Question 24. How could success be measured in achieving an interoperable health information infrastructure for the public sector, private sector and health care community or region?

A comprehensive set of metrics should be established and tracked. Examples include:

• Ratio of users to potential users of the Health Information Environment
• Development and tracking of Healthcare Quality Indicators that derive from data access capability
• Speed with which outbreaks affecting the public's health are identified
• Stable and secure coordination of key Health Information Environment functions
• Degree of interoperability across regional or other sub-networks
• Accountability to affected stakeholders, including effective independent review procedures
• Transparency, including procedural and financial transparency
• Financial metrics to evaluate the return on investment for each stakeholder.
• Representation of key interest groups, including the public interest representation
• Extent to which views of patients are taken into account in crafting policies and procedures relating to their rights and privacy
• Increased security of the root server system
• Support for long-term Internet and ICT evolution and innovation.
• Satisfaction of consumers with their health care system encounters
• Extent to which research and innovative approaches to prevention and treatment, (such as genetic treatment), are strengthened and made more cost-effective.
• Speed with which research results are integrated into health care and health-related decision-making.