[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ background_image=”https:\/\/ehitoolkit.cste.org\/wp-content\/uploads\/2025\/10\/GettyImages-1280292736-scaled.jpg” parallax=”on” background_enable_video_mp4=”off” custom_margin=”-23px|||||” custom_padding=”0px||0px||true|false” border_radii=”off|||15px|15px” box_shadow_style=”preset3″ global_colors_info=”{}”][et_pb_row use_custom_gutter=”on” gutter_width=”1″ make_equal=”on” _builder_version=”4.27.4″ _module_preset=”default” background_color=”rgba(0,10,35,0.64)” width=”100%” max_width=”100%” custom_margin=”0px|auto||auto|false|false” custom_padding=”144px||225px||false|false” custom_css_main_element=”align-items:flex-end;” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”Accessing EHI” heading_tag=”h1″ heading_display=”column” fh_padding=”0px|20px|20px|20px|false|true” sh_style=”background” sh_background_style=”normal” sh_padding=”0px|20px|20px|20px|false|true” sh_margin=”-30px|0px|0px|20px|false|false” fh_padding_tablet=”0px|20px|20px|20px|false|true” fh_padding_phone=”0px|20px|20px|20px|false|true” fh_padding_last_edited=”on|desktop” sh_padding_tablet=”0px|20px|20px|20px|false|true” sh_padding_phone=”0px|20px|20px|20px|false|true” sh_padding_last_edited=”on|desktop” sh_margin_tablet=”-30px|0px|0px|20px|false|false” sh_margin_phone=”-20px|0px|0px|0px|false|false” sh_margin_last_edited=”on|phone” module_id=”section1″ _builder_version=”4.27.4″ _module_preset=”default” first_heading_font=”Poppins||||||||” first_heading_text_align=”center” first_heading_text_color=”#FFFFFF” first_heading_font_size=”62px” first_heading_letter_spacing=”-5px” first_heading_line_height=”1.1em” second_heading_font=”Poppins||||||||” second_heading_text_align=”left” second_heading_text_color=”#071018″ second_heading_font_size=”80px” second_heading_letter_spacing=”-9px” second_heading_line_height=”1em” custom_margin=”97px||10px||false|false” first_heading_font_size_tablet=”100px” first_heading_font_size_phone=”60px” first_heading_font_size_last_edited=”on|tablet” first_heading_letter_spacing_tablet=”-7px” first_heading_letter_spacing_phone=”-4px” first_heading_letter_spacing_last_edited=”on|tablet” second_heading_font_size_tablet=”100px” second_heading_font_size_phone=”60px” second_heading_font_size_last_edited=”on|tablet” second_heading_letter_spacing_tablet=”-7px” second_heading_letter_spacing_phone=”-4px” second_heading_letter_spacing_last_edited=”on|tablet” locked=”off” global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear”][\/dipi_dual_heading][et_pb_button button_url=”https:\/\/ehitoolkit.cste.org\/?page_id=4174″ button_text=” Assessing Technical Readiness” button_alignment=”center” _builder_version=”4.27.4″ _module_preset=”default” custom_button=”on” button_text_size=”19px” button_bg_color=”RGBA(12,109,255,0.89)” custom_margin=”43px|||||” global_colors_info=”{}”][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.16″ _module_preset=”default” positioning=”none” z_index=”2″ custom_margin=”|22px|136px|22px|false|true” custom_margin_tablet=”|20px||20px|false|true” custom_margin_phone=”|10px||10px|false|true” custom_margin_last_edited=”on|phone” custom_padding=”32px||7px|||” border_radii=”off||||” border_radii_tablet=”on|20px|20px|20px|20px” border_radii_phone=”on|15px|15px|15px|15px” border_radii_last_edited=”on|phone” locked=”off” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_blurb image_icon_width=”40px” icon_alignment=”left” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_text_color=”#071018″ header_font_size=”22px” header_letter_spacing=”-0.2px” header_line_height=”1.2em” body_font=”Poppins||||||||” body_text_color=”#333333″ body_font_size=”18px” body_line_height=”1.4em” text_orientation=”center” custom_margin=”0px||126px|0px|false|false” custom_padding=”|46px||46px|false|true” header_font_size_tablet=”22px” header_font_size_phone=”18px” header_font_size_last_edited=”on|phone” body_font_size_tablet=”” body_font_size_phone=”12px” body_font_size_last_edited=”on|phone” custom_css_blurb_title=”text-transform: none;” locked=”off” global_colors_info=”{}”]<\/p>\n
Taking effective public health action depends on\u00a0timely, secure access to clinical data. As\u00a0healthcare providers (HCPs)\u00a0increasingly document patient information electronically,\u00a0public health authorities (PHAs)\u00a0must be equipped to access this EHI in ways that are both legally authorized and operationally\u00a0feasible.<\/span>\u00a0<\/span><\/p>\n This section provides a high-level overview of the primary methods PHAs use to directly access EHI focusing on direct access to\u00a0electronic health record (EHR systems), health information exchanges (HIEs), and hybrid approaches.<\/span>\u00a0<\/span><\/p>\n The sections on Partner Engagement Strategies <\/a><\/span>and Communication Best Practices<\/a><\/span>\u200b <\/span><\/span><\/a>contain\u00a0resources that can be used in planning your\u00a0initial\u00a0contact with\u00a0healthcare organizations (HCOs), and ongoing communications and relationship building.\u00a0<\/span>\u00a0<\/span><\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ width=”68%” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_margin=”|auto|92px|auto||” custom_padding=”20px|45px|47px|45px|false|true” custom_padding_tablet=”20px|20px|20px|20px|true|true” custom_padding_phone=”10px|10px|10px|10px|true|true” border_radii=”on|15px|15px|15px|15px” border_width_all=”1px” border_color_all=”rgba(100,116,139,0.5)” border_width_bottom=”0px” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_accordion open_toggle_text_color=”#0c6dff” open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” _builder_version=”4.27.4″ _module_preset=”default” toggle_font=”Poppins||||||||” toggle_text_align=”left” toggle_font_size=”22px” body_font=”Poppins|300|||||||” body_text_align=”left” body_text_color=”#FFFFFF” body_font_size=”19px” border_radii=”off|20px|20px||” border_width_all=”0px” global_colors_info=”{}”][et_pb_accordion_item title=”Direct Access via EHR Systems ” open=”on” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF”]<\/p>\n Public health professionals can be granted user-level access to a HCO\u2019s EHR system, typically through a web-based portal.\u00a0\u00a0How it works:<\/span>\u00a0<\/span><\/p>\n Example use cases include:<\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”||11px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”Pros and Cons of Direct Access” heading_tag=”h1″ heading_display=”column” fh_padding=”0px|20px|20px|20px|false|true” sh_style=”background” sh_background_style=”normal” sh_padding=”0px|20px|20px|20px|false|true” sh_margin=”-30px|0px|0px|20px|false|false” fh_padding_tablet=”0px|20px|20px|20px|false|true” fh_padding_phone=”0px|20px|20px|20px|false|true” fh_padding_last_edited=”on|desktop” sh_padding_tablet=”0px|20px|20px|20px|false|true” sh_padding_phone=”0px|20px|20px|20px|false|true” sh_padding_last_edited=”on|desktop” sh_margin_tablet=”-30px|0px|0px|20px|false|false” sh_margin_phone=”-20px|0px|0px|0px|false|false” sh_margin_last_edited=”on|phone” module_id=”section1″ _builder_version=”4.27.4″ _module_preset=”default” first_heading_font=”Poppins||||||||” first_heading_text_align=”center” first_heading_text_color=”#000a23″ first_heading_font_size=”48px” first_heading_letter_spacing=”-5px” first_heading_line_height=”1.1em” second_heading_font=”Poppins||||||||” second_heading_text_align=”left” second_heading_text_color=”#071018″ second_heading_font_size=”80px” second_heading_letter_spacing=”-9px” second_heading_line_height=”1em” custom_margin=”9px||10px||false|false” first_heading_font_size_tablet=”100px” first_heading_font_size_phone=”60px” first_heading_font_size_last_edited=”on|tablet” first_heading_letter_spacing_tablet=”-7px” first_heading_letter_spacing_phone=”-4px” first_heading_letter_spacing_last_edited=”on|tablet” second_heading_font_size_tablet=”100px” second_heading_font_size_phone=”60px” second_heading_font_size_last_edited=”on|tablet” second_heading_letter_spacing_tablet=”-7px” second_heading_letter_spacing_phone=”-4px” second_heading_letter_spacing_last_edited=”on|tablet” locked=”off” global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear”][\/dipi_dual_heading][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=”1_2,1_2″ _builder_version=”4.16″ _module_preset=”default” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_margin=”-17px|auto|-5px|auto||” custom_padding=”||7px|||” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_flip_box front_title=”PROS” back_content=”<\/p>\n ” flip_box_height=”398px” front_side_bg_color=”#000a23″ back_side_bg_color=”rgba(12,109,255,0.52)” front_side_bg_color_gradient_stops=”#2b87da 0%|#7ed3fc 100%” front_side_bg_color_gradient_end=”#7ed3fc” _builder_version=”4.27.4″ _module_preset=”default” front_title_font=”Poppins||||||||” front_title_text_color=”#EFF2F4″ front_title_font_size=”45px” front_title_letter_spacing=”-2px” front_desc_font=”Poppins||||||||” front_desc_text_color=”#FFFFFF” front_desc_font_size=”33px” front_desc_letter_spacing=”-2px” front_desc_line_height=”1em” back_title_font=”Poppins||||||||” back_title_text_color=”#000a23″ 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width=”68%” width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_margin=”121px|auto|92px|auto||” custom_padding=”20px|45px|47px|45px|false|true” custom_padding_tablet=”20px|20px|20px|20px|true|true” custom_padding_phone=”10px|10px|10px|10px|true|true” border_radii=”on|15px|15px|15px|15px” border_width_all=”1px” border_color_all=”rgba(100,116,139,0.5)” border_width_bottom=”0px” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_accordion open_toggle_text_color=”#0c6dff” open_toggle_background_color=”RGBA(255,255,255,0)” closed_toggle_background_color=”RGBA(255,255,255,0)” _builder_version=”4.27.4″ _module_preset=”default” toggle_font=”Poppins||||||||” toggle_text_align=”left” toggle_font_size=”22px” body_font=”Poppins|300|||||||” body_text_align=”left” body_text_color=”#FFFFFF” body_font_size=”19px” border_radii=”off|20px|20px||” border_width_all=”0px” global_colors_info=”{}”][et_pb_accordion_item title=”Health Information Exchanges (HIEs) ” open=”on” open_toggle_text_color=”#0c6dff” closed_toggle_text_color=”#FFFFFF” _builder_version=”4.27.4″ _module_preset=”default” border_width_bottom=”0.8px” border_color_bottom=”#64748B” global_colors_info=”{}” toggle_text_color=”#FFFFFF”]<\/p>\n A HIE is a system that\u00a0facilitates\u00a0the secure, authorized sharing of health data among different providers, health systems, and\u00a0PHAs.\u00a0\u00a0How it works:<\/span>\u00a0<\/span><\/p>\n Examples of use cases:<\/span>\u00a0<\/span><\/p>\n [\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”||11px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][dipi_dual_heading first_heading=”Pros and Cons of HIEs” heading_tag=”h1″ heading_display=”column” fh_padding=”0px|20px|20px|20px|false|true” sh_style=”background” sh_background_style=”normal” sh_padding=”0px|20px|20px|20px|false|true” sh_margin=”-30px|0px|0px|20px|false|false” fh_padding_tablet=”0px|20px|20px|20px|false|true” fh_padding_phone=”0px|20px|20px|20px|false|true” fh_padding_last_edited=”on|desktop” sh_padding_tablet=”0px|20px|20px|20px|false|true” sh_padding_phone=”0px|20px|20px|20px|false|true” sh_padding_last_edited=”on|desktop” sh_margin_tablet=”-30px|0px|0px|20px|false|false” sh_margin_phone=”-20px|0px|0px|0px|false|false” sh_margin_last_edited=”on|phone” module_id=”section1″ _builder_version=”4.27.4″ _module_preset=”default” first_heading_font=”Poppins||||||||” first_heading_text_align=”center” first_heading_text_color=”#000a23″ first_heading_font_size=”48px” first_heading_letter_spacing=”-5px” first_heading_line_height=”1.1em” second_heading_font=”Poppins||||||||” second_heading_text_align=”left” second_heading_text_color=”#071018″ second_heading_font_size=”80px” 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width_tablet=”” width_phone=”90%” width_last_edited=”on|phone” custom_margin=”-17px|auto|-5px|auto||” custom_padding=”||7px|||” global_colors_info=”{}”][et_pb_column type=”1_2″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_flip_box front_title=”PROS” back_content=”<\/p>\n ” flip_box_height=”398px” front_side_bg_color=”#000a23″ back_side_bg_color=”rgba(12,109,255,0.52)” front_side_bg_color_gradient_stops=”#2b87da 0%|#7ed3fc 100%” front_side_bg_color_gradient_end=”#7ed3fc” _builder_version=”4.27.4″ _module_preset=”default” front_title_font=”Poppins||||||||” front_title_text_color=”#EFF2F4″ front_title_font_size=”45px” front_title_letter_spacing=”-2px” front_desc_font=”Poppins||||||||” front_desc_text_color=”#FFFFFF” front_desc_font_size=”33px” front_desc_letter_spacing=”-2px” front_desc_line_height=”1em” back_title_font=”Poppins||||||||” back_title_text_color=”#000a23″ back_desc_font=”Poppins||||||||” back_desc_text_color=”#071018″ back_desc_font_size=”20px” back_desc_letter_spacing=”-1px” module_alignment=”left” custom_padding=”||5px||false|false” border_radii=”on|25px|25px|25px|25px” border_width_all=”1px” border_color_all=”#000a23″ global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear”][\/dipi_flip_box][\/et_pb_column][et_pb_column type=”1_2″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][dipi_flip_box front_title=”CONS” back_content=”<\/p>\n ” flip_box_height=”398px” front_side_bg_color=”#000a23″ back_side_bg_color=”rgba(12,109,255,0.52)” front_side_bg_color_gradient_stops=”#2b87da 0%|#7ed3fc 100%” front_side_bg_color_gradient_end=”#7ed3fc” _builder_version=”4.27.4″ _module_preset=”default” front_title_font=”Poppins||||||||” front_title_text_color=”#EFF2F4″ front_title_font_size=”45px” front_title_letter_spacing=”-2px” front_desc_font=”Poppins||||||||” front_desc_text_color=”#FFFFFF” front_desc_font_size=”33px” front_desc_letter_spacing=”-2px” front_desc_line_height=”1em” back_title_font=”Poppins||||||||” back_title_text_color=”#000a23″ back_desc_font=”Poppins||||||||” back_desc_text_color=”#071018″ back_desc_font_size=”20px” back_desc_letter_spacing=”-1px” module_alignment=”left” custom_padding=”||5px||false|false” border_radii=”on|25px|25px|25px|25px” border_width_all=”1px” border_color_all=”#000a23″ global_colors_info=”{}” overlay_bg_color_gradient_type_tablet=”linear” overlay_bg_color_gradient_type_phone=”linear” overlay_bg_color_gradient_type__hover=”linear” image_bg_color_gradient_type__hover=”linear”][\/dipi_flip_box][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”||11px|||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_blurb image_icon_width=”40px” icon_alignment=”left” content_max_width=”100%” _builder_version=”4.27.4″ _module_preset=”default” header_text_color=”#071018″ header_font_size=”22px” header_letter_spacing=”-0.2px” header_line_height=”1.2em” body_font=”Poppins||||||||” body_text_color=”#333333″ body_font_size=”18px” body_line_height=”1.4em” text_orientation=”center” custom_margin=”60px||25px|0px|false|false” custom_padding=”|150px||150px|false|true” header_font_size_tablet=”22px” header_font_size_phone=”18px” header_font_size_last_edited=”on|phone” body_font_size_tablet=”” body_font_size_phone=”12px” body_font_size_last_edited=”on|phone” custom_css_blurb_title=”text-transform: none;” locked=”off” global_colors_info=”{}”]<\/p>\n Similar to<\/span>\u00a0<\/span>an HIE, Regional Health Information Organizations (RHIOs) are local or regional versions of HIEs that serve specific geographic areas. They often have close relationships with local PHAs and stakeholders. RHIOs operate in a similar fashion to HIEs. Many of the RHIOs that previously existed are now part of the statewide HIE.<\/span><\/span>\u00a0<\/span><\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][et_pb_row use_custom_gutter=”on” gutter_width=”2″ make_equal=”on” custom_padding_last_edited=”on|phone” _builder_version=”4.27.4″ _module_preset=”default” background_color=”#000a23″ width=”68%” width_tablet=”” width_phone=”90%” width_last_edited=”on|tablet” custom_margin=”121px|auto|92px|auto||” custom_padding=”20px|45px|47px|45px|false|true” custom_padding_tablet=”20px|20px|20px|20px|true|true” custom_padding_phone=”10px|10px|10px|10px|true|true” border_radii=”on|15px|15px|15px|15px” border_width_all=”1px” border_color_all=”rgba(100,116,139,0.5)” border_width_bottom=”0px” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.24.2″ _module_preset=”default” global_colors_info=”{}”][et_pb_accordion open_toggle_text_color=”#0c6dff” open_toggle_background_color=”RGBA(255,255,255,0)” 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hospital EHR systems, the Kansas Department of Health and Environment\u2019s STI and HIV surveillance team, led by\u00a0<\/span><\/span>epidemiologist\u00a0<\/span><\/span>Kristen Row, turned to\u00a0<\/span><\/span>HIEs<\/span>\u00a0<\/span>as a powerful alternative \u2014 connecting to both the Kansas Health Information Network and the Lewis and Clark Information Exchange (LACIE) to view patient data from across state lines. 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\n \n \n \n Accessing EHI\n <\/span>\n <\/span>\n <\/span>\n \n \n \n \n <\/span>\n <\/span>\n <\/span>\n <\/h1>\n <\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>Taking effective public […]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"dipi_cpt_category":[],"class_list":["post-4064","page","type-page","status-publish","hentry"],"featured_image_src":null,"featured_image_src_square":null,"_links":{"self":[{"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/4064","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4064"}],"version-history":[{"count":0,"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=\/wp\/v2\/pages\/4064\/revisions"}],"wp:attachment":[{"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4064"}],"wp:term":[{"taxonomy":"dipi_cpt_category","embeddable":true,"href":"https:\/\/ehitoolkit.cste.org\/index.php?rest_route=%2Fwp%2Fv2%2Fdipi_cpt_category&post=4064"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}