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  • Health IT Investments that Improve Health Care | Markle | Advancing America's Future
    HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Health IT Investments that Improve Health Care Critical Information Policy and Technology Attributes and Expectations Publication Date Tuesday January 13 2009 To achieve the desired impact and value from health IT investments funding efforts should incorporate both information policy and technology attributes that foster trust and enable sharing of vital health information and expectations for measurable health and delivery system improvements Strategic health IT investments can improve health care spur innovation and promote long term economic growth by Expanding employment in areas of health care that can produce quality

    Original URL path: http://www.markle.org/publications/698-health-it-investments-improve-health-care (2016-02-10)
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  • Resources | Markle | Advancing America's Future
    HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Explore Reports articles and other resources Library All Programs General Markle Rework America Health National Security All Types Article Op Ed Essay Letter Brief Collaborative Comment Event Materials Executive Summary Media Release Presentation Slideshow President s Letter Report White Paper RFI Response Speech Testimony Survey Video Year 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 Connecting Americans to Their Health Care When HSAs Meet PHRs This presentation describes how information can empower consumers to make the appropriate choices for better health and cost savings Personal health records PHRs can provide the information consumers need while health savings accounts HSAs can reward good health care and lifestyle choices Connecting Americans to Their Health Care User s Panel David Lansky from Markle Foundation Mike Stocker from Empire Blue Cross Blue Shield Marc Pierson from Peace Health and Cynthia Solomon from Access Strategies Inc discuss how providing access to patient health information is building patient engagement and better health outcomes Connecting Americans to Their Health Care User Centered Design Steve Downs from Robert Wood Johnson Foundation Holly Massett from National Cancer Institute Patti Brennan from University of Wisconsin Madison and Stefanie Fenton from Intuit discuss how user centered design can be applied to health care and PHRs Connecting Americans to Their Health Care Understanding the VA and the VistA Lygeia Ricciardi from Markle Foundation Virginia S Price from U S Dept of Veterans Affairs David M Douglas from U S Dept of Veterans Affairs and Ronald D Brimmer a VA patient discuss how the VA launched eHealth for My HealtheVet from analysis requirements gathering development pilot and finally to implementation Connecting Americans to Their Health Care Policies 101 This presentation describes the health care landscape the purpose of Connecting for Health and the need for a Common Framework Connecting Americans to Their Health Care PHRs 101 This presentation by David Lansky PhD and Josh Lemieux of Markle Foundation and Danny Sands MD of Cisco Systems provides a basic understanding of PHRs assesses the current landscape introduces key stakeholders discusses key barriers and explores possible solutions and the future Connecting Americans to Their Health Care Act Locally Scott Young from the Agency for Healthcare Research and Quality Allison Rein from National Consumers League Holt Anderson from North Carolina Healthcare Information and Communications Alliance and Micky Tripathi from Massachusetts e Health Collaborative discuss how health IT through the use of EHRs PHRs and Regional Health Information Organizations RHIOs can improve patient health population health and overall efficiency while decreasing costs Connecting Americans to Their Health Care Think Nationally David Lansky from Markle Foundation

    Original URL path: http://www.markle.org/publications?term_node_tid_depth=15&tid_1=All&date_filter[value]=&page=20 (2016-02-10)
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  • Resources | Markle | Advancing America's Future
    according to the law However as discussed above the false positive match scenario may still produce incidental disclosures even if the RLS requires a high level of certainty in order to return information from the index Given the above recommendations of this Subcommittee if a match meets the criteria for a positive match they are permissible disclosures and cannot possibly be prevented without making the threshold for a positive match so high that it would create an unacceptable level of false negative matches The Markle Connecting for Health Policy Subcommittee adopts the following position In the case in which a requester of information recognizes that information received from the RLS does not apply to the patient about whom information was requested the requester should take reasonable steps to immediately destroy that information including where applicable deleting the electronic version of that portion of the RLS response and or any paper copies thereof 4 Is this a Common Framework issue Recommendations Yes If the false positive match scenario is not approached as a Common Framework issue it is possible that various SNOs could set different standards for certainty and different numbers of required fields of demographic data in order for the RLS involved to return information to the requester This variability in what information will be returned from an RLS raises reliability of information questions How will I as a provider be able to rely upon the information returned from the RLS in Idaho as well as the information from the RLS in Maine Moreover it is also unclear how sub network RLS systems could grow and become increasingly interoperable when different threshold standards for information return are set across the systems For these reasons the Markle Connecting for Health Policy Subcommittee adopts the position that the false positive match incidental disclosure scenario and the recommendations arrived at by this Policy Subcommittee should be considered part of the Common Framework to allow for increased reliability and scalability of a nationwide electronic health information exchange A sub network organization SNO operates as a health information data exchange organization whether regionally or affinity based that operates as a part of the National Health Information Network NHIN a nationwide environment for the electronic exchange of health information made up of a network of networks 42 CFR 164 502 a 1 ii 42 CFR 164 502 a 1 iii 45 CFR 164 528 a 1 45 CFR 164 502 b 164 514 d 45 CFR 164 530 c HIPAA is a federal law Individual states may place additional requirements restrictions on the communication transmission of protected health information 45 CFR 160 103 All covered entities except small health plans were required to have compliant security standards in place before 4 21 05 while small health plans have until 4 21 06 to comply with the HIPAA Security Rule For more information on matching algorithms and probability see Linking Health Care Information Proposed Methods for Improving Care and Protecting Privacy available at http www markle org publications 863 linking health care information proposed methods improving care and protecting priv Markle Connecting for Health thanks William Braithwaite Senior Vice President and Chief Medical Officer eHealth Initiative and Clay Shirky Adjunct Professor New York University Graduate Interactive Telecommunications Program for drafting this paper 2006 2012 Markle Foundation These works were originally published as part of the Markle Connecting for Health Common Framework Resources for Implementing Private and Secure Health Information Exchange They are made available free of charge but subject to the terms of a License You may make copies of these works however by copying or exercising any other rights to the works you accept and agree to be bound by the terms of the License All copies of these works must reproduce this copyright information and notice Download P4 Correctly Matching Patients with Their Records P3 Statement of Issue Protecting medical privacy and confidentiality in the context of the Record Locator Service RLS involves a wide range of issues Providing adequate confidence in the RLS will require more than a piecemeal approach to privacy The Markle Connecting for Health Policy Subcommittee therefore proposes and emphasizes the need for a systematic and architectural approach to these issues The foundations of this approach depend on the balanced implementation of the following nine principles associated with fair information practices Openness and Transparency Purpose Specification and Minimization Collection Limitation Use Limitation Individual Participation and Control Data Integrity and Quality Security Safeguards and Controls Accountability and Oversight Remedies Considered and applied together these principles enable the development of an integrated and comprehensive approach to privacy that can be built into any information sharing system or network at the outset in order to ensure confidentiality and privacy of patient data It is critical that the nine principles be balanced together and considered as part of one package as elevating certain principles over others will weaken the overall architectural solution and no one principle can assure confidentiality and privacy of patient data on its own It is not true for instance that just because patient consent control over the use or dissemination of information is obtained that it can alone take the place of an integrated approach to protecting the privacy of information addressed by the other eight principles We therefore recommend that an institution or provider participating in the RLS develop an actionable policy regime that integrates all nine of the principles and communicates them actively to patients and others involved in sub network organizations SNOs 1 The particular policy question at issue in this document is What should an institution or provider participating in the RLS be required to do to inform patients and give them the ability to decide not to be listed in the index In addressing this question the Markle Connecting for Health Policy Subcommittee has considered in particular the principles of openness and transparency individual participation and control purpose specification and minimization collection limitation and use limitation While this particular document does not address the remaining principles of data integrity and quality security safeguards and controls accountability and oversight or remedies the Markle Connecting for Health Policy Subcommittee has developed additional materials that do so Please refer to the Markle Connecting for Health Common Framework resources and in particular A Model Contract for Health Information Exchange Background Issues on Data Quality Auditing Access to and Use of a Health Information Exchange Breaches of Confidential Health Information Authentication of System Users and Correctly Matching Patients with Their Records These papers are individual elements of an integrated and comprehensive policy framework that is intended to be considered in its entirety Background Structure of the Record Locator Service Requests for protected health information will go through a two stage process in the context of a Record Locator Service In the first stage a participating institution or provider Participant will query the Record Locator Service RLS to see if information about a particular patient exists at other participating institutions 2 The RLS index would include only the patient name non clinical details used to identify the patient name date of birth etc and participating institutions where that patient has had care If the RLS reports that patient information exists at a participating institution the requester may then contact the listed institution or institutions to request the clinical records and will need to satisfy the disclosure requirements of those institutions The RLS itself however would only return a pointer to the institution s or provider s holding the records and an indication that one or more records for the patient exists at those institutions A hallmark of the RLS system is that the RLS index which will contain patient names and demographic information only will be maintained separately from any clinical records This separation of records is a technical specification that was developed specifically to protect patient privacy Providing transparency and individual control with regard to the RLS helps ensure that the system is adequately and securely populated with patient information so as to be a useful and viable tool while enabling only a minimal amount of information given its stated purpose to be available from the RLS itself the location of records for a given patient Its design relies on the participating institution or provider to decide in the first instance whether to load patient information into the RLS Moreover it leaves the decision as to whether or not to release clinical records with the individual institution or provider holding the records acting in compliance with its own disclosure policies and the stated desires of patients when relevant The RLS two step approach 1 is a key piece of the Markle Connecting for Health architecture that enables the sharing of clinical information to occur without requiring it to be stored in a central repository it enables clinical information about patients to remain in the hands of the clinicians and institutions that have a direct relationship with the patient 2 leaves judgments about who should have access to patient information to patients and their providers and 3 assures that the system is robust and sufficiently useful from an early stage to be considered viable The RLS two step process was developed in part to assure that the system would not lead to any increased exposure of personal health information while at the same time providing some early value by establishing a way to readily and efficiently locate records in order to improve health care quality and patient safety Though clinical records and other personal information will be kept private and not in the RLS knowing where a patient might have other health information is a first and important step to improving the health care he or she receives Background What HIPAA Requires The Policy Subcommittee agrees that the HIPAA Privacy Rule would permit participation in the RLS system without a provision requiring for notice to the patient or patient authorization The Privacy Rule permits covered entities to use or disclose protected health information for treatment payment or health care operations without first obtaining an individual s authorization for such use or disclosure 3 Treatment is defined as the provision coordination or management of health care and related services by one or more health care providers 4 Health care operations is broadly defined and includes for example c onducting quality assessment and improvement activities including outcomes evaluation and population based activities relating to improving health or reducing health care costs 5 The information sharing that the RLS is designed to facilitate falls squarely within the HIPAA sanctioned uses and disclosures that do not require patient authorization Therefore the following proposed notice and patient choice policies go above and beyond what is required by the federal HIPAA privacy law and further than what a number of local and regional interoperable systems such as the Indiana Network for Patient Care currently require Proposed Privacy Policy Architecture Regarding Posting of Information to the Record Locator Service In accordance with the principles of openness and transparency purpose specification and minimization collection limitation use limitation and individual participation and control discussed in detail in the Markle Connecting for Health Architecture for Privacy in a Networked Health Information Environment the Markle Connecting for Health Policy Subcommittee first notes that it is firmly committed to a policy supporting notice to patients and patient choice as to whether to participate in the RLS In this regard the Markle Connecting for Health Policy Subcommittee recommends that patients be given notice that their health care provider or health plan participates in a system that provides an electronic means for locating their medical records across the providers they are seeing the RLS Individuals should also be provided with an opportunity to choose not to have such information about them included in the system Moreover the Policy Subcommittee recommends that patients should retain the ability to choose not to participate in the RLS system at any time It is noted again that these policy recommendations apply only to patient information contained in the RLS the decision as to whether or not to release clinical records in a given circumstance remains with the individual institution or provider holding the records acting in compliance with its own disclosure policies the stated desires of patients when relevant and applicable federal and state laws The Policy Subcommittee also understands however that the operational burden created by requiring that notice be given to patients prior to an institution s initial loading of patient information into the RLS index might not be practical in some settings and might threaten the robustness and viability of the two step approach articulated in the Markle Connecting for Health architecture The two step approach was designed to separate actual clinical data from information about the location of that data in order to limit risk of exposure while at the same time enabling early and significant value in health information exchange The Policy Subcommittee therefore proposes that information regarding patients of a participating institution generally be included in the RLS index on day one and going forward The index would include only patient names non clinical details used to identify the patient name date of birth etc and participating institutions where that patient has had care The index would not include patient clinical records The question of whether information regarding patients previously seen at the participating institution should be posted to the index and the details of that information age of information etc would be left to the participating institution Further the Policy Subcommittee encourages participating institutions and providers to exercise additional means of providing for notice and patient choice with regard to participation in the RLS as they deem feasible and appropriate For example institutions could choose to provide for written notice and the opportunity to choose not to participate in the RLS to patients prior to an institution s initial loading of patient information into the RLS index either en masse or on an individual basis during patient encounters An institution or provider might also choose to contact patients via electronic means for those patients for whom it has such information Finally as noted above the design of the RLS relies in the first instance on the participating institution or provider to decide whether to load patient information into the RLS at all Additional privacy practices that participating institutions and providers might choose to implement are listed in Section B below Notice of Privacy Practices In accordance with these recommendations Participants must revise their HIPAA Notice of Privacy Practices to include provisions describing the RLS and to offer an opportunity for individuals to choose not to be included in the RLS The description must include 1 what information is included in and made available through the RLS 2 who is able to access information in the RLS 3 for what purposes such information can be accessed and 4 how the patient can choose not to have his or her information from that institution included in the RLS All patients must be given the HIPAA Privacy Notice during their initial encounter with a provider Many institutions provide notice at every service delivery date In addition the notice must be available at the institution and on request posted in a clear and prominent location where it is reasonable to expect individuals seeking service to be able to read the notice and posted on the institution s web site Initial Inquiry Audit In a further effort to implement the principles of openness and transparency and individual participation and control as articulated in The Architecture for Privacy in a Networked Health Information Environment the Markle Connecting for Health Policy Subcommittee recommends that individual participants and SNOs consider and work towards implementing a system that enables an initial inquiry audit In such a system individual participants and SNOs would work towards developing a method so that the first time an inquiry is made to the RLS index regarding a particular patient the patient would be given notice explaining that information about them is included in a system that provides an electronic means for locating their medical records across providers they are seeing the RLS and explaining how the patient may choose to have that information excluded from the RLS in the future Patient Access to RLS Record In the spirit of the openness and transparency and individual participation and control principles articulated in The Architecture for Privacy in a Networked Health Information Environment the Markle Connecting for Health Policy Subcommittee recommends that Participants and SNOs consider and work towards implementing a system wherein upon request patients are provided direct access to the information contained in the RLS that is about them The Policy Subcommittee understands that current options for direct patient access and authentication to the RLS are not robust enough to be implemented without the possibility of introducing serious vulnerability to the security of the system For this reason the Policy Subcommittee recommends that at this point each SNO should have a formal process through which information in the RLS can be requested by a patient or on a patient s behalf Analysis The Markle Connecting for Health Policy Subcommittee s Proposal Comports with the Principles of Openness and Transparency Purpose Specification and Minimization Collection Limitation Use Limitation and Individual Participation and Control A The RLS policy enables openness transparency and individual participation while also addressing the Markle Connecting for Health principles of purpose specification and minimization collection limitation and use limitation Provides for patient notification by each participating institution allowing the patient to control whether information is included in the RLS index on a participant by participant basis Provides for the development by individual institutions and SNOs of initial inquiry audit mechanisms that would allow additional patient notification and control opportunities at time of first query Provides immediate benefits including economic benefits on day one Information will be more complete and system will be more robust Provides the greatest likelihood of meeting the goals of saving lives and decreasing health care costs through the efficient and timely

    Original URL path: http://www.markle.org/resources/rework-america/video/about-markle/event/general-markle-financial-information/health/rework-america/video/economic/commentary-rework-america-members?term_node_tid_depth=All&tid_1=All&date_filter[value]=&page=21&tid=All (2016-02-10)
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  • David Lansky AHIC Nomination Letter to HHS | Markle | Advancing America's Future
    Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos David Lansky AHIC Nomination Letter to HHS Publication Date Friday August 5 2005 A letter of nomination for David Lansky for the consumer privacy seat on the AHIC and a letter from Zoe Baird in support of that nomination both to HHS David Lansky AHIC Nomination Letter to HHS Our

    Original URL path: http://www.markle.org/publications/452-david-lansky-ahic-nomination-letter-hhs (2016-02-10)
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  • Letter from Zoe Baird, titled Using Information and Communications Technology to Address Critical Public Needs | Markle | Advancing America's Future
    Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Letter from Zoe Baird titled Using Information and Communications Technology to Address Critical Public Needs Publication Date Monday July 1 2002 Topics include heightened focus in a changed world the shifting domestic environment global opportunity and risk strategy operations and transitions at Markle Policy for a Networked Society Information Technologies for Better Health Interactive Media for Children the Opportunity Fund and moving forward Letter

    Original URL path: http://www.markle.org/publications/451-letter-zoe-baird-titled-using-information-and-communications-technology-address-cri (2016-02-10)
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  • Governing the Internet: Engaging Government, Business, and Nonprofits | Markle | Advancing America's Future
    Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos Governing the Internet Engaging Government Business and Nonprofits Publication Date Sunday December 1 2002 Publication Source Foreign Affairs Explores a new model of governance ICANN and the road ahead Governing the Internet Engaging Government Business and Nonprofits Our Mission Markle works to realize the

    Original URL path: http://www.markle.org/past-initiatives/governing-internet-engaging-government-business-and-nonprofits (2016-02-10)
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  • Homepage News Events | Markle | Advancing America's Future
    Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos About Markle Page Sections About Markle A Message from Zoë Baird Our Principles Our Impact Board of Directors Senior Team Our History Quick Links Conference Space Events Markle in the News Media Releases Past Initiatives President s Letters Rework America Page Sections About Rework America A Message from Rework America Opportunity for All Our Impact Initiative Members Expert Advisors Quick Links Rework America Connected Our Book America s Moment Initiative Overview Latest News Letters to Members Member Commentary Personal Stories Rework America Library Health Page Sections About Health Our Impact Steering Group Consumer Work Group HIE Committee Quick Links Blue Button Common Framework Health IT Health Library National Security Page Sections About National Security Post 9 11 Legacy Our Impact Task Force Quick Links National Security Library Reports and Recommendations Sharing and Collaboration The Lawfare Blog Library Quick Links Our Book America s Moment Archive Media Releases Member Commentary President s Letters Videos News Events Markle Names Eric Rosenbach Managing Director of National Security Markle Task Force Calls for Virtual Reorganization of Government to Strengthen National Security Slade Gorton Joins Markle Board of Directors Markle Task Force Member to Testify on Information Sharing with Recommendations to Strengthen National Security Protect Privacy Health Information Technology and Health Care Reform Must Be Well Aligned To Improve Health and Lower Costs Broad Coalition Says Consumer Role Is Key to Improving Health and Health Care Markle Special Collection of Policy Publications Now Available at PolicyArchive org PolicyArchive Launches New

    Original URL path: http://www.markle.org/about-markle/news-events?page=21 (2016-02-10)
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    Group From 2009 to 2012 she served as the Under Secretary of Defense for Policy the principal adviser to the Secretary of Defense in the formulation of national security and defense policy oversight of military plans and operations and in National Security Council deliberations She led the development of DoD s FY2013 Strategic Guidance and represented the Department in dozens of foreign engagements in the media and before Congress After the 2008 election Flournoy co led President Obama s transition team at DoD In January 2007 Flournoy co founded the Center for a New American Security CNAS a non partisan think tank dedicated to developing strong pragmatic and principled national security policies and served as CNAS President Previously she was senior adviser at the Center for Strategic and International Studies and prior to that a distinguished research professor at the Institute for National Strategic Studies at the National Defense University NDU In the mid 1990s she served as Principal Deputy Assistant Secretary of Defense for Strategy and Threat Reduction and Deputy Assistant Secretary of Defense for Strategy in the Clinton administration She now serves on the Board of Directors of both CNAS and the Atlantic Council She is also a Senior Fellow at Harvard s Belfer Center for Science and International Affairs and a member of the Defense Policy Board the DCIA s External Advisory Board the Aspen Strategy Group the Council on Foreign Relations and Women in International Security Nancy F Koehn Nancy F Koehn is a historian at the Harvard Business School where she holds the James E Robison chair of Business Administration Koehn s research focuses on crisis leadership and how leaders past and present craft lives of purpose worth and impact Her forthcoming book Forged in Crisis The Making of Five Legendary Leaders Penguin unpacks the most important lessons from the journeys of Abraham Lincoln Ernest Shackleton Rachel Carson Frederick Douglass and Dietrich Bonhoeffer Koehn is also the author of Ernest Shackleton Exploring Leadership The Story of American Business and Brand New How Entrepreneurs Earned Consumers Trust from Wedgwood to Dell among other books and articles She has written Harvard Business School cases on Starbucks Coffee Company Bono and U2 Oprah Winfrey Whole Foods and many other leaders and organizations Koehn works with executives from a range of companies and speaks frequently about effective leadership in venues such as Davos and the Aspen Institute Ideas Festival She has appeared on American Experience Bloomberg Television Good Morning America The NewsHour and many other television programs She writes regularly for the New York Times the Washington Post and Harvard Business Review Online and is a frequent commentator on National Public Radio and the BBC In 2012 Poets and Quants ranked Koehn as one of the World s 50 Best Business School Professors She serves as a director for Tempur Pedic and the New York based retailer Fashion to Figure Koehn holds a MA and PhD in History from Harvard She also earned a Master of Public Policy from Harvard s Kennedy School and an A B from Stanford University Koehn lives outside Boston and is an avid equestrian Roy Spence Roy Spence is Co Founder and Chairman of GSD M a national and leading marketing communications and advertising company He is also now Co Founder and CEO of The Purpose Institute a consulting firm that helps people and organizations discover and live their purpose Along with Haley Rushing Spence co authored the Wall Street Journal bestselling book It s Not What You Sell It s What You Stand For Why Every Extraordinary Business is Driven by Purpose Under Spence s leadership his agency has helped grow some of the world s most successful brands like Don t Mess with Texas Southwest Airlines Wal Mart DreamWorks the PGA TOUR BMW the U S Air Force LLBean and the Clinton Global Initiative Spence has been a trusted advisor to legendary leaders including Sam Walton and Southwest Airlines founder Herb Kelleher His counsel has also been sought by U S presidents and leaders in the State Department Spence has received a lifetime achievement award from the Austin Advertising Federation and was named Adman of the Century by Texas Monthly magazine He was inducted into the McCombs School of Business Hall of Fame in 2012 Spence is also a Gallup senior Adviser working with their teams on global strategy and on the mission and purpose of the most important companies and institutions in the world He is Gallup s expert on Purpose Spence s passion is entrepreneurship He deeply believes that entrepreneurship is the miracle of America His mantra is Don t Do Mild in work or life follow your dreams follow your passion and follow your purpose Spence is a member of the board of directors of the Lyndon Baines Johnson Foundation He is a Distinguished Alumnus of the University of Texas Spence and his wife Mary have three children Courtney Ashley and Shay Sheila P Burke RN MPA FAAN Sheila P Burke is a strategic advisor in the Baker Donelson office in Washington D C She is a Faculty Research Fellow at the Malcolm Wiener Center for Social Policy and a member of the faculty at the John F Kennedy School of Government at Harvard University Burke joined the Smithsonian Institution in 2000 as Under Secretary for American Museums and National Programs and in 2004 became Deputy Secretary and Chief Operating Officer a position in which she served until September 2007 From 1996 to 2000 she was Executive Dean and lecturer in public policy at the John F Kennedy School of Government at Harvard University Burke was Chief of Staff to Senator Bob Dole from 1986 to 1996 when he was Senate Minority and then the Majority Leader In 1995 she was elected as Secretary of the Senate the chief administrative officer of the U S Senate She joined the staff of the Senate Finance Committee in 1978 becoming Deputy Staff Director of the Committee in 1982 and Deputy Chief

    Original URL path: http://www.markle.org/solr-search?keyword=&page=21 (2016-02-10)
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