Archive for April, 2013

The Future of Health Information Infrastructure

Monday, April 22nd, 2013

In a recent interview with David Beyer of Patients Know Best, I discuss the future of health information infrastructure. In it, I describe the overall goal of HII (universal availability of comprehensive electronic patient information when and where needed) and the two key tasks needed to accomplish this goal (universal EHR adoption and a mechanism for aggregating each patient’s records). I explain how and why the current approach using “health information exchange” (HIE) that leaves records with the providers that created them is not working. Finally, I describe in some detail how the use of health record banks, community-based repositories of electronic patient records with access controlled by the patients themselves, can solve the problems of privacy, stakeholder cooperation, assuring all-electronic, standardized records, and financial sustainability that have hampered efforts to develop HII so far.

This information was also presented in an earlier Viewpoint article, “Putting Health IT on the Path to Success” in the Journal of the American Medical Association (subscription required for full access).