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STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

STRATEGIC PLAN - ASPE - U.S. Department of Health and Human ...

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CHAPTER 3: Public <strong>Health</strong> Promotion <strong>and</strong> Protection, Disease Prevention,<strong>and</strong> Emergency PreparednessASPR, OD, <strong>and</strong> OCR are working with the AmericanRed Cross to develop an intake <strong>and</strong> assessment toolthat will be used at shelters to evaluate the functionalneeds <strong>of</strong> all individuals, including individuals withdisabilities. This tool will help ensure that individualswith disabilities have equal access to shelter services<strong>and</strong> are served in the most integrated settingappropriate. On the local level, OCR’s 10 regional<strong>of</strong>fices are working with other <strong>of</strong>fices in HHS <strong>and</strong> Statesto provide technical assistance <strong>and</strong> resources to planfor <strong>and</strong> respond to needs <strong>of</strong> individuals with disabilitiesin the event <strong>of</strong> an emergency.Protected <strong>Health</strong> Information. In its review <strong>of</strong> State<strong>and</strong> local emergency plans issued in the summer <strong>of</strong> 2006,the U.S. <strong>Department</strong> <strong>of</strong> Homel<strong>and</strong> Security identifiedmisunderst<strong>and</strong>ing <strong>and</strong> confusion surrounding theapplication <strong>of</strong> the HIPAA Privacy Rule protections toinformation sought for emergency response planningpurposes. OCR has implemented a new Web-basedinteractive decision tool designed to assist emergencypreparedness <strong>and</strong> recovery planners in determininghow to access <strong>and</strong> use health information consistentwith the HIPAA Privacy Rule. The tool guides emergencypreparedness <strong>and</strong> recovery planners through a series<strong>of</strong> questions regarding how to apply the HIPAA PrivacyRule. The tool is available on OCR’s Web site alongwith bulletins containing information for emergencyproviders on the disclosure <strong>of</strong> protected healthinformation to assist with disaster relief efforts.Equal AccessOCR has taken steps, consistent with a FederalGovernmentwide effort, to help ensure that individualswith Limited English Pr<strong>of</strong>iciency (LEP) have equal accessto information, shelters, <strong>and</strong> other evacuation <strong>and</strong> reliefefforts. For example, OCR is working with ASPR <strong>and</strong> theAmerican Red Cross to develop an intake <strong>and</strong> assessmenttool that will be used at shelters to identify <strong>and</strong> addresscommunication needs <strong>of</strong> individuals with LEP. On thelocal level, OCR’s regional <strong>of</strong>fices are working with HHSpartners <strong>and</strong> States to provide technical assistance<strong>and</strong> resources to plan for <strong>and</strong> respond to the needs <strong>of</strong>individuals with LEP in the event <strong>of</strong> an emergency.Information Technology SupportHHS will be developing a deployable, interoperable firstresponder electronic health record system. The electronichealth record system for disasters will maintain thesecurity <strong>and</strong> confidentiality <strong>of</strong> health information. Theintention is to field test possible platforms during the 2007hurricane season to gain insight into their benefits <strong>and</strong>limitations. There are few existing systems <strong>and</strong> st<strong>and</strong>ardsin the broader health environment to interact with at thistime, so the expected benefits are to ensure quality <strong>of</strong> care<strong>and</strong> continuity <strong>of</strong> information sharing during a publichealth emergency <strong>and</strong> its aftermath. Wider health sectorst<strong>and</strong>ards development <strong>and</strong> endorsement by the <strong>Health</strong>Information Technology St<strong>and</strong>ards Panel <strong>and</strong> the Secretarywill be completed to capitalize on the desired benefits <strong>of</strong>this approach toward continuity <strong>and</strong> quality <strong>of</strong> care.HHS Strategic Plan FY 2007-201279

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