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  • Homepage News Events | Markle | Advancing America's Future
    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 News Events Another Push to Help Workers With an Online Twist July 30 2015 Experts Say Tech Industry Has Duty to Counter Extremism but Against Imposing Legal Onus July 29 2015 High Powered Coalition Seeks to Improve Job Prospects for Young People July 27 2015 The Proverbial Public Private Partnership July 24 2015 How To Prepare For The Entrepreneur Life You Want July 11 2015 Data Science Better Outcomes Why I Joined Civis Analytics July 9 2015 America s Promise to a New Generation Geoffrey

    Original URL path: http://www.markle.org/about-markle/news-events?page=3 (2016-02-10)
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  • Search | Markle | Advancing America's Future
    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 Search Results Search The Proverbial Public Private Partnership Cooperation and Conflict in the Relationship between Government and Industry in Cyberspace This session discusses the role of the government in protecting the nation from cyber attacks to public and private infrastructure in an era of expanding threats and the challenges faced as many commercial firms strategically distance themselves from the U S government in order to expand their global consumer base Panelists Zoë Baird CEO and President Markle Foundation Michael Chertoff Co Founder and Executive Chairman The Chertoff Group Former Secretary of Homeland Security Michael Leiter Executive Vice President Business Development Leidos Former Director National Counterterrorism Center Tim Reardon Vice President and General Manager Defense and Intelligence Solutions Lockheed Martin Moderator Shaun Waterman Editor POLITICO Pro Cybersecurity 5 Takeaways from LinkedIn s Education Connect 2015 Zoë Baird CEO and President of Markle says the world has moved from an industrial to a digital economy That shift is causing changes in the workforce leading to changes in what students require to find jobs Video Rework America In today s networked economy we need to unleash opportunities for Americans to learn and train in innovative ways and seize the growth potential of world markets and shared data How might we shape new models of learning and work Markle Initiative members share their vision of a new and hopeful future for America embed container position relative padding bottom 56 25 height 0 overflow hidden max width 100 embed container iframe embed container object embed container embed position absolute top 0 left 0 width 100 height 100 Connecting for Health Phases of Work 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 4 NHIN Prototype Phase 4 2003 2006 of the Markle Connecting for Health collaboration focused on the NHIN Prototype and personal health technology Phase 3 Common Framework During Phase 3 2005 2006 the Markle Connecting for Health Common Framework model the Markle Connecting for Health Common Framework prototype and the Markle Foundation Personal Health Technology Initiative were developed Phase 2 Roadmap During Phase 2 2003 2004 the Markle Connecting for Health collaboration developed The

    Original URL path: http://www.markle.org/solr-search?keyword=&page=3 (2016-02-10)
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  • Achieving the Health IT Objectives of the American Recovery and Reinvestment Act | Markle | Advancing America's Future
    of the National Coordinator for Health Information Technology ONC A significant amount of this 2 billion should lay important groundwork to help providers use health IT meaningfully toward the goals of improving the nation s health Under the auspices of Markle Connecting for Health the signatories have agreed on the following Seven Principles for Meaningful Use and Qualification or Certification of EHRs The overarching nationwide goals of health IT investments are to improve health care quality reduce growth in costs stimulate innovation and protect privacy The investments should be directed toward achieving clear specific metrics toward these goals If the goals and metrics are not clear before technology is commissioned and the incentives are offered the government will risk wasting valuable resources and losing support from both health care providers and the public for further health IT investments These goals can be achieved only through the effective use of information to support better decision making and more effective care processes that improve health outcomes and reduce cost growth The goals cannot be achieved through the installation of software or hardware alone Effective use of information is what enables a consumer to play an active role in maintaining health and getting the best care prevents a patient from suffering a medical error helps a clinician prescribe the right treatment at the right time allows a care team to coordinate care in the most effective and affordable way and benefits efforts to improve quality accelerate research and advance public health The definition of meaningful use should hinge on whether information is being used to deliver care and support processes that improve patient health status and outcomes The definition should focus on the needs of patients and consumers not on the mere presence or functions of technology Meaningful use should be demonstrable in the first years of implementation 2011 12 without creating undue burden on clinicians and practices The meaningful use definition must optimize achievability for providers and benefits to patients and consumers Improving medication management and coordination of care provides early opportunities for such an optimization Meaningful use should initially rely on standard information types such as recent medications and laboratory results that are electronic and already widely adopted and that can support metrics to improve medication management and coordination of care The definition of meaningful use should gradually expand to encompass more ambitious health improvement aims over time To support meaningful use goals that improve health and reduce the growth of costs additional data types e g problem lists allergies vitals images findings procedures care plans hospital discharge summaries patient registration forms can become increasingly standardized over time to facilitate a set of defined measurements The phasing in of expanded requirements should be well defined early in the process so that those building or purchasing systems have a clear and realistic path to achieve meaningful use at each stage The definition of qualified or certified EHR technology should support the goals of meaningful use security and privacy Processes for certification or

    Original URL path: http://www.markle.org/publications/403-achieving-health-it-objectives-american-recovery-and-reinvestment-act (2016-02-10)
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  • Health and Technology Leaders Tackle Challenge of Managing Consumers' Identities in Web-Based Personal Health Tools | Markle | Advancing America's Future
    identity online can be addressed through a mix of established and emerging techniques to help stimulate the growth of new electronic health services and personal health records according to a new report released today by Markle Connecting for Health a public private collaborative group operated by the Markle Foundation Your health information is likely scattered across several providers and organizations To access your information in an electronic environment all those organizations must be satisfied that you really are who you say you are said Clay Shirky chair of the Markle Connecting for Health Work Group on Consumer Authentication Policies for Networked Health Information We found that there are several sound techniques for confirming users identities that can be generally adopted in health care to make it easier for consumers to connect to all of their data reliably To make rapid progress toward enabling consumers to access their personal health information accurately and securely the group recommends widespread adoption of several common practices for managing the identities of online consumers Reliable means of verifying and validating consumers identities would significantly improve the ability of consumers to access and consolidate all of their electronic health information such as test results medication lists treatment histories and other critical health information The paper also recommends a federal commitment to research on the reliability of different forms of in person and online identity management methods The report contains the recommendations of 38 health and technology leaders in health care technology companies government consumer groups and others It is the latest addition to the Markle Connecting for Health Common Framework a set of policy and technical resources for private and secure electronic health information exchange The report recommends that in person proofing checking government issued identification documents in a face to face setting continue to be one of the commonly used approaches especially for organizations that lack an established relationship with the consumer But it also encourages greater use of knowledge based authentication a set of methods that confirm a person s identity through an electronic dialogue about facts that only the proper user should know The group also recommended new efforts at bootstrapping by allowing health care organizations to make use of confirmed identities managed by other reliable parties such as financial institutions People should not have to put their privacy at risk in order to participate in innovations that promise to improve health care access to care and consumer control over their own information No solution is fool proof but we are calling on the government to take a more vigorous leadership role in measuring the accuracy of identity proofing methods so that we can be more secure that people are who they say they are when accessing and sharing their health information said Janlori Goldman director of the Health Privacy Project and research faculty at the Mailman School of Public Health at Columbia University We conclude that the authentication challenge is manageable today said David Lansky PhD senior director of the Markle Foundation

    Original URL path: http://www.markle.org/about-markle/media-release/health-and-technology-leaders-tackle-challenge-managing-consumers (2016-02-10)
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  • CSC and 'Connecting for Health' Team Successfully Demonstrates Nationwide Health Information Network Prototype | Markle | Advancing America's Future
    private collaborative of more than 100 organizations The Common Framework approach emphasizes a network of networks with a low barrier to entry for participating regional sub network organizations and other networks and leverages existing health industry and Internet infrastructure without requiring new networks specific applications or hardware central databases or a central operator Through the commitment and dedication of the entire CSC and Markle Connecting for Health team we have demonstrated that health data can be exchanged accurately quickly and securely using readily available technology and existing systems said James W Sheaffer president of CSC s Federal Sector business unit We are proud to have achieved these results and we look forward to providing our expertise as this innovative and industry leading project evolves The CSC and Markle Connecting for Health team was selected by the Department of Health and Human Services Office of the National Coordinator for Health Information Technology as one of four consortia to create an NHIN prototype The opportunity to think about a new set of use cases in this prototype was very important and it highlighted the work that must still be done to continue developing strong policies for protecting information said Carol Diamond MD MPH and managing director of the Markle Foundation We need these policies to earn the public s trust in this vital information system The team also includes the following organizations Browsersoft Inc of Shawnee Mission Kan Business Networks International Inc of Atlanta Ga the Center for Information Technology Leadership and MA SHARE both of Boston Mass DB Consulting Group Inc of Silver Spring Md the eHealth Initiative of Washington D C the Electronic Health Record Vendors Association of Chicago Ill the Indiana Health Information Exchange and Regenstrief Institute of Indianapolis Ind Microsoft Corporation of Redmond Wash SiloSmashers of Fairfax Va and Sun Microsystems Inc of Santa Clara Calif Initiate Systems of Chicago Ill GE Healthcare of Chalfont St Giles United Kingdom Boston Medical Center and the Children s Hospital Informatics Program of Boston Mass and a number of other clinical organizations in the three regional communities were also instrumental to the project s overall success About CSC in Healthcare Computer Sciences Corporation s global healthcare business is dedicated to creating superior performance for leading organizations through the solutions and services it provides across the life sciences provider payer federal and state markets Its mission is to enhance the quality of care delivery and clinical outcomes by providing improved performance through interoperable standards based information systems and optimized management processes The organization has established a worldwide track record of success in helping clients achieve superior results through its innovative solutions and thought leadership About CSC Computer Sciences Corporation is a leading global information technology IT services company CSC s mission is to provide customers in industry and government with solutions crafted to meet their specific challenges and enable them to profit from the advanced use of technology With approximately 77 000 employees CSC provides innovative solutions for customers around the world

    Original URL path: http://www.markle.org/about-markle/media-release/csc-and-connecting-health-team-successfully-demonstrates-nationwide (2016-02-10)
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  • Americans See Access to Their Medical Information As a Way to Improve Quality, Reduce Health Care Costs | Markle | Advancing America's Future
    have sufficient consumer confidence to support a national commitment to electronic health records People expect the federal government to establish rules that protect electronic personal health information from being used inappropriately The survey conducted by bipartisan polling firms Lake Research Partners and American Viewpoint shows that 97 percent think it s important for their doctors to be able to access all of their medical records in order to provide the best care 96 percent think it s important for individuals to be able to access all of their own medical records to manage their own health Two in three Americans 65 percent would like to access all of their own medical information across an electronic network This interest spans demographic groups with a majority 53 percent of Americans 60 and older and high proportions of minority groups expressing interest When given the scenario of changing doctors or moving to a different city an even greater majority 84 percent said it would be important for them to have electronic copies of their medical records that they keep and control and Three quarters of Americans are willing to share their personal information to help public officials look for disease outbreaks and research ways to improve the quality of health care if they have safeguards to protect their identity The survey shows that large majorities of Americans see a number of benefits from accessing their medical information online Consumers say they want access to their medical information in order to ensure that it s accurate to improve doctor patient communications and to help prevent medical errors 91 percent say it s important to review what their doctors write in their chart 88 percent say online records would be important in reducing the number of unnecessary or repeated tests and procedures they undergo 82 percent want to review test results online and 84 percent would like to check for errors in their medical record Americans also see ways in which they could gain more control over their health care by making use of personal health records 90 percent say it would be important to track their symptoms or changes in their health online 83 percent of parents would be interested in using a network to track their child s health such as tracking dates for immunizations and 68 percent say having their information available online will give them more control over their own health care It is encouraging to see that so many Americans recognize the opportunity to improve their health care and their own health by accessing and using their health information said Carol Diamond M D managing director of the Markle Foundation Health Program People not only want to see their medical records they want to use the information to communicate with their doctors and be more involved in managing their care While the survey notes high recognition of the benefits made possible by accessing personal heath information electronically most respondents express concern that their medical information could be misused 80 percent

    Original URL path: http://www.markle.org/about-markle/media-release/americans-see-access-their-medical-information-way-improve-quality-reduce (2016-02-10)
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  • Markle Task Force on National Security in the Information Age Releases Third Report, 'Mobilizing Information to Prevent Terrorism: Accelerating Development of a Trusted Information Sharing Environment' | Markle | Advancing America's Future
    of 2004 and several Executive Orders the Task Force called for the creation of a trusted information sharing environment where terrorist related information is shared among all the people who need it at the federal state and local level as well as the private sector with confidence and accountability for security and civil liberties protections Better information sharing is essential in the fight against terrorism Two years since the publication of its last report and nearly five years since the terrorist attacks of September 11 the Task Force finds that while more information is being shared the government still has not taken many key steps to meet the challenges of sharing information to prevent terrorism while protecting civil liberties We have consistently said that public trust in a network that uses personally identifiable information can only be achieved if government wide guidelines for information sharing and privacy protection are established after open public debate said Zoe Baird co chair of the Task Force and President of the Markle Foundation The Task Force again emphasized the importance of trust in the information sharing environment Government agencies must trust each other with sensitive information and the American people must trust their government to use information in a manner that protects their privacy and civil liberties The report calls for renewed leadership by the President and Congress to accelerate the process already underway Persistent leadership in the implementation and strong oversight of the operation of information sharing systems is required from all branches to accelerate the creation of a trusted information sharing environment said James Barksdale Co Chair of the Task Force To help implement a trusted information sharing environment the Task Force recommends the adoption of An authorized use standard to determine who should have access to information the government has lawfully collected based on the use to which they will put the information rather than its place of collection The borderless nature of the threat has rendered unworkable some of the old rules on sharing lawfully collected information Under the authorized use approach we propose each agency can get the information it needs to pursue a clearly articulated mission subject to auditing to ensure accountability and protect privacy says Jim Dempsey of the Center for Democracy and Technology and a member of the Task Force The rules for the authorized use standard should be developed through open public debate The current outdated standards for sharing and accessing information based on nationality and place of collection have caused confusion and in some cases produced a rigidity that impedes desirable information sharing without protecting civil liberties The Task Force recommends an authorized use standard based on well defined missions for participants in the information sharing environment A risk management approach to classification that better balances the risks of inappropriate disclosure with the risks of failing to share information Current classification procedures are frequently a barrier to effective information sharing because they overemphasize the risks of inadvertent disclosure over those of failure to share

    Original URL path: http://www.markle.org/about-markle/media-release/markle-task-force-national-security-information-age-releases-third-report (2016-02-10)
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  • Report Outlines Approach for Secure Online Access to Patient Prescription Drug Records in Time of Disaster | Markle | Advancing America's Future
    health information records accessible to nurse practitioners physician assistants and nurses who will likely be working with physicians and clinics in a disaster s aftermath rather than just by physicians Examine federal and state public policies governing privacy and medical records such as the Health Insurance Portability and Accountability Act of 1996 and existing state privacy laws to be sure they do not hinder the delivery of medical care for displaced persons post disaster It is also critical that we educate people to take responsibility for having up to date information on their prescription drug history said Michael D Maves MD chief executive officer and executive vice president of the American Medical Association Everyone should make sure they have this information but it is especially critical for people with chronic and life threatening conditions KatrinaHealth org provided authorized users with access to the medication history of evacuees who lived in the areas affected by Hurricane Katrina with data or prescription information made available from a variety of government and commercial sources Sources included electronic databases from community pharmacies government health insurance programs such as Medicaid private insurers and pharmacy benefits managers in the states most affected by the storm In less than three weeks after Hurricane Katrina hit the Gulf Coast this information network was up and running said Carol Diamond MD MPH managing director of the Markle Foundation and the leader of the organization s KatrinaHealth efforts For many Americans however even a few days without much needed life saving prescription medications is too long The nation s pharmacies and partners across the health care industry believe that we must take the outstanding work done by the KatrinaHealth initiative to the next level said Kevin Hutchinson president and chief executive officer of SureScripts Rest assured the nation s pharmacies are applying the lessons learned to ensure that a response is faster and more complete for patients this hurricane season and beyond Work is well underway but there is more to do It is estimated that nearly 40 percent of Katrina evacuees were taking prescription medications before the storm hit said J P Little chief operating officer of RxHub This web site was particularly important because neither the evacuees nor their health care providers had access to their paper medical records many of which were destroyed by the hurricane or left behind when evacuees fled their homes for safer inland locations Several organizations including the American Medical Association Informed Decisions LLC Markle Foundation SureScripts and the United States Department of Veterans Affairs are being recognized today for their leadership of the KatrinaHealth program with a 2006 Pinnacle Award presented by the American Pharmacists Association Foundation APhA This is the ninth year for the Pinnacle Awards which APhA established to celebrate significant contributions to the medication use process More than 150 organizations participated in the planning testing launching and facilitation of KatrinaHealth org including the American Medical Association Gold Standard the Louisiana and Mississippi Departments of Health RxHub the Office of

    Original URL path: http://www.markle.org/about-markle/media-release/report-outlines-approach-secure-online-access-patient-prescription-drug (2016-02-10)
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