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Policy Perspectives

Policy perspectives provide views from the Markle Foundation and others in areas of interest to the Connecting for Health public-private collaborative.

July 13, 2010
Meaningful Use Final Rule Marks a New Beginning for Health IT
Markle, the Center for American Progress, and the Engelberg Center for Health Care Reform at Brookings describe new federal rules on financial incentives for health IT as an important window of opportunity for providers, hospitals, and patients.

May 10, 2010
Markle Connecting for Health Collaborators Comment on Health IT Certification Program
Comments emphasize that government-sanctioned testing and certification have important roles as well as limitations in achieving the objectives of the public investments in health IT.
Read comments (PDF, 206K)

April 23, 2010
Meaningful Use Final Rule Must Create Pathway to Progress on Core Health Goals
Leaders at Markle, the Center for American Progress, and the Engelberg Center for Health Care Reform at Brookings call upon the Government to retain core requirements in its final rule for health IT investments.

March 15, 2010
56 Organizations Join Collaborative Comments on Meaningful Use
Markle, the Center for American Progress, the Engelberg Center for Health Care Reform at Brookings, and more than 50 other organizations submit public comments to the Department of Health and Human Services regarding Stage 1 of the health IT Incentives program.

January 26, 2010
Collaborative Statement on Proposed Regulations on Meaningful Use and Standards for the Electronic Health Record Incentive Program
The Markle Foundation, the Center for American Progress, the Engelberg Center for Health Care Reform at Brookings and three dozen diverse leaders in the health sector send a letter commending federal agencies for their work drafting proposed health IT "meaningful use" regulations and standards.
Read comments (PDF, 98K)

December 4, 2009
Demonstrating Meaningful Use of Health IT for 2011 and Beyond
On behalf of a broad range of health leaders, the Markle Foundation, Center for American Progress, and the Engelberg Center for Health Care Reform at Brookings offer recommendations on measuring and demonstrating meaningful use of health IT under the American Recovery and Reinvestment Act of 2009.

November 13, 2009
Markle Connecting for Health Summarizes 'Meaningful Use' Recommendations
In a letter to HHS and OMB leaders, Markle Connecting for Health collaborators provide recommendations for the pending federal rule on 'meaningful use' of health IT under the Recovery Act.
Read the letter (PDF, 134K)

October 23, 2009
Objective Standards Needed for Evaluating Information Breaches
Markle Connecting for Health and the Center for Democracy and Technology focus on the need for objective standards for judging whether a data breach presents significant risk.
Read response (PDF, 206K)

October 16, 2009
Policy Should Come Before Standards for Consumer Consent Preferences
Markle Foundation recommends a full complement of privacy and information access policies in its response to the Federal health IT office's draft on consumer consent requirements.
Read response (PDF, 51K)

September 18, 2009
Models for Trusted Information Sharing
Claudia Williams, Markle's director for health policy and public affairs, speaks before the Health IT Policy Committee on privacy, public trust, and the architecture choices to support trusted information sharing.
Read Testimony (PDF, 238K)

June 26, 2009
Comments on the Office of the National Coordinator's Preliminary Definition of 'Meaningful Use'
Markle, the Center for American Progress, Brookings, and others respond to first draft of the 'meaningful use' definition issued by the HIT Policy Subcommittee of the US Department of Health and Human Services.
Read response (PDF, 121K)

June 11, 2009
Establishing Regional Centers to Assist Providers to Become Meaningful Users of HIT
Markle, the Center for Democracy and Technology, and others draft a description for a program to establishing regional centers to assist health care providers seeking to adopt and become meaningful users of health information technology. The statement was provided to the National Coordinator for Health Information Technology at the US Department of Health and Human Services.
Read comment (PDF, 171K)

June 1, 2009
FTC Breach Notification Rulemaking
Markle, the Center for Democracy and Technology, and others respond to the Federal Trade Commission (FTC) on reducing the risk of information breaches and notifying consumers in the event of a breach.
Read comment (PDF, 220K)

May 21, 2009
Federal Health Data Breach Notification Requirements
Markle, the Center for Democracy and Technology, and others comment on the new federal health data breach notification provisions to be administered by the US Department of Health and Human Services.

May 20, 2009
What Will Consumer-Facing Health IT Look Like in 5-10 Years?
Josh Lemieux, Markle's director for personal health technology, speaks before the National Committee on Vital Health and Statistics (NCVHS).

April 30, 2009
Achieving the Health Objectives of ARRA
Markle proposes a set of principles for getting health IT right under the American Recovery and Reinvestment Act (ARRA).
Read document (PDF, 454K)

March 1, 2009
Collecting and Sharing Data for Population Health: A New Paradigm
Article in Health Affairs by Carol Diamond, Clay Shirky and Farzad Mostashari urges networked models for analyzing population health data.

February 24, 2009
Standards Within the Context of the Health IT Initiative
Carol Diamond speaks before the National Committee on Vital and Health Statistics (NCVHS) Subcommittee on Standards.
Read statement (PDF, 128K)

January 13, 2009
Markle Foundation Recommends Key Requirements for Health IT Investments to Improve Health Care
This brief outlines critical attributes and expectations for HIT investments.
Read brief (PDF, 307K)

December 29, 2008
Connecting for Health Responds to Government on E-Prescribing Incentive Program
A collaborative response urges focus on information to drive better medication management.
Read Response (PDF, 51K)

September 22, 2008
A 21st-Century Approach to Privacy
Policy brief outlines how to protect and share health information to improve health and health care.
Read Policy brief (PDF, 109K)

August 19, 2008
A Few Years of Magical Thinking?
Carol Diamond and Clay Shirky write in Health Affairs that one of the biggest obstacles to expanding use of health IT may be a narrow focus on how to stimulate its adoption.

June 25, 2008
A Common Framework for the 21st Century Health Care Consumer
The Markle Connecting for Health Consumer Common Framework receives widespread endorsement for its vision of increasing consumer participation and protecting personal health data.

June 25, 2008
Survey: Overwhelming Consumer Support for Electronic PHR
Survey shows that 9 in 10 Americans believe that electronic personal health records could improve their health, but privacy practices are a key factor in their decision to try one.

May 8, 2008
HEALTH IT: Markle's Carol Diamond on Making the Connections
Carol Diamond speaks to the New America Foundation about the need for making greater inroads in the development and implementation of health information technologies.

March 10, 2008
Beyond Consumer Consent
This policy brief outlines why we need a comprehensive approach to privacy in a networked world.
Read policy brief (PDF, 1.4MB)

September 21, 2007
Population Health: Future Vision Scenarios
This illustrated vision shows how health professionals, consumers, and others can be connected to timely health information.
View scenarios (Flash)
Read document (PDF, 44K)

July 30, 2007
Connecting for Health Responds to Government on Quality Data Stewardship
Collaborative response to the AHRQ/AQA Request for Information Regarding a National Health Data Stewardship Entity.
Read response (PDF, 140K)

March 13, 2007
Dissenting Statement from the AHIC Consumer Empowerment Workgroup on a Proposed PHR Certification Process
Read statement (PDF, 115K)

February 1, 2007
Private Health Records: Privacy Implications of the Federal Government's Health Information Technology Initiative
Testimony by Dr. Carol Diamond - Managing Director of Health, Markle Foundation
Committee on Homeland Security and Governmental Affairs of the Senate of the United States
Read testimony (PDF, 195K)

July 24, 2006
Connecting for Health Responds to Federal Government's RFI on Voluntary Storage of Personal Data in Preparation for Emergencies
Read response (PDF, 336k)

April 6, 2006
The Connecting for Health Common Framework: Overview and Principles
This paper is an introduction to the Common Framework that puts it into context. It tells you how the Common Framework evolved from the Roadmap report (PDF, 8.0 MB) and a set of policy and technology principles, and how it has been tested in three communities via a Connecting for Health prototype. Download the paper below.
Read paper (PDF, 831k)

March 6, 2006
Letter to Secretary Leavitt and the Members of AHIC, Regarding Policy Challenges With Emerging Health Information Technology from the Personal Health Technology Council
Read letter (PDF, 87K)

October 11, 2005
Americans Support Online Personal Health Records; Patient Privacy and Control Over Their Own Information are Crucial to Acceptance

September 29, 2005
Engaging Americans in Their Health and Their Health Care Through Health IT
Testimony by Dr. Carol Diamond – Managing Director of Health, Markle Foundation
Committee on Government Reform, U.S. House of Representatives, DC
Read testimony (PDF, 54K)

August 31, 2005
Opportunities for CMS Actions in Support of Personal Health Records
Personal Health Technology Council response to a Request for Information on Personal Health Records from the U.S. Centers for Medicare & Medicaid Services (CMS), the government agency that manages Medicare and Medicaid.
Read response (PDF, 636k)

February, 2005
Linking Health Care Information
Proposed Methods for Improving Care and Protecting Privacy
Read response (PDF, 603K)

October, 2004
Financial, Legal and Organizational Approaches to Achieving Electronic Connectivity in Healthcare
Report by the Working Group on Financial, Organizational and Legal Sustainability of Health Information Exchange

July 22, 2004
Health Information Technology: Improving Quality and Value of Patient Care
Testimony by Dr. Carol Diamond - Managing Director of Health, Markle Foundation
Committee on Energy and Commerce, Subcommittee on Health, U.S. House of Representatives, DC
Read testimony (PDF, 155K)

July, 2004
Connecting Americans to Their Healthcare
Final Report of the Working Group on Policies for Electronic Information Sharing Between Doctors and Patients
Read Full Report (PDF, 2.9MB)
Executive Summary (PDF, 228K)

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