Talk:EHealth Exchange

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This wikipedia page should address the following FAQs from stakeholders:  
 
Patients 
* (scenario) how will this make my visit to the doctor's office any different? 
* (scenario) how will I send copies of my health record to my doctor?  
* (criticism) who can access my private medical history and medication lists? 
Physicians 
* (benefits) what will the this do that my current EMR system doesn't do already? 
* (criticism) I already spend too much time filling out forms, wont this just interrupt my clinical duties? 
Payers 
* (benefits) how will we reduce duplicate tests and procedures? 
* (criticism) how much are we going spend vs save? 
Public health 
* (benefits) how can we use this to monitor safety? 
* (criticism) didn't we try something similar before with the Biosense program and it didn't work? 
Pharma 
* (benefits) will the network help us to do Clinical Trials? 
* NIH director reports average drug costs ~$1B and 13 years
=== Proposed outline ===
* Motivation (by examples) 
** reduce costs: reduce duplicate lab tests and costly procedures 
** improve care: provide doctors with the complete patient medical history
** improve medication safety: monitor Adverse Drug Events  
** monitor public health outbreaks (biosurveillance) 
** references to complete list of "meaningful use" cases defined by ONC
*** note: average reader wont care about the details of the meaningful use criteria, only what it means to them
* History 
** Regional Health information exchange and HIE use cases (AHIC, HITSP)
** First funded national pilot use cases ONC summary 
*** Labs and EHR data exchange  
*** Consumer Empowerment (PHR+EHR interop)
*** Biosurveillance Requirements
** Next phase of pilot projects (ONC)  
***  Direct
***  CONNECT 
** Recovery Act ONC projects 
*** "Query Health" ONC Standards , Pilots 
*** Strategic Health Advanced Research Projects ONC SHARP Awards 
*** FDA sentinel (medication safety) 
* Current status 
** Rate of adoption of EHR systems in the US 
** Expected timeline for national adoption 
* Cost
** Cost estimates for Hospital EMR integration 
** Savings ( fewer repeated lab tests and procedures) 
* Privacy 
** Different interpretations of HIPAA across states and hospitals, and use cases 
** HITECH act increases penalties for unauthorized disclosure, misuse possible 
** Patient controlled privacy settings 
** Hospital responsibilities 
** Congressional testimony by famed privacy advocate and MIT professor 
* Policies
** For patients (privacy, consumer empowerment) 
** For hospitals and care providers 
*** increased responsibilities to both share and protect patient records (hipaa, hitech, onc) 
*** Hospitals as independent (competing) business entities
*** Protecting against conflict of interest of insurance providers 
* Technology 
** General architecture mirrors that of the existing internet, "network of networks", links old and new HIE 
** High level list requirements HealthIT.gov 
*** Security (digital signatures, encryption, auth, audit logging) 
*** Network (patient matching, protocol specifications[ref?]) 
*** Data (Labs, Dx, Rx, Px, allergies, ...) 
* Use Scenarios
** Summary list of use cases during clinical care 
*** Meaningful use (Just link, dont detail) 
** Summary of intended non-clinical care uses 
*** public health (CDC) 
*** medication safety (FDA) 
*** quality improvement (AHRQ) 
*** population research (NIH) 
 
This article is misnamed. It should be titled "Nationwide Health Information Network", not "National..." as it currently is.
That's OK, but for most NwHIN is just going to confuse people. 
The name NHIN has been the standard and widely used term since 2006. 
If needed, we can redirect NwHIN->NHIN  — Preceding unsigned comment added by 98.207.93.61 (talk) 11:15, 6 June 2013 (UTC)
replies: text: – ukexpat (talk) 14:23, 10 September 2009 (UTC)
replies: text: No, as a US government website, its contents are public domain, see this page. Now having said that, the tone and content needs some work, but it is not a copyvio. – ukexpat (talk) 14:09, 25 September 2009 (UTC)
replies: text: I don't care if it is copyvio or not, being a copy alone is unencyclopedic. Abductive (reasoning) 21:59, 28 September 2009 (UTC)

text: Groovy. Thanks. Abductive (reasoning) 21:59, 28 September 2009 (UTC)
thread_title:  Outline 

message: * Motivation (by examples) 
** reduce costs: reduce duplicate lab tests and costly procedures 
** improve care: provide doctors with the complete patient medical history
** improve medication safety: monitor Adverse Drug Events  
** monitor public health outbreaks (biosurveillance) 
** references to complete list of "meaningful use" cases defined by ONC
*** note: average reader wont care about the details of the meaningful use criteria, only what it means to them
* History 
** Regional Health information exchange and HIE use cases (AHIC, HITSP)
** First funded national pilot use cases ONC summary 
*** Labs and EHR data exchange  
*** Consumer Empowerment (PHR+EHR interop)
*** Biosurveillance Requirements
** Next phase of pilot projects (ONC)  
***  Direct
***  CONNECT 
** Recovery Act ONC projects 
*** "Query Health" ONC Standards , Pilots 
*** Strategic Health Advanced Research Projects ONC SHARP Awards 
*** FDA sentinel (medication safety) 
* Current status 
** Rate of adoption of EHR systems in the US 
** Expected timeline for national adoption 
* Cost
** Cost estimates for Hospital EMR integration 
** Savings ( fewer repeated lab tests and procedures) 
* Privacy 
** Different interpretations of HIPAA across states and hospitals, and use cases 
** HITECH act increases penalties for unauthorized disclosure, misuse possible 
** Patient controlled privacy settings 
** Hospital responsibilities 
** Congressional testimony by famed privacy advocate and MIT professor 
* Policies
** For patients (privacy, consumer empowerment) 
** For hospitals and care providers 
*** increased responsibilities to both share and protect patient records (hipaa, hitech, onc) 
*** Hospitals as independent (competing) business entities
*** Protecting against conflict of interest of insurance providers 
* Technology 
** General architecture mirrors that of the existing internet, "network of networks", links old and new HIE 
** High level list requirements HealthIT.gov 
*** Security (digital signatures, encryption, auth, audit logging) 
*** Network (patient matching, protocol specifications[ref?]) 
*** Data (Labs, Dx, Rx, Px, allergies, ...) 
* Use Scenarios
** Summary list of use cases during clinical care 
*** Meaningful use (Just link, dont detail) 
** Summary of intended non-clinical care uses 
*** public health (CDC) 
*** medication safety (FDA) 
*** quality improvement (AHRQ) 
*** population research (NIH) 
 
This article is misnamed. It should be titled "Nationwide Health Information Network", not "National..." as it currently is.
That's OK, but for most NwHIN is just going to confuse people. 
The name NHIN has been the standard and widely used term since 2006. 
If needed, we can redirect NwHIN->NHIN  — Preceding unsigned comment added by 98.207.93.61 (talk) 11:15, 6 June 2013 (UTC)
replies: text: – ukexpat (talk) 14:23, 10 September 2009 (UTC)
replies: text: No, as a US government website, its contents are public domain, see this page. Now having said that, the tone and content needs some work, but it is not a copyvio. – ukexpat (talk) 14:09, 25 September 2009 (UTC)
replies: text: I don't care if it is copyvio or not, being a copy alone is unencyclopedic. Abductive (reasoning) 21:59, 28 September 2009 (UTC)

text: Groovy. Thanks. Abductive (reasoning) 21:59, 28 September 2009 (UTC)
thread_title:  Proposed outline 

message: Hello fellow Wikipedians,
I have just added archive links to  on EHealth Exchange. Please take a moment to review my edit. If necessary, add  after the link to keep me from modifying it. Alternatively, you can add  to keep me off the page altogether. I made the following changes:
*Added archive http://web.archive.org/web/20090813211557/http://www.nhinwatch.com:80/performSearch.cms?channelId=6 to http://www.nhinwatch.com/performSearch.cms?channelId=6
*Added archive http://web.archive.org/web/20100603062542/http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_877368_0_0_18/WhatIsTheNHIN.pdf to http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_877368_0_0_18/WhatIsTheNHIN.pdf
*Added archive http://web.archive.org/web/20091007005817/http://www.connectopensource.org:80/display/Gateway/About+CONNECT to http://www.connectopensource.org/display/Gateway/About+CONNECT
When you have finished reviewing my changes, please set the checked parameter below to true or failed to let others know (documentation at ).
Cheers.—cyberbot IITalk to my owner:Online 09:50, 21 March 2016 (UTC)
thread_title:  External links modified