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CME3

Intimate Partner Violence and Human Trafficking: Building Community Partnerships, Safely Optimizing UDS Data Collection with a New EHR SmartForm

Date
August 28, 2023
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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.

Speakers

Speaker Image for Anna Marjavi
Director, Health Partners on IPV + Exploitation, Futures Without Violence
Speaker Image for Kimberly S. G. Chang
Vice-Speaker of the House, NACHC Board of Directors and Family Physician, Human Trafficking and Health Care Policy Fellow, Asian Health Services
Speaker Image for Camila Sanchez Tejada
Program Assistant, Health Partners on IPV + Exploitation, Futures Without Violence
Speaker Image for Megha Rimal
Program Specialist, Health, Futures Without Violence

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