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eCR/RCKMS Community of Practice

The purpose of the eCR/RCKMS Community of Practice Basecamp is to provide staff from state, local, territorial, and tribal public health agencies with a venue to participate in peer-to-peer discussions pertaining to using RCKMS. This Basecamp is not intended for formal communications about RCKMS or eCR and will not be moderated by CSTE staff. For technical issues or assistance with RCKMS, please visit www.rckms.org to submit a ticket. Disclaimer: The statements and responses posted on the eCR/RCKMS Community of Practice are solely the views of the authors and do not necessarily represent the official views of CDC or CSTE.
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTEMeredith Lichtenstein, CSTELaura ErhartNancy Barrett, Epi 4/PH Informatics SpecialistRita Altamore, EpidemiologistDavid DiCesareWalter Kemper, ELR Coordinator, NC DHHS Div of Public HealthAmanda Payne, Senior Consultant at J Michael ConsultingJohn Satre, Informatician at Iowa Department of Public HealthShaily Krishan, Program Manager at CSTEJudie HyunKathy Turner, Deputy State Epidemiologist at IDSara Robinson, ID Epi Program Director at Maine CDCMisty Johnson, Informatician, WI DHSCrystal Snare +376 others
Posted by Angela Herbert ·

Protected populations & eCR - seeking guidance

Good Morning from Nebraska,
We have recently onboarded our first large health systems onto eCR (both are Epic clients).  One has raised an excellent question that I have not been able to get clear guidance on yet.  Are federally protected programs, like addition treatment exempt from reporting into eCR?   Should patients who have a diagnosis related to psychiatric, behavioral health, addiction treatment &/or sexual assault be blocked from sending an eCR?  We have reached out to CDC, have reviewed CFR42 part 2 and everything else I can find; as well as consulted with our legal team but we've yet to come upon a clear answer.  
Does anyone have a resource, experience or insight into this?  Because of the way Epic can suppress certain types of patients in Care Everywhere, I believe it is possible to do the same with the eCR triggers but I am not certain whether that is the right thing to do.

Appreciate your help with this.
Angela Herbert
DMI Lead, Nebraska DHHS

Comments & Events

Ann Kayser Ann Kayser
Hi Angela,

We had an Epic healthcare organizations (HCO) that delayed their go-live due to this concern too (the HCO referred to it as "restricted departments" or "restricted encounters" in case you need some keywords). Ultimately, the HCO we worked with, determined they did not want to send restricted departments after working internally with their legal and compliance.

When this was first brought up, the Epic TA referred to an epic FAQ-type document that is available to Epic partners for additional information, presumably on their internal website.

Ann Kayser, MN Dept of Health
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Angela Herbert, Informatician at Nebraska Department of Health and Human Services Angela Herbert, Informatician
Thank you Ann. Yes "restricted" is probably a better descriptor. I had wondered if Epic might have a stance or recommendation on the matter as well. Great to have a lead to point them towards.

Angela Herbert, MSN, RN | DMI Business Leader
PUBLIC HEALTH
Nebraska Department of Health and Human Services
OFFICE: 402-416-1771
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