Frequently Asked Questions about the Trenton HIE

If you are like most people, your healthcare involves a variety of providers and sites – doctors, nurses, hospitals, specialists, clinical laboratories, pharmacies and many others. Many of these providers are starting to switch from using paper records to computerized ones, and healthcare providers throughout the Trenton community are making records more accessible through a Health Information Exchange (HIE).

A Health Information Exchange (HIE) allows your hospitals, doctors, and other healthcare providers to electronically share your personal health information with each other in a secure, timely manner through their computer. This health information could include reports about your illnesses, injuries, allergies, medicines, and test results.

The Trenton Health Information Exchange (HIE) is operated by the Trenton Health Team.

Participating in an HIE – that is, agreeing to share your health information with your healthcare providers ­offers major benefits to you and your family.

Benefits Include:

• Emergency Treatment
  Medical staff can immediately know about your allergies, health problems, medications, and prior visits, helping them care for you without delay.
• More complete and accurate information
  The HIE gives your care providers greater access to the information needed to diagnose your health problems earlier. They will know more about you and your health history before they recommend treatment.
• Improved Care
  Access to information about care you received elsewhere gives a better, more complete picture of your health and provides information needed to provide the best care possible. That means your care providers can make sure the treatment they give doesn’t interact badly with other treatments you may be receiving. For example, when you can’t remember what medicines you are taking, the HIE can make information about your conditions and medicines available to your doctors, so they will know the right thing to do instead of doing something that might be harmful.

Risks Include:

• Data Breach
  Although the HIE has special security features, it has the same risks as other areas of information. Trenton HIE has taken significant steps to protect your personal health information. However, we cannot fully eliminate security risks inherent in handling such information.
• Errors
  The HIE is a tool to improve care. Just like a paper health record, if the healthcare provider does not enter the correct information, then that information remains in the health record until it is correct. However, computerized information can provide checks and balances that paper health records cannot.

Your health information obtained through the Trenton HIE will be used in the same way it is currently used; for treatment, payment and operations reasons only. Policies that follow federal and state law limit how your information can be used or disclosed through the Trenton HIE. The HIPAA Notice of Privacy Practices from your healthcare provider explains in detail how and why your information is used.

In order for electronic personal health information (EPHI) to be obtained by your provider (e.g., your X-Ray results electronically sent back from Radiology to the physician who ordered them), all EPHI is stored in, and may pass through, the Trenton HIE secure server. When participating in the Trenton HIE, only your authorized health care providers will have access to the EPHI stored in that server.

Only your providers who are treating you and their staff who are given rights to the Trenton HIE can access your records through the Trenton HIE. A current list of participating institutions can be found higher up on this page.

Special security features are used to keep your information secure and prevent your records from being accessed by anyone who is not allowed.

Even with all these security protections in place, if improper access does occur through the Trenton HIE, the law requires that you are notified and that the Trenton HIE and your participating hospital take steps to correct the problem.

“Sensitive information” that is specifically restricted by more protective state or federal laws will generally be kept “behind a wall” and disclosed only with your permission. Sensitive information includes information such as HIV/AIDS, venereal diseases, behavioral health treatment records, and genetic testing.

Trenton HIE will also be creating secure “connections” to healthcare providers who participate in other community-based HIE networks. For example, if you are being treated by two doctors – one in the Trenton HIE and another in a different HIE – your two doctors could share your medical information through a secure computer connection.

The Trenton HIE will not connect to another HIE unless it meets Trenton’s high standards for privacy and security. You can learn more about Trenton’s connections to other HIEs by visiting the “HIE Participants” section of this website.

With the Trenton HIE, your records are only available to participating healthcare providers (for example, your doctor). If you want copies of your medical records, you should contact your health providers directly.

There is no need to do anything further. If you receive care at one of the Trenton HIE participating institutions, then your health information is automatically stored in the Trenton HIE and will be made accessible to HIE participants unless you decide to “Opt Out.” Opt Out Form

If you have additional questions about the Trenton HIE that are not covered in this brochure, please contact the Trenton HIE Support Center at 609-256-4555 or email [email protected].

If you do not want your health information to be electronically available through the Trenton HIE, you must submit a completed Trenton HIE Opt-Out form, which is available on this website or can be obtained from any of the Trenton HIE Participants.

Once you submit this form, your information will not be accessible to anyone through the Trenton HIE, even in the case of an emergency, and your providers will need to share your information with each other in the same way they have in the past (such as by telephone, fax, or mail).

If you previously submitted a Trenton HIE Opt-Out but now have changed your mind, you must complete, sign, and submit a cancellation form to cancel your previous decision to “Opt Out.” The cancellation form is available on this website or can be obtained from any of the Trenton HIE Participants.