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Published in: BMC Medical Informatics and Decision Making 1/2013

Open Access 01-12-2013 | Technical advance

Managing personal health information in distributed research network environments

Authors: Christine E Bredfeldt, Amy L Butani, Roy Pardee, Paul Hitz, Sandy Padmanabhan, Gwyn Saylor

Published in: BMC Medical Informatics and Decision Making | Issue 1/2013

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Abstract

Background

Studying rare outcomes, new interventions and diverse populations often requires collaborations across multiple health research partners. However, transferring healthcare research data from one institution to another can increase the risk of data privacy and security breaches.

Methods

A working group of multi-site research programmers evaluated the need for tools to support data security and data privacy. The group determined that data privacy support tools should: 1) allow for a range of allowable Protected Health Information (PHI); 2) clearly identify what type of data should be protected under the Health Insurance Portability and Accountability Act (HIPAA); and 3) help analysts identify which protected health information data elements are allowable in a given project and how they should be protected during data transfer. Based on these requirements we developed two performance support tools to support data programmers and site analysts in exchanging research data.

Results

The first tool, a workplan template, guides the lead programmer through effectively communicating the details of multi-site programming, including how to run the program, what output the program will create, and whether the output is expected to contain protected health information. The second performance support tool is a checklist that site analysts can use to ensure that multi-site program output conforms to expectations and does not contain protected health information beyond what is allowed under the multi-site research agreements.

Conclusions

Together the two tools create a formal multi-site programming workflow designed to reduce the chance of accidental PHI disclosure.
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Literature
1.
go back to reference Baggs J, Gee J, Lewis E, Fowler G, Benson P, Lieu T, Naleway A, Klein NP, Baxter R, Belongia E, et al: The vaccine safety datalink: a model for monitoring immunization safety. Pediatrics. 2011, 127 (Suppl 1): S45-S53.CrossRefPubMed Baggs J, Gee J, Lewis E, Fowler G, Benson P, Lieu T, Naleway A, Klein NP, Baxter R, Belongia E, et al: The vaccine safety datalink: a model for monitoring immunization safety. Pediatrics. 2011, 127 (Suppl 1): S45-S53.CrossRefPubMed
2.
go back to reference Durham ML: Partnerships for research among managed care organizations. Health Aff (Millwood). 1998, 17 (1): 111-122. 10.1377/hlthaff.17.1.111.CrossRef Durham ML: Partnerships for research among managed care organizations. Health Aff (Millwood). 1998, 17 (1): 111-122. 10.1377/hlthaff.17.1.111.CrossRef
3.
go back to reference Go AS, Magid DJ, Wells B, Sung SH, Cassidy-Bushrow AE, Greenlee RT, Langer RD, Lieu TA, Margolis KL, Masoudi FA, et al: The cardiovascular research network: a new paradigm for cardiovascular quality and outcomes research. Circ Cardiovasc Qual Outcomes. 2008, 1 (2): 138-147. 10.1161/CIRCOUTCOMES.108.801654.CrossRefPubMed Go AS, Magid DJ, Wells B, Sung SH, Cassidy-Bushrow AE, Greenlee RT, Langer RD, Lieu TA, Margolis KL, Masoudi FA, et al: The cardiovascular research network: a new paradigm for cardiovascular quality and outcomes research. Circ Cardiovasc Qual Outcomes. 2008, 1 (2): 138-147. 10.1161/CIRCOUTCOMES.108.801654.CrossRefPubMed
4.
go back to reference Holmes JH, Brown J, Hennessy S, Lane K, Langer RD, Lazarus R, O’Connor PJ, Strom BL, Platt R: Developing a distributed research network to conduct population-based studies and safety surveillance. AMIA Annu Symp Proc. 2008, 6: 973- Holmes JH, Brown J, Hennessy S, Lane K, Langer RD, Lazarus R, O’Connor PJ, Strom BL, Platt R: Developing a distributed research network to conduct population-based studies and safety surveillance. AMIA Annu Symp Proc. 2008, 6: 973-
5.
go back to reference Maro JC, Platt R, Holmes JH, Strom BL, Hennessy S, Lazarus R, Brown JS: Design of a national distributed health data network. Ann Intern Med. 2009, 151 (5): 341-344. 10.7326/0003-4819-151-5-200909010-00139.CrossRefPubMed Maro JC, Platt R, Holmes JH, Strom BL, Hennessy S, Lazarus R, Brown JS: Design of a national distributed health data network. Ann Intern Med. 2009, 151 (5): 341-344. 10.7326/0003-4819-151-5-200909010-00139.CrossRefPubMed
7.
go back to reference Stell A, Sinnott R, Jiang J: Enabling secure, distributed collaborations for adrenal tumor research. Stud Health Technol Inform. 2010, 159: 259-263.PubMed Stell A, Sinnott R, Jiang J: Enabling secure, distributed collaborations for adrenal tumor research. Stud Health Technol Inform. 2010, 159: 259-263.PubMed
8.
go back to reference Kakazu KK, Cheung LW, Lynne W: The cancer biomedical informatics grid (caBIG): pioneering an expansive network of information and tools for collaborative cancer research. Hawaii Med J. 2004, 63 (9): 273-275.PubMed Kakazu KK, Cheung LW, Lynne W: The cancer biomedical informatics grid (caBIG): pioneering an expansive network of information and tools for collaborative cancer research. Hawaii Med J. 2004, 63 (9): 273-275.PubMed
9.
go back to reference Brown JS, Holmes JH, Shah K, Hall K, Lazarus R, Platt R: Distributed health data networks: a practical and preferred approach to multi-institutional evaluations of comparative effectiveness, safety, and quality of care. Med Care. 2010, 48 (6 Suppl): S45-S51.CrossRefPubMed Brown JS, Holmes JH, Shah K, Hall K, Lazarus R, Platt R: Distributed health data networks: a practical and preferred approach to multi-institutional evaluations of comparative effectiveness, safety, and quality of care. Med Care. 2010, 48 (6 Suppl): S45-S51.CrossRefPubMed
10.
go back to reference Cross Portfolio Statistical Integration Committee: High level principles for data integration involving commonwealth data for statistical and research purposes. 2010, Australia: Portfolio Secretaries Cross Portfolio Statistical Integration Committee: High level principles for data integration involving commonwealth data for statistical and research purposes. 2010, Australia: Portfolio Secretaries
11.
go back to reference Chen YC, Wu JC, Haschler I, Majeed A, Chen TJ, Wetter T: Academic impact of a public electronic health database: bibliometric analysis of studies using the general practice research database. PLoS One. 2011, 6 (6): e21404-10.1371/journal.pone.0021404.CrossRefPubMedPubMedCentral Chen YC, Wu JC, Haschler I, Majeed A, Chen TJ, Wetter T: Academic impact of a public electronic health database: bibliometric analysis of studies using the general practice research database. PLoS One. 2011, 6 (6): e21404-10.1371/journal.pone.0021404.CrossRefPubMedPubMedCentral
13.
go back to reference G D, S K, L S: Database Security and Confidentiality: Examining Disclosure Risk vs. Data Utility through the R-U Confidentiality Map. Los Alamos National Laboratory. 2004, NM: National Institute for Statistical Sciences G D, S K, L S: Database Security and Confidentiality: Examining Disclosure Risk vs. Data Utility through the R-U Confidentiality Map. Los Alamos National Laboratory. 2004, NM: National Institute for Statistical Sciences
14.
go back to reference Bredfeldt CE, Butani A, Padmanabhan S, Hitz P, Pardee R: Managing protected health information in distributed research network environments: automated review to facilitate collaboration. BMC Med Inform Decis Mak. 2013, 13: 39-10.1186/1472-6947-13-39.CrossRefPubMedPubMedCentral Bredfeldt CE, Butani A, Padmanabhan S, Hitz P, Pardee R: Managing protected health information in distributed research network environments: automated review to facilitate collaboration. BMC Med Inform Decis Mak. 2013, 13: 39-10.1186/1472-6947-13-39.CrossRefPubMedPubMedCentral
Metadata
Title
Managing personal health information in distributed research network environments
Authors
Christine E Bredfeldt
Amy L Butani
Roy Pardee
Paul Hitz
Sandy Padmanabhan
Gwyn Saylor
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2013
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/1472-6947-13-116

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