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The Consumer as an agent of change
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THEN NOW TOMORROW
D ata Advances in Medicine
NOWRadiology
EKG
Labs
Meds
MonitoringMD exam
Nurse observations
THENMonitoringMD examNurse observations
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D ata Advances in MedicineTOMORROWContinuous location tracking
Constant vital signs monitoring
Transcutaneousmonitoring of glucose, ETOH, etc.
Noninvasive testing
Exhaled breath analysisTesting to maintain wellness
Increased image utilizationGenomic data
Proteomics
Personalized pharmacy
Radiology
EKGLabs
Meds
MonitoringMD exam
Nurse observations
NOWRadiology
EKG
Labs
Meds
MonitoringMD exam
Nurse observations
THENMonitoringMD examNurse observations
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Consumer Access to Health D ata
5Microsoft CorporationConfidential and Privileged
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THEN NOW TOMORROW
Access to the Web
Broadband penetration
Consumer Access to Health D ata
6Microsoft CorporationConfidential and Privileged
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Shifting Roles: Shifting Economics
The Consumer
PayorsEmployers Providers Industry
The healthcare industry needs a low cost way to contribute data by source data provider so that it s easy for consumers to have aCOMPLETE and AGGREGATE view of her health state/needs/activity
As an industry, we need to make it easy to get D ATA LIQUID ITYwith existing and future STAND ARD S
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D ata Explosion vs. PopulationExplosion
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No D ata Left Behind
9Microsoft CorporationConfidential and Privileged
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W hat is NHIN
The Nationwide Health Information Network (NHIN) is being developed toprovide a secure, nationwide, interoperable health information infrastructurethat will connect providers, consumers, and others involved in supportinghealth and healthcare
A set of harmonized standards-based specifications for communicatingbetween National Health Information Exchanges (NHIEs)
A trust fabric that allows for private and secure exchange of HealthInformation. This includes:
- An internet-based private network that ensures secure transport- Membership services to ensure only valid, trusted entities may participate
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W hat does NHIN wish to provide
Certification to ensure interoperability between entitiesLegal agreements to protect privacy and security of informationexchangesA curated set of indexes to facilitate proper communicationsA governance model and operating procedures that structures anddefines activities, roles and responsibilities of all participants; andThe confederation of entities, including NHIEs, bound by this missionand governance
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The Nationwide Health Information Network
Health Bank orPHR Support Organization
Community #1
IntegratedD eliverySystem
CommunityHealth Centers
Community #2
State andLocal Gov
Labs
Pharmacies
CDC
VA
IHS
DoD
SSA
The Internet
Standards, Specifications and Agreementsfor Secure Connections
Common D ial Tone & Chain of trust
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Benefits of Interoperability:Linking Research to Care
Unifies clinical research, clinical care, anddiscovery (bench-bedside-bed) into aseamless continuum
Results in improved clinical outcomes
Accelerates the time from discovery topatient benefit
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