Connecting California to Improve Patient Care

I finally made it to Redwood MedNet Health Information Exchange Conference and share my learnings and thoughts below. I first learned about their activities when still working for the Santa Barbara County Care Data Exchange back in 2005.  It is great to see how far they have come!

I finally made it to Redwood MedNet Health Information Exchange Conference and share my learnings and thoughts below. I first learned about their activities when still working for the Santa Barbara County Care Data Exchange back in 2005.  It is great to see how far they have come!

Privacy

• Context is important when looking at privacy.  Each individual has a range of feelings toward privacy, so we need to demistify and look at type of data and from whom are we keeping it private.  Also, consider that our feelings toward privacy may change over time.
• Numbers are important – one paper chart vs. a disk with many.  Who will pay for security, currently an unfunded mandate in healthcare. 
• Need to start with transparancy and a rational conversation about privacy and defining it.

Security

• Security must align with business and not impact usability.
• Identity is soooooo important
• National Strategy for Trusted Identity in Cyberspace Paper – not just for healthcare 
  • Enabling services – need to add Identity Services
• Trust, but verify!
• Situational awareness – understand where threats exists
• Security – how much is enough?  – can we afford?
• HIE Security Architecture
• Reassessing Your Security Safeguards for small practices

Connecting CA to Achieve Meaningful Use

• Interstate Interoperability Workgroup and Western States Consortium – collaborating with neighbors
• CTN medical grade network architecture for disaster preparedness
• San Diego Beacon incorporating social media and mHealth in their project

HIE as a Community Care Platform

• More on longitudinal heatlh and presents a 360 degree view

All of the presentation slides are also available on the conference website