HHS has published it's findings from the RFI it issued on the Natioanl
Health Information Network initiative....here is a brief quote from the
report....patient centric and decentralized....has a familiar ring to it??
http://www.hhs.gov/healthit/rfisummaryreport.pdf
"Among the many opinions expressed, significant support emerged for the
following concepts:
A NHIN should be a decentralized architecture built using the Internet,
linked by uniform communications and a software framework of open
standards and policies.
A NHIN should reflect the interests of all stakeholders and be a joint
public/private effort.
A governance entity composed of public and private stakeholders should
oversee the determination of standards and policies.
A NHIN should be patient-centric with sufficient safeguards to protect
the privacy of personal health information.
Incentives will be needed to accelerate the deployment and adoption of a
NHIN.
Existing technologies, federal leadership, prototype regional exchange
efforts, and certification of EHRs will be the critical enablers of a NHIN.
Key challenges to developing and adopting a NHIN were listed as: the
need for additional and better refined standards; addressing privacy
concerns; paying for the development and operation of, and access to the
NHIN; accurately matching patients identity; and addressing discordant
inter- and intra-state laws regarding health information exchange. "
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