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Using 42 CFR part 2 revisions to integrate substance use disorder treatment information into electronic health records at a safety net health system

dc.contributor.authorAlexandra R. Tillman
dc.contributor.authorEmily Bacon
dc.contributor.authorBrooke Bender
dc.contributor.authorDean McEwen
dc.contributor.authorJoshua Blum
dc.contributor.authorMatthew Hoag
dc.contributor.authorKenneth A. Scott
dc.contributor.authorRachel Everhart
dc.contributor.authorRebecca Hanratty
dc.contributor.authorLaura J. Podewils
dc.contributor.authorCarolina Close
dc.contributor.authorJohn Mills
dc.contributor.authorArthur J. Davidson
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.contributor.otherDenver Health and Hospital Authority
dc.date.accessioned2024-06-09T11:28:46Z
dc.date.accessioned2025-10-08T08:23:13Z
dc.date.available2025-10-08T08:23:13Z
dc.date.issued01-06-2024
dc.identifier.urihttp://digilib.fisipol.ugm.ac.id/repo/handle/15717717/35704
dc.description.abstractAbstract Background Regulations put in place to protect the privacy of individuals receiving substance use disorder (SUD) treatment have resulted in an unintended consequence of siloed SUD treatment and referral information outside of the integrated electronic health record (EHR). Recent revisions to these regulations have opened the door to data integration, which creates opportunities for enhanced patient care and more efficient workflows. We report on the experience of one safety-net hospital system integrating SUD treatment data into the EHR. Methods SUD treatment and referral information was integrated from siloed systems into the EHR through the implementation of a referral order, treatment episode definition, and referral and episode-related tools for addiction therapists and other clinicians. Integration was evaluated by monitoring SUD treatment episode characteristics, patient characteristics, referral linkage, and treatment episode retention before and after integration. Satisfaction of end-users with the new tools was evaluated through a survey of addiction therapists. Results After integration, three more SUD treatment programs were represented in the EHR. This increased the number of patients that could be tracked as initiating SUD treatment by 250%, from 562 before to 1,411 after integration. After integration, overall referral linkage declined (74% vs. 48%) and treatment episode retention at 90-days was higher (45% vs. 74%). Addiction therapists appreciated the efficiency of having all SUD treatment information in the EHR but did not find that the tools provided a large time savings shortly after integration. Conclusions Integration of SUD treatment program data into the EHR facilitated both care coordination in patient treatment and quality improvement initiatives for treatment programs. Referral linkage and retention rates were likely modified by a broader capture of patients and changed outcome definition criteria. Greater preparatory workflow analysis may decrease initial end-user burden. Integration of siloed data, made possible given revised regulations, is essential to an efficient hub-and-spoke model of care, which must standardize and coordinate patient care across multiple clinics and departments.
dc.language.isoEN
dc.publisherBMC
dc.subject.lccMedicine (General)
dc.titleUsing 42 CFR part 2 revisions to integrate substance use disorder treatment information into electronic health records at a safety net health system
dc.typeArticle
dc.description.keywordsSubstance use disorder treatment
dc.description.keywordsElectronic health record
dc.description.keywordsHub-and-spoke
dc.description.keywordsData integration
dc.description.keywords42 CFR Part 2
dc.description.pages1-11
dc.description.doi10.1186/s13722-024-00477-3
dc.title.journalAddiction Science & Clinical Practice
dc.identifier.e-issn1940-0640
dc.identifier.oai5f3838f1760b44549abcc1fdb81393b8
dc.journal.infoVolume 19, Issue 1


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