One Vision of a Complete Operational Health Record Banking System

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One Vision of a Complete Operational Health
Record Banking System
Health Information Infrastructure Advisory
Board SeaTac, WA November 19, 2008

• Health Record Bank
• Project Management Office
• Washington State Health Care Authority

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Outline

• Key Requirements
• Health Record Bank Operations Organization
• Enrollment Initial Data Collection
• Clinical Data Flow
• Research Data Flow
• Business Model Elements
• Ensuring One HRB Account/Person
• Interfacing to Multiple HRBs

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• Key Requirements

• Universal Access
• Consumer Choice
• Universal Participation
• All Electronic Information
• Financial Sustainability
• Public Trust
• Public Good

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• Health Record Bank Operations Organization

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• Health Record Bank Operations Organization

RESPONSIBLE FOR Policy Governance Oversight
RESPONSIBLE FOR Obtaining Capital Operating
HRB
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Multiple Health Record Bank Operations
Secure patient health data files
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• Enrollment and Initial Data Collection

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• Clinical Data Flow

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• Research Data Flow

Medical Researcher/ Public Health
Air gap
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• Business Model Elements

• No charge to consumers for basic accounts
• Optional services (paid by consumer or sponsored
  by third party)
• Reminders
• Alerts
• Query fees from researchers, policymakers, public
  health (with consumer consent)
• Benefits to clinicians
• Payments for electronic data deposits, OR
• Low-cost Internet-accessible EMRs
• Services to clinicians
• Rule-based ordering
• Others?
• Advertising (to consumers)
• Sponsorship (by payers/purchasers)

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• Ensuring One HRB Account for Each Person

Consumer requests account from any HRB they choose
?
Other Health Record Banks
. . .
Check for existing account when new account
requested if found, offer to roll it over from
other HRB
Account Locator Service List of Health Record
Bank for each person
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• Interfaces to Multiple HRBs

Other Health Record Banks
. . .