HRB Oregon for providers

• A new channel of information
• A way to fill in the gap
• HIPAA-compliant information security

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The Health Record Bank of Oregon (HRBO) promises to transform Oregon’s medical assistance system. It will complement the online advancements available in Oregon’s current Immunization ALERT system, and the replacement Medicaid Management Information System (MMIS).

Provider encouragement and support of OHP clients to access, discuss and share their health information with their care providers will be an important factor in HRBO's success.

Providers have much to gain from using the services of the HRBO as a source of more complete health information.

A new channel of information   

Once operational, the HRBO will support and supplement existing information sources that physicians, hospitals and others already have available. It will serve two purposes:

• Copies of information from existing sources will be gathered into one secure, central site on the Web. This will help providers develop different approaches to care for each client as appropriate, including team-based coordination models such as the integrated health home initiatives now under way in Oregon.
• Clients will have direct access to the HRBO, allowing them to share their personal health information with providers in situations where that information would otherwise be unavailable.

The information available through the HRBO will go beyond a standard paper chart. The history available on HRB Oregon will be retained over time and be available whether the client is in another office, city or state.

A way to fill in the gaps

Missing patient information compromises a significant percentage of all clinical encounters. Incomplete information results in redundant, unnecessary or inappropriate care. The HRBO will fill the information gap by providing a record of the client’s past tests, medications, procedures and office visits across multiple providers.

Information gaps also occur when OHP clients leave their managed care plans, or leave the medical assistance system entirely and then return. The HRBO can reduce these gaps with interaction with the safety net and private health systems that also provide care for these clients.

HIPAA-compliant information security

The HRBO will exceed HIPAA and industry standards for information privacy and security. A governing board with a mandate to serve as a trustworthy guardian of personal health information will be established. Throughout HRB Oregon’s development the state will solicit input from health care stakeholders and beneficiaries to support this mandate.

The HRBO will also conform closely to industry standards for developing Web-based personal health record technologies such as health record banks, including the standards of the national Health Information Security and Privacy Collaboration (HISPC) and the Certification Commission for Healthcare Information Technology (CCHIT). 

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