The Role of Law in Supporting Secondary Uses of Electronic Health Information

Author:

Ramanathan Tara,Schmit Cason,Menon Akshara,Fox Chanelle

Abstract

For decades, health information has been collected and shared for health care delivery and public health purposes. While the “primary use” of patient data for providing direct health care services is the cornerstone of health care practice, health departments rely on data sharing for research and analysis to support disease prevention and health promotion in the population. As the U.S. health system undergoes a digital revolution, health information that was previously captured in paper form now can be captured electronically. Electronic health information (EHI) has transformed the efficiency, capacity, and functions of the U.S. health system. For this reason, there is increased attention to the “secondary use” of electronic patient data for public health uses, including disease reporting and investigation, syndromic surveillance, and patient-specific or population-level communications about health conditions and their associated risk factors. Secondary uses may also encompass clinical research, licensure, and payment for services.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy,General Medicine,Issues, ethics and legal aspects

Reference24 articles.

1. 21 Restatement I of the Data Use and Reciprocal Support Agreement (2014), available at (last visited February 4, 2015).

2. 8 See, e.g., 45 C.F.R. § 164.514(e) (2013); see also Sengupta, , supra note 6.

3. The Health Information Technology Provisions in the American Recovery and Reinvestment Act of 2009: Implications for Public Health Policy and Practice

4. 18 45 C.F.R. § 164.514(e)(2) v (2013); Sengupta, , supra note 6, at 569–570.

5. 17 See OCR Privacy Brief, supra note 10, at 9; CDC, “BioSense Background,” available at (last visited February 4, 2015).

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