Which of the following is NOT listed as a secondary use of health information?

• A. Population health management
• B. Clinical care
• C. Public health reporting
• D. Third-party reimbursement

Answer: (B)

Secondary use of health information means using patient data for purposes other than direct clinical care. The direct clinical care of a patient—treating, diagnosing, or making decisions about an individual’s health needs—belongs to the primary use of health data. In contrast, population health management uses data to improve health outcomes across groups, public health reporting shares information for surveillance and monitoring, and third-party reimbursement uses data to bill insurers. These are all secondary uses because they serve functions beyond the immediate treatment of the patient. Therefore, the item describing direct patient treatment is not a secondary use, making that option the correct choice.