Confidential Health Care for Adolescents and Young Adults: Navigating Electronic Health Records and Insurance Coverage
This session examines how electronic health records (EHRs), Artificial Intelligence, and health insurance processes can inadvertently compromise confidentiality for adolescents and young adults receiving substance-use-related care. Building on foundational consent and confidentiality principles (Part 1), it reviews practical strategies clinicians and systems can use to protect sensitive information across documentation, billing, and communication workflows. The session integrates current adolescent confidentiality policy guidance and emerging literature to support ethically and legally sound practice in complex care environments.
Learning objectives:
- Describe common Electronic Health Records, Artificial Intelligence, and insurance-related mechanisms (e.g., visit summaries, portals, explanation-of-benefits notices, diagnostics coding) that may disclose confidential adolescent substance-use services.
- Apply federal and state consent/confidentiality requirements to documentation and billing decisions for adolescents and young adults receiving substance-use-related care.
- Counsel adolescents and caregivers about confidentiality limits and protections related to insurance coverage and electronic information sharing.
- Locate and utilize online resources, policy statements and national organizational guidance and advocacy initiatives addressing adolescent confidentiality in EHRs and insurance communications.
Audience:
Prescribing Clinicians and their teams
Continuing Medical Education:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Hanley Center for Health Leadership and Education and CCSME. The Hanley Center for Health Leadership and Education is accredited by the Maine Medical Association Committee on Continuing Medical Education and Accreditation to provide continuing medical education for physicians.
The Hanley Center for Health Leadership and Education designates this regularly scheduled series for a maximum of 1 AMA PRA Category 1 Credit ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
*Nurses and Nurse Practitioners will be awarded a certificate of participation with a maximum of 1 AMA PRA Category 1 Credit ™.
This course has been approved by Co-Occurring Collaborative Serving Maine (CCSME), as a NAADAC Approved Education Provider, for 1 educational credits. NAADAC Provider #324712, CCSME is responsible for all aspects of the programming.
Contact Hours 1 contact hours for social workers, licensed clinical professional counselors, and behavioral health professionals.
1 Category 1 Contact hours for psychologists. CCSME is a pre-approved sponsor and provider of Professional Education Activities for Psychologists.
1 contract hours CHES. CCSME is a designated provider of continuing education contact hours (CECH) in health education by the National Commission of Health Education Credentialing, Inc.
Speaker
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Laura Grubb MD MPHI am a board-certified pediatrician and adolescent medicine specialist with over two decades of experience advancing adolescent behavioral health through clinical care, public health leadership, and national advocacy. My expertise centers on youth substance use prevention, treatment, and recovery, with a strong focus on implementing trauma-informed, evidence-based practices across clinical and community settings. As a Subject Matter Expert for the New England ATTC and consultant to the Opioid Response Network, I provide targeted technical assistance (TTA), training, and policy-informed consultation to behavioral health providers and systems. My work supports systems-level integration of adolescent substance use services, including medication for addiction treatment (MAT), and enhances provider capacity through tailored curricula and strategic planning. I bring extensive experience in academic medicine, federal service, and program development, which positions me to contribute meaningfully to ATTC’s mission of building workforce competency in substance use care.
