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Intimate Partner Violence (IPV) affects 1 in 2 women; 2 in 5 men; for people of trans experience, rates increase to 1 in 3. Health harms include abuse, reproductive coercion, sexually transmitted diseases (STIs), traumatic brain injuries and strangulation, to substance use, depression, and post-traumatic stress disorder (PTSD). Human trafficking (HT), or exploitation more broadly, has health impacts mirroring IPV. One study showed that 87.8 percent of trafficked victims had contact with a provider, and 57.1 percent visited a clinic while trafficked. HRSA began collecting IPV and HT diagnosis and services UDS data in 2020. Health centers have challenges capturing this IPV and HT data. Currently, many EHRs do not have discrete fields to directly document IPV and HT. Without proper safeguards, documentation with the recommended ICD-10 diagnosis codes for UDS could result in inappropriate identification/labeling within the EHR, and potential harm for the patient's privacy, confidentiality, and safety.
This session will discuss ways your health center can systematically facilitate outreach, prevention, universal education, care for patients, and connections to resources and services while safely documenting IPV and HT within EHR for UDS reporting. One example of an EHR tool (EPIC OCHIN) and the principles behind its development will be discussed.
Learning Objectives
Understand how to use the CUES (Confidentiality, Universal Education and Empowerment, Support) framework and safety card tools to help providers initiate conversation with patients about IPV and HT.
Identify health center protocols and community partnership tools and approaches (DV Programs and Medical-Legal Partnerships) for integrating IPV and HT issues into care.
Discuss the privacy, safety, and confidentiality principles behind developing an EHR SmartForm that can facilitate the collection of UDS data on IPV and HT.
Come join NACHC nurses to network, learn about professional opportunities like the Nurse Empowerment Program and scholarships. Hear about nurse workshops to support the growth of the nursing workforce in your health centers. Help plan future nurse offerings in 2024…
The Program of All-Inclusive Care for the Elderly (PACE) provides comprehensive medical and social services to eligible individuals who live in a community…
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