
AU - Screws, Jeremy
AU - Sauer, Cary
AU - Huang, Jeannie S.
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/5/1
Y1 - 2021/5/1
N2 - The information blocking (IB) prohibition component of the 21st Century CURES Act (21CCA) comes into effect April 5, 2021, which gives patients and their families near-instant access to almost all clinical notes, lab results, and health data. Exceptions to IB prohibition include risk of harm and patient privacy, but violations can be punished by a fine of up to $1,000,000.00. A committee of pediatric gastroenterologists reviewed the 21CCA regulation and compared local practice policies. Pediatric practitioners need to understand how age will affect local information release policies and to know which note types are released, paying special consideration to trainee notes and confidential information. Extraneous detail should be removed from notes, emotional labeling be avoided, and objective statements be made when referring to the care of other providers. Awareness of the 21CCA provides pediatric gastroenterologists with the opportunity to adapt their medical documentation practices to accommodate the new law.
AB - The information blocking (IB) prohibition component of the 21st Century CURES Act (21CCA) comes into effect April 5, 2021, which gives patients and their families near-instant access to almost all clinical notes, lab results, and health data. Exceptions to IB prohibition include risk of harm and patient privacy, but violations can be punished by a fine of up to $1,000,000.00. A committee of pediatric gastroenterologists reviewed the 21CCA regulation and compared local practice policies. Pediatric practitioners need to understand how age will affect local information release policies and to know which note types are released, paying special consideration to trainee notes and confidential information. Extraneous detail should be removed from notes, emotional labeling be avoided, and objective statements be made when referring to the care of other providers. Awareness of the 21CCA provides pediatric gastroenterologists with the opportunity to adapt their medical documentation practices to accommodate the new law.
KW - health policy
KW - informatics
KW - patient participation
UR - http://www.scopus.com/inward/record.url?scp=85104275495&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85104275495&partnerID=8YFLogxK
U2 - 10.1097/MPG.0000000000003117
DO - 10.1097/MPG.0000000000003117
M3 - Article
C2 - 33720090
AN - SCOPUS:85104275495
SN - 0277-2116
VL - 72
SP - 700
EP - 703
JO - Journal of pediatric gastroenterology and nutrition
JF - Journal of pediatric gastroenterology and nutrition
IS - 5
ER -