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

• Author: Arroyo Center.; Straus, Susan G.,
• VerfasserIn: Hosek, Susan D.
• TeilnehmendeR: Straus, Susan G.,; Arroyo Center.; RAND Health.
• Place / Publishing House: Santa Monica, CA : : RAND Corporation,, 2013.
• Year of Publication: 2013
• Language: English
• Series: Gale eBooks
• Physical Description: 1 online resource (xxiii, 78 pages) :; map
• Notes: "Prepared for the United States Army."; "RAND Arroyo Center and RAND Health."

As a step toward improving its health information technology (IT) interoperability, the Military Health System 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 identifies gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to improve the quality and efficiency of care through health information exchange.

Table of Contents

Cover; Title Page; Copyright; Preface; Contents; Figure; Tables; Summary; Acknowledgements; Abbreviations; CHAPTER ONE; Introduction and Background; Study Approach; Military Health System; MHS Goals and Initiatives; Electronic Health Record; Virtual Lifetime Electronic Record; Health Information Exchange in the United States; Health Information Organizations; Promoting Adoption of Health Information Technology and Health Information Exchange; Status of Health Information Exchange; Frameworks for Evaluating Health Information Technology; Organization of This Report; CHAPTER TWO

Privacy of Individual Health InformationLegal Requirements; Public Attitudes; Framework for Privacy and Security; Summary; CHAPTER THREE; Patient Consent for Health Information Exchange; Policy and Legal Background; Federal Regulations; State Regulations; Consent Principles; Patient Consent Methods; Types of Patient Consent; Trade-offs Among Consent Approaches; Implementation of Consent Models; Experiences with Consent for Health Information Exchange; Granular Consent; Summary; CHAPTER FOUR; Patient Identity Management; Policy and Legal Background; Patient Identity Matching Methods

Choice of IdentifiersDuplicate Patient Identities; Choice of Matching Algorithm; Experiences with Patient Identity Matching for Health Information Technology; Summary; CHAPTER FIVE; Conclusions and Recommendations; Patient Consent; Patient Identity Matching; Broader Considerations; References