Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Jun 1;27(6):963-966.
doi: 10.1093/jamia/ocaa039.

Balancing health privacy, health information exchange, and research in the context of the COVID-19 pandemic

Affiliations

Balancing health privacy, health information exchange, and research in the context of the COVID-19 pandemic

Leslie Lenert et al. J Am Med Inform Assoc. .

Abstract

The novel coronavirus disease 2019 infection poses serious challenges to the healthcare system that are being addressed through the creation of new unique and advanced systems of care with disjointed care processes (eg, telehealth screening, drive-through specimen collection, remote testing, telehealth management). However, our current regulations on the flows of information for clinical care and research are antiquated and often conflict at the state and federal levels. We discuss proposed changes to privacy regulations such as the Health Insurance Portability and Accountability Act designed to let health information seamlessly and frictionlessly flow among the health entities that need to collaborate on treatment of patients and, also, allow it to flow to researchers trying to understand how to limit its impacts.

Keywords: COVID-19; COVID-19 research; HIPAA; coronavirus; health information exchange; health privacy.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
Hypothetical system for screening and care of patients with coronavirus disease 2019 (COVID-19). CDC: Centers for Disease Control and Prevention; HIE: health information exchange.

References

    1. Gostin LO, Hodge JG, Wiley LF.. Presidential powers and response to COVID-19. JAMA 2020. Mar 18 [E-pub ahead of print]. doi: 10.1001/jama.2020.4335. - PubMed
    1. Association of State and Territorial Health Officials. Robert T. Stafford Disaster Relief and Emergency Assistance Act Fact Sheet. https://www.astho.org/Programs/Preparedness/Public-Health-Emergency-Law/... Accessed March 15, 2020.
    1. Office for Civil Rights. HITECH Act Enforcement Interim Final Rule. 2017. https://www.hhs.gov/hipaa/for-professionals/special-topics/HITECH-act-en... Accessed March 20, 2020.
    1. O'Connor J, Matthews G.. Informational privacy, public health, and state laws. Am J Public Health 2011; 101 (10): 1845–50. - PMC - PubMed
    1. Mello MM, Adler-Milstein J, Ding KL, Savage L.. Legal barriers to the growth of health information exchange-boulders or pebbles? Milbank Q 2018; 96 (1): 110–43. - PMC - PubMed

Publication types

MeSH terms