The 21st Century CURES Act in Pediatric Gastroenterology: Problems, Solutions, and Preliminary Guidance

Jennifer A. Lee, Steven D. Miller, Ethan A. Mezoff, Jeremy Screws, Cary Sauer, Jeannie S. Huang

Research output: Contribution to journalArticlepeer-review

Abstract

ABSTRACT: The information blocking (IB) prohibition component of the 21st Century CURES Act (21CCA) comes into effect April 5, 2021, which gives patients and their families near-instant access to almost all clinical notes, lab results, and health data. Exceptions to IB prohibition include risk of harm and patient privacy, but violations can be punished by a fine of up to $1,000,000.00. A committee of pediatric gastroenterologists reviewed the 21CCA regulation and compared local practice policies. Pediatric practitioners need to understand how age will affect local information release policies and to know which note types are released, paying special consideration to trainee notes and confidential information. Extraneous detail should be removed from notes, emotional labeling be avoided, and objective statements be made when referring to the care of other providers. Awareness of the 21CCA provides pediatric gastroenterologists with the opportunity to adapt their medical documentation practices to accommodate the new law.

Original languageEnglish (US)
Pages (from-to)700-703
Number of pages4
JournalJournal of pediatric gastroenterology and nutrition
Volume72
Issue number5
DOIs
StatePublished - May 1 2021

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Gastroenterology

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