Data+Segmentation+for+Privacy+Quickstart+Page

include component="page" wikiName="siframework" page="Data Segmentation Header"

What is the need for Data Segmentation
With the increase in the adoption of electronic health records (EHR), protecting patient health information (PHI) is a priority as interoperability specifications enable greater health information exchange. Certain types of PHI require increased scrutiny due to factors including individual patient consent directives as well as federal, state, and local regulations.

The concept of segmenting individual units of health data for the purpose of patient privacy offers an initial foundation for nation-wide patient health information privacy practices. Through the segmentation of health data, patients are empowered to control the degree to which their protected health information is shared. Segmenting health data allows for patients with varied perspectives on the privacy of their health information to direct the degree to which their health information may be exchanged and under what circumstances certain types of the health information may be accessed by specified audiences for a specified period of time.

Data Segmentation has been defined as the process sequestering from capture, access or view certain data elements that are perceived by a legal entity, institution, organization, or individual as being undesirable to share and supports privacy preferences in respect to the following considerations:


 * What specific data are eligible for exchange (from individual data elements to defined categories of data, such as all behavioral health records);
 * Who has access to the information (from individual providers to other health care entities);
 * Under what circumstances access is granted (e.g., emergency access, specific treatment, etc.); and
 * For what period of time access is granted (e.g., unlimited, one-time access, etc.)

Challenge
Enable the implementation and management of disclosure policies that originate from the patient, the law, or an organization, in an interoperable manner within an electronic health information exchange environment, so that individually identifiable health information may be appropriately shared for: 1) Patient treatment and care coordination; 2) Third party payment; 3) Analysis and reporting for operations, utilization, access quality and outcomes; 4) Public health reporting; 5) Population health, technology assessment and research

Purpose and Goals
The purpose of this initiative is to enable the implementation and management of varying disclosure policies in an electronic health information exchange environment in an interoperable manner with the goal to produce a pilot project allowing providers to share portions of an electronic medical record while not sharing others, such as information related to substance abuse treatment, which is given heightened protection under the law.

Background on the S&I Framework Data Segmentation for Privacy Initiative
If you are looking to get started with the Data Segmentation for Privacy Initiative, start by reading some of the background materials which have laid the foundation for this important effort. These artifacts contain information around the challenges of implementing and managing disclosure policies to facilitate health information sharing, and the approach taken by the S&I Framework to address these challenges.

**I want to understand the context of this initiative and what community-led decisions were made** (click below for documents and links):
 * **Type** || **Name** || **Description** ||= **Version** ||~  ||
 * [[image:siframework/pdf_icon.png link="file:siframework/Provider Directories Initiative Overview.pdf"]] || Health IT Standards Recommendations || Provides a summary of the recommendations made by the Metadata Analysis Power Team to the HITSC ||= Final ||~  ||
 * [[image:siframework/pdf_icon.png]] || gwu-data-segmentation-final.pdf || A whitepaper that analyzes the the data segmentation problem and proposes recommendations and conclusions. ||= Final ||~  ||
 * [[image:siframework/wiki_icon.png]] || DS4P Use Case Document || Defines the scope, purpose, and requirements of the DS4P initiative. Provides the foundation for the workgroup efforts. It should be read by all parties interested in the DS4P Initiative. ||= Draft ||~  ||

The S&I Framework Data Segmentation for Privacy Initiative
The Data Segmentation for Privacy (DS4P) initiative is currently in the Harmonization phase. You can follow the progress on the workgroup wiki site.

url}?f=print|Print this page media type="custom" key="11135738"

media type="custom" key="13278016" If you are looking to get started with the Data Segmentation for Privacy Initiative, start by reading some of the background materials which have laid the foundation for this important effort. These artifacts contain information around the challenges of implementing and managing disclosure policies to facilitate health information sharing, and the approach taken by the S&I Framework to address these challenges.

include component="page" wikiName="siframework" page="space.template.inc_contentleft_end"