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Compliance with 42 CFR Part 2: A Case Study with Community Medical Centers, Inc.
Developed by HITEQ with Adapt Health Information Technology and Chiron Strategy Group

Resource Topic: Clinical Issues, HIT/Data

Year Developed: 2019

Resource Type: Publication

Primary Audience: PCAs
Secondary Audience: Administrative Staff

Language: English

Developed by: HITEQ (See other resources developed by this organization.)

Resource Summary: Health centers are actively expanding the substance use treatment services they offer in the community to address access to care for opioid use disorders, and more broadly to address better screening, referral and timely access to all substance use disorder (SUD) treatment. This case study is an example of how a health center is assessing operations to comply with 42 CFR Part 2, with a particular focus on changes to their health information technology (IT) systems. It includes a 42 CFR Part 2 Regulatory Checklist that health centers may find particularly helpful to review.

Resource Details: Health centers are actively expanding the substance use treatment services they offer in the community to address access to care for opioid use disorders, and more broadly to address better screening, referral and timely access to all substance use disorder (SUD) treatment. The purpose of Title 42 of the Code of Federal Regulations (CFR) Part 2: Confidentiality of Substance Use Disorder Patient Records (Part 2) is to address concerns about the use of substance use disorder (SUD) information in non-treatment based settings. Compliance with Part 2 will likely involve a number of changes for health centers including changes to clinical documentation and data segregation in the EHR, suppression of data sharing across HIE’s and other networks, changes to workflows, and changes to patient intake and patient-facing forms. This case study is an example of how a health center is assessing operations to comply with 42 CFR Part 2, with a particular focus on changes to their health information technology (IT) systems. The case study includes a 42 CFR Part 2 Regulatory Checklist that health centers may find particularly helpful to review.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,375,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.