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  • The Public and Doctors Overwhelmingly Agree on Health IT Priorities to Improve Patient Care | Markle | Advancing America's Future
    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 The Public and Doctors Overwhelmingly Agree on Health IT Priorities to Improve Patient Care Publication Date Monday January 31 2011 Publication Source Markle The Markle survey found that majorities of the US public and doctors share many of the same hopes for advancing health through information technology IT Responding to parallel surveys at a time when significant health care policy changes were being debated and implemented the public and doctors overwhelmingly agree on key requirements for information technology to increase the quality safety and cost efficiency of care as well as core privacy protections As billions of dollars in new federal funds become available to encourage use of health IT this survey indicates that the general public and physician populations share similar values on making sure the money will be well spent These findings are a powerful indication that both groups want public investments in IT to come with accountability and privacy protections and lead to improvements in health Key Findings Many doctors and patients surveyed believe key information is lost in their health care conversations A majority of the doctors surveyed indicate a preference for modern communications tools Three in four doctors say they want to be able to share patient information with other professionals electronically Roughly half prefer computer based means to share information with their patients A clear majority of the public and doctors agree that patients ought to be able to download their personal health information online and share information electronically with doctors Roughly 80 percent majorities of both the public and doctors agree it is important to require participating hospitals and doctors to share information to better coordinate care cut unnecessary costs and reduce medical errors Majorities of both groups also agree on the importance of measuring progress and setting goals for improving the nation s health in chronic problems such as heart disease asthma diabetes and obesity Roughly 4 in 5 of both groups express the importance of privacy protections as a requirement to ensure that public investment in health

    Original URL path: http://www.markle.org/publications/1461-public-and-doctors-overwhelmingly-agree-health-it-priorities-improve-patient-care (2016-02-10)
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  • Live Webcast: New Markle Resources for Implementing Health Information Sharing | Markle | Advancing America's Future
    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 Live Webcast New Markle Resources for Implementing Health Information Sharing New Markle Resources for Implementing Health Information Sharing May 9 2012 Webcast Markle Connecting for Health A recording of the Live Webcast will be coming soon Responding to the needs of local state and regional health information sharing efforts Markle Connecting for Health has released the Markle Common Framework Policies in Practice for Health Information Sharing to support implementation Topics and speakers Panel 1 Background on the Policies in Practice Vicki Estrin C3 Consulting Key Laws and Regulations Changes Relevant to the Markle Common Framework Linda Malek Moses and Singer LLP Consent Implementing the Individual Participation and Control Principle in Health Information Sharing Deven McGraw Center for Democracy and Technology

    Original URL path: http://www.markle.org/health/markle-common-framework/connecting-professionals/live-webcast-new-markle-resources-implementi (2016-02-10)
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  • Doctors and Patients Overwhelmingly Agree on Health IT Priorities to Improve Patient Care | Markle | Advancing America's Future
    Congress in 2009 Roughly 80 percent majorities of both the public and doctors agreed that it s important to require participating hospitals and doctors to share information to better coordinate care cut unnecessary costs and reduce medical errors said Carol Diamond MD MPH Managing Director at the New York based nonprofit foundation By the same overwhelming margin four in five doctors and patients expressed the importance of privacy protections for online medical records an expectation we have repeatedly found on the part of the public in our previous surveys Diamond said They also agree on the importance of measuring progress This survey is a powerful indication that the public and physicians alike want investments in health IT to come with accountability Survey Shows Many Doctors and Patients Believe Key Information is Lost in Their Health Care Conversations Of the doctors surveyed 94 percent said their patients at least sometimes forget or lose track of potentially important things they are told during doctor visits and 34 percent of the doctors said they themselves at least sometimes forget or lose track of potentially important things that their patients tell them Among the patient group 30 percent perceived that their doctors forget or lose track of potentially important information at least sometimes According to the Markle Survey of Health in a Networked Life we have found that Among the doctors 74 percent would prefer computer based means of sharing patient information with each other Only 17 percent of doctors predominantly use such means today Nearly half 47 percent of the doctors would prefer computer based means of sharing records with their patients Only 5 percent do so today Yet 74 percent of doctors said patients should be able to share their information electronically with their doctors and other practitioners Among the public 10 percent reported currently having an electronic personal health record PHR up from 3 percent who reported having one in Markle s 2008 survey Roughly 2 in 3 of both groups 70 percent of the public and 65 percent of the doctors agreed that patients should be able to download their personal health information online And 70 percent of the public said patients should get a written or online summary after each doctor visit but only 36 percent of the doctors agreed Only 4 percent of doctors say that they currently provide all their patients a summary after every visit Our past surveys show that most US adults believe personal health records that include copies of their own medical information would help them improve their health and communicate better with health professionals said Josh Lemieux Director of Personal Health Technology at Markle With this survey we find an increase in PHR use and learn that roughly two in three doctors agree that patients should have the option of online access to their personal health information The survey also confirms that having modern information tools comes with expectations for privacy protections Other findings from the Markle survey include Majorities of 70 percent

    Original URL path: http://www.markle.org/about-markle/media-release/doctors-and-patients-overwhelmingly-agree-health-it-priorities-improve (2016-02-10)
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  • Leading Health Care and Information Technology Groups Endorse Common Framework for Health Information Exchange to Support Improvements in Health and Healthcare | 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 Leading Health Care and Information Technology Groups Endorse Common Framework for Health Information Exchange to Support Improvements in Health and Healthcare Publication Date January 18 2005 New York NY and Washington DC Thirteen major health and information technology organizations in an unprecedented joint collaboration today endorsed a Common Framework to support improved health information exchange in the United States while protecting patient privacy The collaborating organizations have identified the vital design elements of standards policies and methods for creating a new information environment that would allow health care professionals institutions and individual Americans to exchange health information in order to improve patient care These recommendations were developed in response to the Request for Information related to a National Health Information Network issued by the U S Office of the National Coordinator for Health Information Technology ONCHIT within the Department of Health and Human Services in November 2004 The collaborative foresees a new health information environment that would allow appropriate users to find request and retrieve patient records rapidly and accurately subject to patient authorization This decentralized approach takes advantage of the significant investment already made in information technology in U S health care protects the privacy of patient information and allows rapid progress toward providing Americans with more reliable higher quality care The recommended approach does not require centralized national databases replacement of existing information networks or a unique national health identifier The new health information environment should be based on Open consensus driven and non proprietary standards and common methods for their adoption Connectivity built on the Internet and other existing networks Uniform policies that protect privacy assure security and support existing trust relationships The collaborative also recommends the use of financial incentives for the adoption of standards based information technology in health care

    Original URL path: http://www.markle.org/about-markle/media-release/leading-health-care-and-information-technology-groups-endorse-common (2016-02-10)
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  • Department of Health and Human Services Actions Advance Goal of Electronic Health Information Infrastructure | Markle | Advancing America's Future
    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 Department of Health and Human Services Actions Advance Goal of Electronic Health Information Infrastructure Publication Date May 10 2004 New York Connecting for Health commends the recent announcement by the Department of Health and Human Services HHS on the adoption of the second group of standards for interoperable healthcare information and the appointment of Dr David Brailer as the new National Health Information Technology Coordinator At last week s HHS Health Information Technology Summit Secretary Thompson announced the adoption of 15 additional standards agreed to by the Consolidated Health Informatics CHI initiative The adoption of these standards is important to the development of interoperable health information systems in the public and private sectors The new position of National Health Information Technology Coordinator was created as a part of the Health Information Technology Plan which was announced late last month Dr Bailer is currently chair of the Markle Foundation s Connecting for Health working group on Legal Financial and Organizational Issues of Health Information Exchange Electronic connectivity that enables patient information to be available privately and securely when patients and their doctors are making vital health decisions is essential if we are going to provide the best possible care to patients said Dr Carol Diamond Managing Director of the Markle Foundation s Healthcare program and chair of Connecting for Health Connecting for Health a public private sector collaborative initiative funded by the Markle Foundation and receiving additional support from The Robert Wood Johnson Foundation has been convening public and private sector stakeholders for the last year and a half to advance the goal of electronic connectivity within healthcare These announcements are important building blocks for this much needed transformation of healthcare which must be done with strong public and private sector partnership said John Lumpkin MD MPH senior vice president of The Robert Wood Johnson Foundation and executive vice chair of Connecting for Health The Summit on Health Information Technology was an exciting opportunity to see the government and the private sector come together ready to accomplish one goal that of a fully leveraged information technology system to improve healthcare quality safety and efficiency said Dan Garrett vice president and managing director of Computer Sciences Corporation s Global Health Solutions Practice and executive vice chair of Connecting for Health The call for someone to lead the nation s efforts to bring electronic connectivity to the healthcare industry is a two decade old rallying cry said Herbert Pardes MD president and CEO New York Presbyterian Hospital and

    Original URL path: http://www.markle.org/about-markle/media-release/department-health-and-human-services-actions-advance-goal-electronic (2016-02-10)
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  • Connecting for Health Recommends Specific Actions for Bringing Healthcare into the Information Age | Markle | Advancing America's Future
    of electronic medical records however the healthcare system will remain highly fragmented and we will never fully realize the benefits that IT can bring to healthcare unless the systems and applications being developed can share information with each other said Zoë Baird president of the Markle Foundation To address this problem Connecting for Health has come up with a set of groundbreaking recommendations that set the stage for development of an electronically connected patient centric healthcare information system Connecting for Health s Preliminary Roadmap is being released at a critical time In addition to President Bush s call for the creation of electronic health records for all Americans within ten years leaders of both parties have highlighted the importance of IT in healthcare Dr David Brailer the newly appointed National Health Information Technology Coordinator for the Department of Health and Human Services HHS is releasing a report on the Administration s strategic health IT plan next week at the HHS sponsored National Health Information Infrastructure 2004 Cornerstones for Electronic Healthcare conference in Washington D C We have already begun to see the emergence of private sector activities conducted by Connecting for Health Steering Group members designed to turn our recommendations into reality said Janet Marchibroda chief executive officer of the eHealth Initiative and executive director of Connecting for Health We now have an excellent opportunity for the public and private sectors to work together and drive real change in healthcare Creation of the Network of Networks The most innovative aspect of Connecting for Health s Preliminary Roadmap is that its recommendations show how to develop a national health infrastructure through the creation of a network of networks which is based on open standards and which can be created without a central database of health records or a National Health ID both long time barriers that have prevented bringing the benefits of information technology to the field of healthcare said Dan Garrett vice president and managing director Computer Sciences Corporation s Global Health Solutions Group and executive vice chair of Connecting for Health Previous efforts to achieve the benefits of electronic connectivity in healthcare have been hampered by the fact there seemed to be no way of electronically linking medical records without jeopardizing privacy said Jim Dempsey executive director of the Center for Democracy and Technology and member of Connecting for Health s Working Group on Accurately Linking Information for Health Care Quality and Safety However recent advances in technology offer solutions to this problem by providing the ability to deliver medical information when and where it is needed whether by patients themselves or by the clinicians who care for them without the need for central databases or national ID cards In order to maximize trust in the system Connecting for Health s Preliminary Roadmap recommends a decentralized and federated network approach that leaves decisions regarding the sharing of health information with patients and their healthcare providers This approach creates a network of networks connected over the Internet linked only by

    Original URL path: http://www.markle.org/about-markle/media-release/connecting-health-recommends-specific-actions-bringing-healthcare (2016-02-10)
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  • Connecting for Health Report Analyzes Business Case for Adoption of Health IT Systems | Markle | Advancing America's Future
    00 per patient per month The report notes that small and medium sized practices while likely to benefit more than larger ones from interoperability will require greater attention and assistance due to their lack of resources and suggests that financial and other types of support should be provided to local and regional electronic health record efforts and information sharing collaboratives The goal of this Working Group was to examine the barriers faced by ambulatory care providers in adopting health information technology and then to use any available empirical data to identify potential starting points and near term opportunities for physician practices to adopt health care information technology said John Glaser PhD Chief Information Officer at Partners HealthCare Systems Inc and chair of the Working Group This report articulates a qualitative approach to examining the kinds of incentives needed to encourage the of adoption electronic health records Electronic health records have the potential to help reduce medical errors lower costs and empower patients said Carol Diamond MD managing director at the Markle Foundation and chair of Connecting for Health However without the widespread adoption of electronic health records by small and medium physician practices that represent more than half of the practices in this country and the requirements for achieving the level of interconnectivity necessary to allow for the effective exchange of health related information the benefits of information technology cannot be fully realized We hope this report sparks a full and frank debate over the issue and that it can be a first step toward realizing the potential of electronic health records The report concludes that the current business case for the adoption of health IT systems is not sufficient and that financial incentives are necessary to encourage health care providers to adopt IT systems that allow for interconnectivity to improve the quality of care The report also finds that initial financial incentives for small and medium sized practices will need to cover most of the costs of adopting electronic health records but that over time these incentives will transition to performance based incentives The range of incentives is estimated to be 12 000 24 000 per full time physician per year The analysis also shows that the business case for the incremental adoption of applications of health IT is sound as long as the applications are interoperable and suggests that e prescribing and on line tools for chronic disease management are good starting points With an increased focus on health information exchange and a significant influx in related funding available through government sources such as the US Department of Health and Human Services and its Agency for Healthcare Research and Quality as well as organizations such as the eHealth Initiative there is an urgency to provide early experimenters with as much knowledge as possible To overcome the organizational barriers to the adoption of health IT systems communities need to assess their readiness for data sharing including an evaluation of their technical clinical and organizational capabilities Leadership will also play

    Original URL path: http://www.markle.org/about-markle/media-release/connecting-health-report-analyzes-business-case-adoption-health-it (2016-02-10)
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  • Technology Companies, Providers, Health Insurers and Consumer Groups Agree on Framework for Increasing Privacy and Consumer Control Over Personal Health Records | Markle | Advancing America's Future
    deals with networks that include individual consumers as participants who can collect their information store it in applications they control and share it with whom they want The following organizations today endorsed the framework AARP Aetna American Academy of Family Physicians Association of Online Cancer Resources ACOR org America s Health Insurance Plans BlueCross BlueShield Association CapMed Center for Democracy and Technology Center on Medical Record Rights and Privacy Cisco Systems Inc Consumers Union Dossia FollowMe Google Geisinger Health System Health Care For All InterComponentWare Inc Intuit Inc MedicAlert Microsoft Corp National Breast Cancer Coalition National Partnership for Women and Families NewYork Presbyterian Hospital Pacific Business Group on Health Palo Alto Medical Foundation Partners Healthcare System RxHub SureScripts U S Department of Veterans Affairs Vanderbilt Center for Better Health WebMD Some of the new services aren t covered under federal health information privacy laws and there is uncertainty about privacy protections said Steve Findlay health care analyst Consumers Union publisher of Consumer Reports This collaboration lays out specific practices that all PHRs and related services can use whether they are covered by federal privacy rules or not so they can enhance public trust Survey reveals overwhelming public support for privacy protective practices The Markle Foundation also released a survey today indicating that four in five U S adults believe that electronic personal health records PHRs would help people Check for errors in their medical records 87 percent Track health related expenses 87 percent Avoid duplicated tests and procedures 86 percent Keep their doctors informed of their health status 86 percent Move more easily from doctor to doctor 86 percent Manage the health of loved ones 82 percent Get treatments tailored to health needs 81 percent Manage their own health and lifestyle 79 percent This new survey indicates that an overwhelming majority of U S adults see the value of online personal health records Nearly half express some interest in using one said David Lansky PhD president and CEO of Pacific Business Group on Health and chair of the Connecting for Health work group that developed the new framework At the same time the vast majority of respondents said having key privacy practices in place would be a factor in their decision to use such services Nearly half called specific privacy practices critical in their decision to try one out Lansky said When asked about some of the practices contained in the new framework consumers said How important in decision to try a PHR service Common Framework Practice Area It s critical It s one factor in decision Affected people would be notified if their information falls into unauthorized hands in a way that could compromise their identity or expose their health information 60 32 An individual would be able to review who has had access to their personal health information 53 37 Individuals would have a clear process to request corrections or dispute the way their information is handled 53 38 Individuals would NOT be denied care or penalized financially

    Original URL path: http://www.markle.org/about-markle/media-release/technology-companies-providers-health-insurers-and-consumer-groups-agree (2016-02-10)
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