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  • Search | Markle | Advancing America's Future
    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 Search Results Search Club de Madrid s 2011 Annual Conference Digital Technologies for 21st Century On November 8 9 2011 Club de Madrid brings major stakeholders to the table to discuss how they are reacting to changes that social networks mobile technology and networked journalism have on the process of democratizing information increasing transparency and reducing barriers for individuals to tell their stories and how they think these changes will affect political institutions Markle s Chief of Research Stefaan Verhulst joins leading experts in the breakout session The Changing Nature of Statecraft The Impact of Big Data Senate Hearing Status Report on Information Sharing On October 12 2011 the Senate Committee on Homeland Security Governmental Affairs will hold a hearing titled Ten Years After 9 11 A Status Report on Information Sharing In response to the Committee s request Markle President Zoe Baird and Jeffrey H Smith of the Markle Task Force on National Security in the Information Age will present testimony on behalf of the Markle Task Force In the decade since the September 11 attacks our government has responded to the threat of terrorism by transforming itself in important ways Government officials work together in new ways and information sharing has become a widely accepted goal While we have accelerated a virtual reorganization in how the government works against terrorism more is needed to protect civil liberties and to manage use of information In our testimony we offer further recommendations for improving information sharing and continuing the post 9 11 transformation Media in Conflict The Evaluation Imperative Never before have the media played a more integral role in conflict management At the same time funding agencies and policymaking bodies have greater expectations for demonstrating impact and efficacy in this area To meet these growing needs media development practitioners donors international broadcasters and methodologists have collectively authored the USIP PeaceWorks titled Caux Guiding Principles The Principles aim to improve monitoring and evaluation of media interventions in conflict zones Such media interventions can consist of the media working to promote a particular message to influence public opinion or they can be projects geared towards building the capacity of media organizations themselves On September 9 2011 the Caux Guiding Principles were presented by those organizations who convened the unprecedented working session in Caux Switzerland where drafting of these Principles began Stefaan Verhulst Chief of Research at the Markle Foundation was a participant at this presentation Learn More about the Event Michael O Leavitt Michael O Leavitt is the founder and chairman of Leavitt Partners a health care intelligence business In previous roles Leavitt served as secretary of Health and Human Services 2005 2009 administrator

    Original URL path: http://www.markle.org/solr-search?keyword=&page=22 (2016-02-10)
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  • Connecting Americans to Their Health Care: Latest Research | 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 Connecting Americans to Their Health Care Latest Research Publication Date Friday December 8 2006 David Ahern from Health eTechnologies Eric Dishman from Intel Corporation Corey Angst from University of Maryland and Steve Ross from University of Colorado present their organization s latest research on PHRs Download the Full Presentation Our

    Original URL path: http://www.markle.org/publications/676-connecting-americans-their-health-care-latest-research (2016-02-10)
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  • Common Framework for Networked Personal Health Information: | Markle | Advancing America's Future
    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 Common Framework for Networked Personal Health Information Consumer Policy Briefs Publication Date Sunday June 1 2008 Publication Source Markle Includes an example of how a consumer would benefit from and key messages of the framework s policy resources Common Framework for Networked Personal Health Information Our Mission Markle

    Original URL path: http://www.markle.org/publications/405-common-framework-networked-personal-health-information (2016-02-10)
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  • Standards Within the Context of the Health IT Initiative | Markle | Advancing America's Future
    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 Standards Within the Context of the Health IT Initiative Publication Date Tuesday February 24 2009 Publication Source National Committee on Vital and Health Statistics In testimony before the National Committee on Vital and Health Statistics NCVHS Subcommittee on Standards Carol Diamond MD MPH discusses the importance of setting clear health objectives for the federal investments in health IT The testimony also emphasizes the importance of adopting a basic set of standards that can evolve over time enabling information to move when and where it is needed to authorized individuals the need for a comprehensive set of privacy policies and accountability for results The goal of health IT must be to achieve real

    Original URL path: http://www.markle.org/publications/404-standards-within-context-health-it-initiative (2016-02-10)
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  • Connecting for Health Common Framework for Networked Personal Health Information | 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 Connecting for Health Common Framework for Networked Personal Health Information Overview and Principles Publication Date Sunday June 1 2008 Publication Source Markle Lists nine core principles openness and transparency purpose specification collection limitation and data minimization use limitation individual participation and control data quality and integrity security safeguards and controls accountability and oversight and remedies and the practice areas for this Common Framework for

    Original URL path: http://www.markle.org/publications/402-connecting-health-common-framework-networked-personal-health-information (2016-02-10)
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  • Collaborative Comments on the Centers for Medicare and Medicaid Services’ Notice of Proposed Rulemaking for the Electronic Health Record Incentive Program | Markle | Advancing America's Future
    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 Collaborative Comments on the Centers for Medicare and Medicaid Services Notice of Proposed Rulemaking for the Electronic Health Record Incentive Program Publication Date Monday March 1 2010 The release of the Notice of Proposed Rulemaking NPRM for the Centers for Medicare and Medicaid Services CMS incentive program for the Meaningful Use of electronic health records EHRs marks a major positive step forward in the nation s efforts to improve health and health care by putting modern information technology IT tools at the fingertips of medical professionals and consumers alike Markle and its partners offer praise

    Original URL path: http://www.markle.org/publications/400-collaborative-comments-centers-medicare-and-medicaid-services-notice-proposed-rulem (2016-02-10)
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  • Resources | Markle | Advancing America's Future
    full benefits of health information technology while protecting patient privacy and the security of personal health information Markle Connecting for Health tackles the key challenges to creating a networked health information environment that enables secure and private information sharing when and where it is needed to improve health and health care Learn more about Markle Connecting for Health at www markle org health Markle Connecting for Health Prototype Successfully Moved Electronic Health Information Among Medical Record Systems in Three States on Three Independent Networks NEW YORK NY Markle Connecting for Health announced today that its three state prototype has achieved an important first milestone toward the secure authorized and private exchange of health information based on a series of tests conducted throughout 2005 The prototype initiated in January of 2005 and announced last June involves very different independent local networks serving diverse communities in Boston Indianapolis and Mendocino County CA This prototype effort is managed by the Markle Foundation and funded by Markle and the Robert Wood Johnson Foundation Members of Markle Connecting for Health will discuss this successful prototype at a meeting of the Healthcare Information and Management Systems Society HIMSS in San Diego on Monday February 13 They will explain how the prototype linked information using a specially developed Record Locator Service RLS rather than a single patient identifier and how it exchanged anonymized electronic health information during its first tests The RLS does not store any clinical data centrally it simply identifies the location of records wherever they are stored The prototype demonstrates that completely different regional local and other health information networks can communicate with one another and exchange information even if they operate on different technological platforms use different registration systems and organize patient data differently said Clay Shirky who directs the technical work for Markle Connecting for Health and teaches at New York University We have demonstrated that the Connecting for Health Record Locator Service the one novel piece of infrastructure in this prototype is a viable means of supporting a federated and decentralized approach to identifying and exchanging health information in a secure and private manner Even so we recognize that there are many challenges remaining in making nationwide health information exchange a reality In keeping with the goals of the prototype and based on achieving this first milestone Connecting for Health will release in spring 2006 a set of technical policy and legal documents to any organization wishing to create a decentralized and federated health information network that exchanges information using the Internet The Connecting for Health prototype materials will include the actual code technical specifications testing interfaces as well as the privacy and security policies and model contracts that have been developed to securely exchange health information while protecting privacy By sharing these materials Connecting for Health hopes this first set of materials will help to reduce the many existing financial legal and technical barriers to achieving secure health information exchange and that it will encourage new entrants into the field Another key benefit of the approach is based on the ability of the Connecting for Health Common Framework to make it possible for any multi regional or non geographic network such as a group of specialty providers that share a network over a widely disbursed area to have a single common way of communicating with any local network The prototype was designed to test the principles of the Connecting for Health Common Framework summarized in the collaborative s Roadmap released in June of 2004 The detailed technical specifications and the policies that dictate the use access privacy and security of information have been developed together through a consensus process over the last year with the Connecting for Health Collaborative s many participants The work is based on common open non proprietary standards and strong model policies to protect privacy and information security The tests showed that local networks and other organizations could communicate with one another using a decentralized model that adheres to the Connecting for Health Common Framework avoiding the need to create a one size fits all network or a national database Mendocino County is a rural community three hours north of San Francisco Our participation in the Connecting for Health prototype is an important part of enhancing the medical care that individuals in our area can receive said Will Ross project manager with Mendocino Health Records Exchange in Ukiah CA We demonstrated that large systems with tremendous information technology resources and rural networks like ours made up of safety net clinics and small practices capable of only modest technology investments can affordably exchange health information over the Internet using tools which conform to the Connecting for Health Common Framework During this first phase of the prototype each site developed a RLS that linked anonymized patient records across the three networks without using a common patient identifier and the regions were then able to exchange information about prescription records and laboratory test results The teams at each site are now preparing to test the secure exchange in live clinical settings Connecting for Health expects to accomplish this exchange by the end of summer 2006 This effort builds on the existing work done to connect Indianapolis area hospitals by the Indiana Health Information Exchange and Regenstrief Institute Connecting with these two other communities demonstrates the tremendous possibilities that can be created by being able to use health information to improve the quality of care said J Marc Overhage MD PhD president and CEO of the Indiana Health Information Exchange Given the current burden of chronic illness and the aging population our patients need us to have access to comprehensive well integrated clinical data and health information exchange is the only way to provide it We demonstrated that it is possible to link our network with two very different community networks in other parts of the United States said John Halamka CEO of MA SHARE and an emergency physician at Beth Israel Deaconess Medical Center in Boston As an emergency physician I am confident that a connected electronic health care system will save thousands of lives each year by enabling authorized clinicians to retrieve the complete medical histories of critically ill patients in a matter of seconds and thus avoid major medical errors Working together the prototype team used approximately 20 million anonymized clinically accurate medical records associated with 500 000 patients The records were stored at each of the three sites in diverse local information systems Requests for information among the locations resulted in responses that were entirely consistent across sites despite the fact that the data were formatted in different architectures systems and platforms at each location and that each site used different hardware and software to house locate and retrieve their electronic records The technology marketplace is extremely interested in the results of this prototype said Zoë Baird president of the Markle Foundation Private sector innovators are eager to develop products that help track and share information in a secure manner because they know that this is the future of the health care industry and will ultimately enable physicians to deliver safer and more cost effective patient care As a physician currently engaged in building a regional health information organization in Tennessee I believe that Markle Connecting for Health s prototype provides valuable practical guidance for how we can build a health information network while meeting stringent requirements for security and privacy said Mark Frisse MD co chair of the prototype s Policy Subcommittee director of regional informatics programs through the Vanderbilt Center for Better Health and professor in the Vanderbilt Department of Biomedical Informatics The successful test of this prototype is instrumental in advancing information exchange that can improve health and health care for all Americans said John Lumpkin MD MPH senior vice president of the Robert Wood Johnson Foundation and vice chair of Markle Connecting for Health The accurate and secure exchange of medical records across disparate networks represents a critical breakthrough that will help patients get the efficient high quality care they need On November 10 2005 U S Department of Health and Human Services Secretary Mike Leavitt announced the award of contracts totaling 18 6 million to develop prototypes for Nationwide Health Information Network NHIN architecture The Connecting for Health prototype architecture will be shared with all involved in the NHIN effort and the broader field and Markle Connecting for Health will develop it further and stress test it in the coming year This model underscores that our goal to enable health care providers and communities to improve patient care through private and secure health information sharing is close at hand said Carol Diamond MD MPH managing director of the Markle Foundation and chair of Markle Connecting for Health We know there are still significant challenges ahead but we hope that this effort will make it easier for others and reduce the risks associated with health information exchange which continues to lack a clear and sustainable business model Markle Connecting for Health is a public private collaborative with representatives from more than one hundred organizations across the spectrum of health care and information technology specialists Its purpose is to catalyze the widespread changes necessary to realize the full benefits of health information technology while protecting patient privacy and the security of personal health information Markle Connecting for Health tackles the key challenges to creating a networked health information environment that enables secure and private information sharing when and where it is needed to improve health and health care Learn more about Markle Connecting for Health at www markle org health Americans Support Online Personal Health Records Patient Privacy and Control Over Their Own Information Are Crucial to Acceptance WASHINGTON DC The American public believes strongly that electronic medical records can make the difference between life and death in emergencies new research being released today shows Nearly three out of four Americans 72 say they favor the establishment of a nationwide electronic information exchange that would allow a patient s health information to be shared with authorized individuals quickly privately and securely via the Internet However ensuring patient privacy and control over their own records is essential to full consumer acceptance of such an exchange More than three out of four Americans 79 say making sure their records could be shared only after they provide permission is a priority The survey results will be presented Oct 11 at the first national conference to focus on the needs and concerns of consumers including privacy in the rapidly growing field of health information technology Conference organizers also will present seven consumer and patient principles which have been endorsed by a wide range of consumer business and other organizations involved in health care The principles are designed to protect privacy and ensure that personal health information is used appropriately in health information exchange Sponsored by the Markle Foundation the Robert Wood Johnson Foundation RWJF and the Agency for Healthcare Research and Quality AHRQ the conference will focus on advances in personal health technology and the core principles for creating a health information environment in which consumers can use information technology to participate more fully in managing their health and health care More than 700 individuals registered to take part in the conference including consumer advocates business leaders entrepreneurs medical professionals and government officials Americans use digital information technology to manage their finances pay bills book flights and customize the music they listen to and our research shows they now want to use health information technology to get the best care possible for themselves and be better able to manage their own health said Zoë Baird president of the Markle Foundation which funded the research People realize that if they or those they love are in an accident or disaster having their medical records available at a moment s notice through secure electronic information exchange could mean the difference between life and death We are on the cusp of a technological revolution in health care as more personal digital health products are developed and consumers in the iPod generation are more receptive to using them said David Lansky senior director of the health program at the Markle Foundation Each device that is developed should meet consumers needs for privacy and security as should the entire nationwide health information environment in which consumers and health professionals will be using these digital tools That is why these new patient and consumer principles are being proposed The number and types of personal digital health technologies is growing rapidly and a bipartisan group of national leaders is keenly interested in how information technology can transform health care Business leaders including Andy Grove of Intel and national leaders including President Bush Senate Majority Leader Bill Frist R Tenn Sen Hillary Clinton D N Y Rep Nancy Johnson R Conn Rep Patrick Kennedy D R I and former House Speaker Newt Gingrich are advocating the use of information technology to improve the quality of health care reduce medical errors and increase efficiency President Bush has called for all Americans to have an electronic personal health record within 10 years The survey released at today s conference shows that four in five Americans 80 believe that if physicians kept electronic medical records on their patients health care quality would improve and medical errors would be reduced because authorized doctors would be able to retrieve a patient s medical history in a matter of seconds An equal number 81 believe that the ability of researchers to review millions of records anonymously to determine best treatment practices would help all doctors improve the quality of medical care Despite these high levels of support for health information technology keeping electronic medical information private and secure remains a top concern for consumers Today s research shows that people are much more likely to support online medical records if they have control over their own information and safeguards to protect privacy are in place Public Opinion Strategies Alexandria VA conducted the survey Sept 20 22 2005 The survey of 800 adults has a margin of error of 3 46 percent According to the poll Individuals want to review who has seen their medical information Eighty one percent of respondents say reviewing who has had access to their personal health information is a top or high priority Patients want to be asked before their information is shared Seventy nine percent of respondents say it is a top or high priority that their medical information be shared electronically only with their permission Consumers want the identity of anyone who sees their records to be carefully confirmed Ninety one percent of respondents say carefully confirming the identity of anyone using the system to prevent unauthorized access or cases of mistaken identify is a top or high priority The public does not want employers to have access to workers health information Sixty eight percent of respondents say it is a top or high priority that employers not have access to secure health information networks A separate study conducted by Public Opinion Strategies on Sept 28 Oct 2 2005 800 adults margin of error 3 46 showed that consumers would use their own secure online personal health record account to better manage their health care Nearly seven out of 10 respondents 69 said they would use this online service to check for mistakes in their medical records as well as to check and refill prescriptions 68 Nearly six in 10 respondents said they would like to get medical results over the Internet 58 or conduct secure and private email communications with their doctors 57 Taken together these results show a strong interest among consumers in using health information technology to more fully participate in their own health care The new consumer and patient principles to guide the development of online health information exchange were developed by the Personal Health Technology Council a group of 44 leading consumer and privacy advocates medical professionals informatics experts payers technologists federal policymakers bio ethicists and researchers The group believes these principles should guide developments in the private and public sectors including several pieces of legislation that have already been introduced in Congress and would increase the use of electronic health records within any new nationwide health information exchange The seven patient and consumer principles endorsed by the Personal Health Technology Council are 1 Individuals should be able to access their health and medical data conveniently and affordably 2 Individuals should be able to authorize when and with whom their health data are shared Individuals should be able to refuse to make their health data available for sharing by opting out of nationwide information exchange 3 Individuals should be able to designate someone else such as a loved one to have access to and exercise control over how their records are shared 4 Individuals should receive easily understood information about all the ways that their health data may be used or shared 5 Individuals should be able to review which entities have had access to their personal health data 6 Electronic health data exchanges must protect the integrity security privacy and confidentiality of an individual s information 7 Independent bodies accountable to the public should oversee local and nationwide electronic health data exchanges No single stakeholder group should dominate these oversight bodies and consumer representatives selected by their peers should participate as full voting members When all Americans have the ability to review their own medical records online we then will begin to see a health care system that reduces disparities in medical care and increases the quality of care for all Americans said John R Lumpkin M D M P H senior vice president and the director of the Health Care Group for RWJF People want to take advantage of health information technology but they need to trust that the new information environment respects their privacy and ensures the security of their information Therefore the new health information technologies that are being created as well as the health information environment itself must focus on consumers concerns about privacy security and personal control Consumers have clearly understood how electronic records can improve quality of care and the recent experience of lost medical records in hurricane Katrina has made this lesson even more vivid said AHRQ Director Carolyn Clancy M D But access and control for the patient must be built in from the beginning Under HHS Secretary Mike Leavitt s leadership AHRQ will help lay the groundwork for privacy and security as an integral part of building the technical foundation for electronic health records www katrinahealth org Will Provide Prescription Medication Information For Katrina Evacuees to Authorized Health Professionals and Pharmacists NEW YORK NY An online service for authorized health professionals to gain electronic access to prescription medication records for evacuees from Hurricane Katrina was officially launched today The information on the site was compiled and made accessible by a broad group of private companies public agencies and national organizations including medical software companies pharmacy benefit managers chain pharmacies local state and federal agencies and a national foundation Authorized health professionals and pharmacies will have access to evacuees medication and dosage information in order to renew prescriptions prescribe new medications and coordinate care This information will be accessible from anywhere in the country The information provided by KatrinaHealth org will help deliver quality care and avoid harmful medical errors said Dr Carol Diamond Managing Director of the Healthcare Program at the Markle Foundation Nearly 40 percent of evacuees were taking prescription medications before the storm hit and many more need new or additional medications now she said Privacy security and ease of use were central to the design of KatrinaHealth org as top priorities for the entire team said Zoë Baird President of the Markle Foundation Particular care was taken to ensure that only users authorized by the American Medical Association AMA or an appropriate pharmacy organization would gain access to the site Consistent with many state privacy laws we filtered out highly sensitive personal information Hundreds of thousands of residents of areas hit by Hurricane Katrina have been displaced from their homes and are living in shelters or temporary housing across the United States Neither the evacuees nor their current healthcare providers have access to their paper medical records many of which were destroyed by the hurricane The coalition contacted state first responders and American Red Cross workers who agreed that this service would be very helpful to those caring for Katrina evacuees Many people who evacuated the Gulf Coast left without their prescriptions and many do not remember the specific medicines they were taking to manage their health problems said Health and Human Services Secretary Mike Leavitt This secure online system will give doctors pharmacists and patients the critical information they need to quickly provide evacuees with needed prescriptions The urgent effort to make KatrinaHealth org available to health care professionals was facilitated by the Office of the National Coordinator for Health Information Technology ONC within the U S Department of Health and Human Services It has been supported by more than 150 organizations that have participated in the planning testing and launching the site Key data and resources were contributed by the AMA Gold Standard the Markle Foundation RxHub SureScripts and the Louisiana and Mississippi Departments of Health KatrinaHealth org demonstrates the commitment of the health information technology industry leaders to work toward a safer and more effective health care system This is the first of many public and private sector efforts to develop new tools that will make a real difference in the lives of people said David J Brailer M D Ph D and National Coordinator for Health Information Technology U S Department of Health and Human Services This tool sets a new benchmark for public and private sector collaboration around health information technology and has caused many involved in current efforts to ask how they can move faster added Lori M Evans M P H M P P and Senior Advisor to the National Coordinator KatrinaHealth org provides authorized users with access to the medication history and prescriptions for evacuees who lived in the areas affected by Hurricane Katrina The data or prescription information has been made available from a variety of government and commercial sources some of which have been aggregated Sources include electronic databases from commercial pharmacies government health insurance programs such as Medicaid and private insurers and pharmacy benefits managers in the states affected by the storm The organizations involved in KatrinaHealth org are continuing to develop new features for the site including one that would allow patients to authorize access to sensitive personal information We were truly gratified to learn five days into the disaster that KatrinaHealth org was in the works This kind of electronic system makes so much sense said Secretary Fred Cerise M D who directs the Louisiana Department of Health and Hospitals SureScripts and our pharmacy partners are proud to be part of the effort to provide potentially life saving information in response to Hurricane Katrina The commitment to react quickly to this urgent need even as pharmacies throughout the affected areas handled their own responses to the disaster was overwhelming and it has been humbling to see the hard work and dedication of co workers and colleagues from the public and private sectors to making what seemed impossible possible said Kevin Hutchinson President and Chief Executive Officer of SureScripts The collaboration that has occurred over the past weeks has been inspiring as public and private sector interests came together to plan develop and deploy a program to bring critical information to caregivers in the field said Russ Thomas CEO of Gold Standard The advancement of healthcare technology offers tremendous opportunities to speed life saving information to the point of clinical care KatrinaHealth org is one example of executing on this potential This natural disaster has underscored the critical need for real time access to the most up to date medication history information at the point of care regardless of where individuals are being treated said David McLean CEO of RxHub We are proud to be participating in this truly collaborative effort and commend our PBM partners as well as other private and public organizations that have made this challenge a reality RxHub is ready to assist in future efforts of restoring the quality of life for those who have been affected by this disaster Authorized clinicians and pharmacists using the system can view evacuees prescription histories online obtain available patient allergy information and other alerts view drug interaction reports and alerts see therapeutic duplication reports and alerts and query clinical pharmacology drug information The system will only be accessible to authorized health care professionals and pharmacists who are providing treatment or supporting the provision of treatment to evacuees To ensure that only authorized physicians use KatrinaHealth org the AMA will be providing physician credentialing and authentication services The AMA will validate the identity of health care providers a key step in ensuring patient confidentiality and security The National Community Pharmacists Association NCPA will authenticate and provide access for independent pharmacy owners SureScripts will provide these services for chain pharmacies on behalf of the National Association of Chain Drug Stores NACDS Giving physicians access to prescription records will help them put together the pieces of their patients medical histories and provide the best care possible to those affected by Hurricane Katrina said J Edward Hill MD President of the AMA We are fortunate that we can provide the resources needed to authenticate physicians for use of KatrinaHealth org About SureScripts SureScripts the largest network provider of electronic prescribing services is committed to building relationships within the healthcare community and working collaboratively with key industry stakeholders and organizations to improve the safety efficiency and quality of healthcare by improving the overall prescribing process At the core of this improvement effort is the SureScripts Electronic Prescribing Network a healthcare infrastructure which establishes electronic communications between pharmacists and physicians and enables the two way electronic exchange of prescription information About Gold Standard Tampa based Gold Standard is a leading developer of drug information databases software and clinical information solutions The company s products are developed by a staff with extensive experience in pharmacy practice electronic publishing and software development Gold Standard s customers include hundreds of hospitals the nation s largest retail pharmacy chains and consultant pharmacy organizations state and federal agencies the country s top pharmacy and medical schools and hundreds of thousands of healthcare professionals and consumers worldwide About RxHub LLC RxHub electronically routes up to date patient specific medication history and pharmacy benefit information to caregivers at every point of care Its end to end solution enables physicians to prescribe the most clinically appropriate and cost effective prescription to be sent electronically to the patient s pharmacy of choice RxHub s mission is to work with all stakeholders in the prescribing industry to improve patient safety increase workflow efficiency and reduce the overall cost of health care delivery RxHub was founded in 2001 by the then three largest PBMs Advance PCS acquired by Caremark Rx Express Scripts and Medco Health Solutions About the Office of the National Coordination for Health Information Technology ONC On April 27 2004 President Bush called for the majority of Americans to have interoperable electronic health records within 10 years and signed an Executive Order establishing the position of the National Coordinator for Health Information Technology ONC The National Coordinator was charged with developing maintaining and overseeing a strategic plan to guide nationwide adoption of health information technology in both the public and private sectors The ONC provides leadership for the development and nationwide implementation of an interoperable health information technology infrastructure to improve the quality and efficiency of health care and the ability of consumers to manage their care and safety The National Coordinator for Health Information Technology serves as the Secretary of Health and Human Services principal advisor on the development application and use of health information technology coordinates the Department of Health and Human Services HHS health information technology programs ensures that HHS health information technology policy and programs are coordinated with those of other relevant executive branch agencies and to the extent permitted by law develops maintains and directs the implementation of a strategic plan to guide the nationwide implementation of interoperable health information technology in both the public and private health care sectors that will reduce medical errors improve quality and produce greater value for health care expenditures and coordinates outreach and consultation by the relevant executive branch agencies with the public and private sectors About American Medical Association AMA The American Medical Association AMA helps doctors help patients by uniting physicians nationwide to work on the most important professional and public health issues Working together the AMA s quarter of a million physician and medical student members are playing an active role in shaping the future of medicine Markle Connecting for Health Statement on HHS Plans to Enhance Electronic Exchange of Health Information NEW YORK NY Secretary Mike Leavitt has moved us much closer to the day when every patient in the United States will be able to send and receive vital medical information at a moment s notice through nationwide electronic health information exchange Today Secretary Leavitt committed to transforming health care in the United States by creating a health information sharing environment which will connect patients physicians nurses hospitals and other authorized healthcare providers and resources The Secretary called for creating a common framework of policies and standards that would facilitate the implementation of nationwide health information exchange This plan promises to improve the quality of health care reduce medical errors lower costs and empower patients to take an active role in making health care decisions that affect them and those they love Markle Connecting for Health made up of more than 100 partners from the private public and non profit sectors appreciates that the Secretary and the Administration have carefully reviewed and integrated many of Connecting for Health s recommendations found in its Roadmap as well as in its Collaborative Response with 12 other partners to HHS s request for information for nationwide electronic health information exchange These recommendations include the creation of a national common framework of policies and standards to achieve interoperability in healthcare the use of the Internet to create health information sharing open and non proprietary standards full patient control of electronic medical information strong common policies to protect privacy and maintain security of patient information rejection of the creation of a centralized national databank for medical information and a commitment to not erecting barriers to innovators entering the field of healthcare IT By announcing the creation of the American Health Information Community today as well as his intention to lead it the Secretary made it clear that he is deeply committed to tapping the potential of health IT to fulfill the American people s aspirations for safe and effective health care We applaud him for announcing his intention to involve consumers patients and representatives of every sector of American society in shaping nationwide electronic health information exchange We look forward to working with the Secretary the Administration and many others to move America into a new age of interoperability by creating a common framework that will allow us to meet our shared goal of a fully connected health care system serving Americans in the 21st century Carol Diamond M D Managing Director Markle Foundation Chair Markle Connecting for Health Markle Connecting for Health is a public private collaborative with representatives from more than one hundred organizations across the spectrum of health care and information technology specialists Its purpose is to catalyze the widespread changes necessary to realize the full benefits of health information technology while protecting patient privacy and the security of personal health information Markle Connecting for Health tackles the key challenges to creating a networked health information environment that enables secure and private information sharing when and where it is needed to improve health and health care Learn more about Markle Connecting for Health at www markle org health Prototype for a Nationwide Health Information Exchange Launched by Connecting for Health NEW YORK NY Markle Connecting for Health a public private collaborative of more than 100 diverse organizations announced today that it is launching the first ever prototype of an electronic national health information exchange or health information sharing environment based on common open standards This effort is the first step in enabling patients and authorized physicians in all 50 states and DC to share important even life saving personal health information on a completely voluntary basis in a secure and private manner Managed by the Markle Foundation and funded by both Markle and the Robert Wood Johnson Foundation this initiative will allow authorized users of three very different health information networks located in California Massachusetts and Indiana to share health information both within and among these local regions and communities Patients and their physicians must be able to send and receive vital medical information at a moment s notice if we are to improve the quality of health care reduce medical errors lower costs and empower patients to take an active role in making health care decisions that affect them and those they love said Carol Diamond MD MPH managing director of the Markle Foundation and chair of Markle Connecting for Health We believe there is no one size fits all solution to sharing electronic health information This prototype is a very pragmatic step in developing the national health information environment we all desire This new experiment enabling the exchange of information both within and among local communities will serve as a laboratory for the Common Framework developed by Markle Connecting for Health in 2004 This framework offers a set of policy principles guidelines and technical specifications to facilitate the electronic sharing of medical information among authorized individuals and institutions while protecting privacy and securing personal information Two Markle Connecting for Health working groups consisting of experts in health policy clinical medicine and information technology developed the framework through a yearlong collaborative effort The Common Framework provides that any prototype must guarantee that patients and their authorized health professionals jointly make decisions regarding the sharing of health information store information about individual patients in the electronic files of the health professionals and institutions responsible for patient care as well as in each individual patient s own records and not in centralized national or regional databases create nationwide capability for health information exchange using the Internet not a new network facilitate communication among numerous disparate information networks and diverse communities and allow for diversity in software and hardware that can participate in the system We are on the cusp of a new era in improving health care for all Americans in a way that respects the desires of individuals for both high quality medical care and personal privacy said John Lumpkin MD MPH senior vice president of the Robert Wood Johnson Foundation and vice chair of Markle Connecting for Health The launch of this prototype will demonstrate for the first time that it is both possible and preferable to create a nationwide network that allows patients to control the flow of their personal health information and make informed decisions with their doctors about their own care This new effort will inform government consumers and the private sector about immediate steps to achieve improvements in health care quality and efficiency through information sharing and information technology said Zoë Baird president of the Markle Foundation With new support of more than 1 9 million from both the Markle Foundation and the Robert Wood Johnson Foundation local teams in Boston Indianapolis and Mendocino will work with one another and with Markle Connecting for Health to launch the prototype networks Despite the diversity of technology options within each region s health network and the differing social and economic profiles of each community this effort will facilitate the secure authorized and

    Original URL path: http://www.markle.org/publications?term_node_tid_depth=15&tid_1=All&date_filter[value]=&page=22 (2016-02-10)
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  • Carmella A. Bocchino | Markle | Advancing America's Future
    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 Carmella A Bocchino Executive Vice President Clinical Affairs Strategic Planning America s Health Insurance Plans Member Markle Connecting for Health Steering Group Carmella Bocchino R N M B A is a leading authority in identifying strategies that promote greater organization in the health care delivery system and advance innovative payment models that drive quality and value As executive vice president of Clinical Affairs and Strategic Planning at America s Health Insurance Plans AHIP Bocchino works with the executives of member organizations to develop patient centered programs and tools foster private public partnerships and advance an interconnected highly functioning health care system Bocchino s clinical and public policy expertise has been widely recognized by national and state lawmakers policy makers patient advocacy groups employers and throughout the health care community She has been appointed to numerous private state and federal health care advisory committees including the National Academy of Sciences Institute of Medicine for the Study of the Medicare End Stage Renal Disease program Advisor to the Rand Health Sciences Program for the capitation study for the end stage renal disease project the Advisory Committee for Quality Improvement Standards for Managed Care the Planning Committee establishing the National Quality Forum and the Robert Wood Johnson Foundation RWJF ONCHIT Health Information Technology Adoption Initiative Expert Consensus Panel She currently serves on the RWJF National Advisory Committee Project Health Design Rethinking the Power and Potential of Personal Health Records Bocchino received her Masters in Business Administration from Rutgers University Graduate School of Management Newark NJ She also has an undergraduate degree in human resources management from Upsala College and a nursing degree from Mountainside Hospital School

    Original URL path: http://www.markle.org/health/experts-impact/1482-carmella-bocchino (2016-02-10)
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