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Patient privacy, consent, and identity management in health information exchange : issues for the military health system / Susan D. Hosek, Susan G. Straus.

By: Hosek, Susan D [author.]Contributor(s): Straus, Susan G | Arroyo Center | RAND HealthMaterial type: TextTextPublisher: Santa Monica, CA : RAND, 2013Description: 1 online resource (xxiii, 78 pages) : 1 mapContent type: text Media type: computer Carrier type: online resourceISBN: 9780833077998; 0833077996Subject(s): Medical records -- Access control -- United States | United States -- Armed Forces -- Medical care | Medicine, Military -- United States -- Information services | Medical informatics -- United States | Information storage and retrieval systems -- Medical care | Medical Records | Confidentiality | Informed Consent | Medical Informatics | Military Medicine | Military Personnel | United States | Uniteed States | MEDICAL -- Allied Health Services -- Medical Technology | HEALTH & FITNESS -- Holism | HEALTH & FITNESS -- Reference | MEDICAL -- Alternative Medicine | MEDICAL -- Atlases | MEDICAL -- Essays | MEDICAL -- Family & General Practice | MEDICAL -- Holistic Medicine | MEDICAL -- Osteopathy | Armed Forces -- Medical care | Information storage and retrieval systems -- Medical care | Medical informatics | Medical records -- Access control | Medicine, Military -- Information services | United States | Medicine | Health & Biological Sciences | Medical & Biomedical InformaticsGenre/Form: Electronic books. | Electronic books. | Livres électroniques. Additional physical formats: Print version:: Patient privacy, consent, and identity management in health information exchange.DDC classification: 610.285 LOC classification: R864 | .H67 2013Online resources: Click here to access online
Contents:
Introduction and background -- Privacy of individual health information -- Patient consent for health information exchange -- Patient identity management -- Conclusions and recommendations.
Summary: The Military Health System (MHS) and the Veterans Health Administration (VHA) have been among the nation's leaders in health information technology (IT), including the development of health IT systems and electronic health records that summarize patients' care from multiple providers. Health IT interoperability within MHS and across MHS partners, including VHA, is one of ten goals in the current MHS Strategic Plan. As a step toward achieving improved interoperability, the MHS is seeking to develop a research roadmap to better coordinate health IT research efforts, address IT capability gaps, and reduce programmatic risk for its enterprise projects. This report contributes to that effort by identifying gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to bring about improved quality and efficiency of care through health information exchange. Major challenges include (1) designing a meaningful patient consent procedure, (2) recording patients' consent preferences and designing procedures to implement restrictions on disclosures of protected health information, and (3) advancing knowledge regarding the best technical approaches to performing patient identity matches and how best to monitor results over time. Using a sociotechnical framework, this report suggests steps for overcoming these challenges and topics for future research.
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Print version record.

"RAND Arroyo Center and RAND Health."

Includes bibliographical references.

Introduction and background -- Privacy of individual health information -- Patient consent for health information exchange -- Patient identity management -- Conclusions and recommendations.

The Military Health System (MHS) and the Veterans Health Administration (VHA) have been among the nation's leaders in health information technology (IT), including the development of health IT systems and electronic health records that summarize patients' care from multiple providers. Health IT interoperability within MHS and across MHS partners, including VHA, is one of ten goals in the current MHS Strategic Plan. As a step toward achieving improved interoperability, the MHS is seeking to develop a research roadmap to better coordinate health IT research efforts, address IT capability gaps, and reduce programmatic risk for its enterprise projects. This report contributes to that effort by identifying gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to bring about improved quality and efficiency of care through health information exchange. Major challenges include (1) designing a meaningful patient consent procedure, (2) recording patients' consent preferences and designing procedures to implement restrictions on disclosures of protected health information, and (3) advancing knowledge regarding the best technical approaches to performing patient identity matches and how best to monitor results over time. Using a sociotechnical framework, this report suggests steps for overcoming these challenges and topics for future research.

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