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  • Resources | Markle | Advancing America's Future
    Studies in History University of Virginia James Fallows National Correspondent The Atlantic Match Americans to Opportunities By Zoë Baird If it was functioning well the American labor market would do a reasonably good job of matching Americans to opportunities Employers would be able to signal what skills they need Job applicants would be able to signal clearly what they can do Educators and trainers would respond quickly to gaps But the American labor market does not work nearly as well as it should Credentials are out of date and often not very meaningful to employers Job applicants have trouble knowing what skills are desired and finding flexible ways to learn them Educators and trainers are out of sync with a fast changing economy Read More How Tech Can Help Remake the American Job Market Too many Americans face an uncertain economic future The question for them is not just about the next job but whether or not they will have the skills needed to maintain a career going forward Technology and globalization are altering nearly every aspect of our working lives Americans see the transformation happening but don t feel equipped to handle it And that is not their fault our economy is changing but our labor markets and our institutions are not keeping pace The impacts of this change are felt by employers and jobseekers alike It s a discordant and disturbing reality that many employers can t fill the jobs they have even though at the same time many Americans can t find better work More than half of all American employers say a lack of skilled workers is the reason so many jobs remain unfilled And as these jobs keep changing career growth will require continual skill growth This mismatch is a key reason why so many of our nation s middle skill workers feel the strain The challenge before our country is how we can make sure everyone has the opportunity to succeed in this rapidly changing 21st century economy This is an issue leaders from all sectors must continue to focus on which is why I was so glad to join with others to discuss potential solutions at Techonomy Detroit last month McKinsey Global Institute s 25th Anniversary Celebration The Next 25 Years of the Global Economy Markle Foundation CEO and President Zoë Baird joined Steve Case Richard Dobbs Tom Friedman and Robert Steel to discuss what the future might hold for America in the global economy The group touched on global growth over the next 25 years the future of jobs and income inequality national leadership in the global economy and the role of the U S China Japan and Europe and whether Americans will continue to be the consumer of last resort in the global economy Tom Friedman Steve Case and Zoë Baird talk about the U S in the global economy Participants Zoë Baird CEO President Markle Foundation Steve Case Chairman and CEO Revolution LLC Founder and Partner Revolution Growth Co Founder

    Original URL path: http://www.markle.org/publications?term_node_tid_depth=883&tid_1=All&date_filter[value]&page=1 (2016-02-10)
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  • Connecting for Health Phases of Work | Markle | Advancing America's Future
    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 Phases of Work Transforming Health Care Recognizing that transformational changes often occur incrementally Connecting for Health has approached its work in phases With guidance and leadership of our collaborators we have developed each phase in achievable steps toward secure dynamic connectivity in health care Phase 6 Health IT Patient Protections 2009 2012 Maximizing the implementation of the American Recovery and Reinvestment Act to achieve our goals to improve health support consumer engagement and protect privacy through health information sharing Phase 5 Personal Population Health 2008 2009 Markle Connecting for Health builds on a foundation of private and secure information sharing to advance personal health individual access to information and population health Phase 4 NHIN Prototype 2006 2007 The application of the Markle Common Framework for Private and Secure Information Sharing as a successful prototype for a Nationwide Health Information

    Original URL path: http://www.markle.org/health/connecting-health-phases-work (2016-02-10)
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  • Phase 4: NHIN Prototype | Markle | Advancing America's Future
    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 Phase 4 NHIN Prototype Phase 4 2003 2006 of the Markle Connecting for Health collaboration focused on the NHIN Prototype and personal health technology The NHIN Prototype Markle Connecting for Health s Common Framework approach was selected by the U S Department of Health and Human Services HHS as a prototype for the nationwide exchange of health information The three Markle Connecting for Health prototype communities Boston Massachusetts Indianapolis Indiana and Mendocino California participated with Computer Sciences Corporation and several other partners in the award Members of the Markle Connecting for Health collaborative and the Markle Foundation provided in kind leadership and support to the federal prototype efforts The prototype presents an open standards distributed network of networks approach to the Nationwide Health Information Network NHIN This thin NHIN approach is based on the Markle Connecting for Health Common Framework policy principles guidelines and technical specifications for electronically sharing health information while protecting privacy and securing personal information It uses a streamlined cost effective approach with low barriers to entry The Office of the National Coordinator commissioned Gartner Inc to write a paper on all of the NHIN prototype efforts Any entity that implements the Markle Connecting for Health Common Framework standards and policies can participate in data sharing under this model It therefore has no preferred service operators is vendor neutral and can be implemented based on local needs and determinants This network model does not require the centralization of clinical information Instead clinical information remains held by organizations at the edges of the network where it is created maintained consumed and protected Information is then shared based on the preferences of patients and their providers Personal Health Technology In December 2006 Markle Connecting for Health published Connecting Americans to Their Health Care A Common Framework for Networked Personal Health Information describing a vision for a networked environment in which consumers can

    Original URL path: http://www.markle.org/health/phase-4-nhin-prototype (2016-02-10)
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  • Phase 3: Common Framework | Markle | Advancing America's Future
    Health Common Framework model the Markle Connecting for Health Common Framework prototype and the Markle Foundation Personal Health Technology Initiative were developed The Markle Connecting for Health Common Framework Model The Markle Connecting for Health Common Framework model does not require the development of large centralized repositories of personal health information Instead it achieves a health information sharing environment with a decentralized network of networks approach based on common open technical and policy standards and enforcement The technical design was premised on leaving clinical data in the hands of those who have a direct relationship with the patient and leaving decisions about who should and should not see patient data in the hands of the patient and the physicians who are directly involved with his or her care The Markle Connecting for Health Common Framework Resources for Private and Secure Health Information Exchange provides the initial elements of a comprehensive approach for secure authorized and private health information sharing so that consumers and their authorized providers can have access to vital clinical data when and where they are needed This capability is essential for providing high quality care and reducing medical errors Our broad collaborative believes that such a Common Framework must be defined and maintained if we are to realize the goal of a health information sharing environment that makes vital information available for patients and their providers when and where it is needed while protecting privacy and earning the trust of the American people The Markle Connecting for Health Common Framework elaborates a set of explicit privacy and technology principles and is comprised of specific technology standards health information policies and model contractual participation agreements The policy and technology elements of the Common Framework were developed parallel to and in tandem with the three prototype communities over the course of a year We convened both local stakeholders and the nation s leading experts in privacy law health information technology and health care delivery The Common Framework is built on the assumption of local variation and innovation and therefore specifies only the necessary common standards and policies for private and secure information sharing across communities of other non geographic networks The Connecting for Health Common Framework Prototype Boston Massachusetts Indianapolis Indiana and Mendocino California The Connecting for Health Common Framework is specified in a set of 17 technical and policy guides developed by experts in information technology health privacy law health care delivery and policy These guides were developed and tested in a working prototype in three different community settings Indianapolis Boston and Mendocino County California The Common Framework specifies the necessary polices and technical standards for these or any disparate health information networks to securely share information while protecting privacy and allowing for local autonomy and innovation In addition to the technical documentation each of the three communities has made available its source code and testing interface California Test Server http labserver browsersoft com NHIN services NHINQueryService You need client computer software to access the query service Code

    Original URL path: http://www.markle.org/health/phase-3-common-framework (2016-02-10)
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  • Phase 2: Roadmap | Markle | Advancing America's Future
    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 Phase 2 Roadmap During Phase 2 2003 2004 the Markle Connecting for Health collaboration developed The Markle Connecting for Health Roadmap for Achieving Electronic Connectivity from Our Nations Health Care Leaders Roadmap Report Markle Connecting for Health built a broad consensus on a roadmap for achieving electronic connectivity in health care In 2004 Connecting for Health s diverse membership released the Roadmap Report which has become a blueprint for policymakers and other national leaders engaged in enabling nationwide electronic health information exchange The Roadmap does not require building large centralized repositories of personal health information Instead it advocates achieving a health information sharing environment with a decentralized network of networks approach based on common open technical and policy standards called the Markle Connecting for Health Common Framework The technical design was premised on leaving clinical data in the hands of those who have a direct relationship with the patient and leaving decisions about who should and should not see patient data in the hands of the patient and the physicians that are directly involved with his or her care The Common Framework approach to achieving a Nationwide Health Information Sharing Environment was put forth and further refined by a larger group of health care leaders and organizations in a joint response to the Request for Information promulgated in 2005 by the HHS Office of the National Coordinator The Connecting for Health Roadmap Working Groups During the construction of the Markle Connecting for Health Roadmap several work groups comprised of leaders in the fields of information technology and all major stakeholders in health care developed many of the building blocks later integrated into the full Markle Connecting for Health Roadmap These working groups published a series of independent papers that elaborate more fully some of

    Original URL path: http://www.markle.org/health/phase-2-roadmap (2016-02-10)
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  • Phase 1: Standards and Privacy | Markle | Advancing America's Future
    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 Phase 1 Standards and Privacy In Phase 1 2002 2003 the Markle Connecting for Health collaborative focused especially on moving the health care field toward the adoption of health care data standards identifying noteworthy practices in privacy and security and elaborating the role of the consumer and the personal health record Standards Privacy and Personal Health Its initial outputs represent progress that has eluded the health care industry for more than a decade In September 2002 Markle Connecting for Health s Steering Group agreed for the first time on the voluntary adoption of an initial set of data standards and communications protocols for the sharing of health care information The U S government announced its adoption of these same standards in March 2003 Despite a pace and a set of goals that many thought hard to achieve Markle Connecting for Health announced unprecedented progress in several key areas Developing a set of overarching principals to guide ongoing work Achieving consensus on an initial set of health care data standards and commitment for their adoption from a wide variety of national health care leaders including a number of federal government agencies Identifying and studying a number of noteworthy privacy and security practices in order to describe and disseminate feasible solutions currently in use Defining the key characteristics and benefits of consumer controlled personal health records addressing consumer concerns to allow people to have better access to their health information Other Phase I resources include the following The Personal Health Working Group Survey on Consumer Attitudes Toward PHRs Clinical Data Exchange Efforts in the United States An Overview Background In a July 1999 open letter Zoë Baird President of the Markle Foundation discussed the ways in which the digital revolution has begun transforming our economic social political and cultural life Although entrepreneurial energy will continue to drive change she wrote the time is now while the industry is still evolving to move with the speed of the industry itself to help ensure that it meets public needs In health care that means ensuring that information systems give individual patients a way of capturing their own health data relating that data to the broader world of medical knowledge and doing all of that in an interactive environment that is secure and private Markle Connecting for Health meshes with Markle s history

    Original URL path: http://www.markle.org/health/phase-1-standards-and-privacy (2016-02-10)
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  • Phase 6: Health IT & Patient Protections | Markle | Advancing America's Future
    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 Phase 6 Health IT Patient Protections A Focus on Health Information Sharing Implementation In 2012 an additional set of resources the Markle Connecting for Health Common Framework Policies in Practice for Health Information Sharing Policies in Practice was developed as an addendum to the original Markle Common Framework to address a range of critical health information sharing implementation needs identified by experts working in the field Policies in Practice Overview The Policies in Practice aim to make the Markle Common Framework responsive to current implementation needs and more specific in some areas where additional guidance has been requested Video Policies in Practice for Health Information Sharing This video features the entire webcast New Markle Resources on Implementing Health Information Sharing A Focus on the Health IT Provisions of Federal Laws With Congress passage of the American Recovery and Reinvestment Act of 2009 ARRA net investments of approximately 19 billion were dedicated to support the growth of health information technology In addition the Patient Affordable Care Act of 2010 PACA relies on information tools to support many of its programs and grants Connecting for Health has worked intensively with collaborators to create consensus recommendations applying the Markle Common Framework to a range of policy technical and governance questions created by these new investments Connecting for Health collaborators continue to impact policy and implementation efforts throughout the country Joint Statement on Meaningful Use Rule The Markle Foundation the Center for American Progress and the Engelberg Center for Health Care Reform at Brookings today emphasized the importance of new federal rules on health information technology Collaborative Comments on the Proposed EHR Incentives Program The release of the Notice of Proposed Rulemaking for the Meaningful Use of electronic health records marks a major positive step forward in the nation s efforts to improve health and health care Collaborative Comments on the ONC s Interim Final Rule on EHR Technology The Interim Final Rule on health information technology standards marks a positive step forward in the nation s efforts to improve health care Health Information Technology and Health Care Reform Must Be Well Aligned To Improve Health and Lower Costs Dramatic improvements in health and reductions in cost growth are achievable if efforts to boost health information technology are aligned with broader health care reform Meaningful Investment of 19 Billion on Health Information Technology Today the Markle Foundation hosts a forum to discuss the 19 billion allocated to investments in health information technology under the American Recovery and Reinvestment Act A Focus on Personal Health As part of our long standing effort to improve individual access to personal health information

    Original URL path: http://www.markle.org/health/phase-6-health-it-patient-protections (2016-02-10)
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  • Phase 5: Personal & Population Health | Markle | Advancing America's Future
    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 Phase 5 Personal Population Health A Focus on Personal Health Throughout its history Connecting for Health has focused on connecting Americans to their personal health information and health related services Phase 5 began in 2007 In June 2008 with support from more than 50 organizations Markle released the Common Framework for Networked Personal Health Information a set of policy and technology practices encourage appropriate handling of personal health information as it flows to and from personal health records PHRs and similar applications or services Common Framework for Networked Personal Health Information The Common Framework for Networked Personal Health Information offers consumer centric policy and technology recommendations for the private and secure exchange of personal health records Common Framework Overview and Principles The Common Framework resources are intended to foster network relationships and ultimately to enhance trust among consumers health data sources and consumer access services Consumer Policy Brief This policy brief explores how Millie a 21st Century consumer would benefit under a Common Framework to help her obtain and control electronic copies of her personal health information and connect to health information services Consumer Technical Brief The brief provides an overview of the technology resources in the Markle Common Framework for Networked Personal Health Information and it is the companion to the Consumer Policy Brief Endorsement of the Common Framework The Common Framework for Networked Personal Health Information has been endorsed by 57 diverse organizations in both the public and private sector Media Release Technology Companies Providers Health Insurers and Consumer Groups Agree on Framework for Increasing Privacy and Consumer Control Over Personal Health Records Diverse groups endorse Markle s collaboration to increase consumer access to personal health information A Focus on Population Health Since 2001 Connecting for Health has concentrated on articulating an architecture and policy framework for the secure sharing of health care information for clinical care purposes among authorized entities typically health care organizations and professionals We recognize that this clinical information infrastructure has equally important social value in supporting the nation s goals of managing and improving health for the entire population These population health objectives are realized in at least three distinct domains Research and Clinical Practice Bolstering Research and Clinical Practice Bolstering research capabilities and enabling clinical practice to fully participate in and make use of scientific evidence increases the effectiveness of our public health system Visioning Scenarios Empowering Consumers Consumers and professionals need reliable and secure access to information regarding costs quality of health care services and anticipated outcomes Minimizing Population Wide Health Risks Accelerating the availability of digital health data creates new opportunities for protecting the public from pandemics and bio terror and

    Original URL path: http://www.markle.org/health/phase-5-personal-population-health (2016-02-10)
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