Accession Number : ADA580453


Title :   Patient Privacy, Consent, and Identity Management in Health Information Exchange: Issues for the Military Health System


Descriptive Note : Research rept.


Corporate Author : RAND ARROYO CENTER SANTA MONICA CA


Personal Author(s) : Hosek, Susan D ; Straus, Susan G


Full Text : https://apps.dtic.mil/dtic/tr/fulltext/u2/a580453.pdf


Report Date : Jan 2013


Pagination or Media Count : 109


Abstract : The Military Health System (MHS) and the Veterans Health Administration (VHA) have been among the nation s leaders in health information technology (IT), including the development of health IT systems and electronic health records (EHRs) that summarize patients care from multiple providers. Health IT interoperability within MHS and across MHS partners, including VHA, is one of ten goals in the current MHS Strategic Plan; the ability to exchange health information between military and nonmilitary health care providers is especially important in light of the role played by civilian providers in MHS s TRICARE program, which provides care to 9.7 million beneficiaries. The MHS has taken several steps toward achieving improved interoperability, including collaborating with the Department of Veterans Affairs (VA) to develop an integrated EHR, a virtual lifetime electronic record (VLER), and Joint Federal Health Care Centers. The MHS is also seeking to develop a research roadmap to better coordinate health IT research efforts, address MHS IT capability gaps, and reduce programmatic risk for enterprise projects in the MHS. This report contributes to that effort by identifying key research and policy issues involving patient privacy, patient consent, and patient identity management as relevant to health information exchange (HIE) in the Department of Defense (DoD). Our study used a multimethod approach consisting of a review of policy regarding privacy, patient consent, and patient identity management; a literature review on these topics as relevant to the MHS; and semistructured telephone interviews with 31 subject-matter experts. We use a sociotechnical framework to organize our findings and to suggest topics for future research.


Descriptors :   *HEALTH CARE MANAGEMENT , *INFORMATION EXCHANGE , *INFORMATION SECURITY , *PATIENTS , ELECTRONIC RECORDING SYSTEMS , FEDERAL LAW , MILITARY MEDICINE , POLICIES


Subject Categories : Administration and Management
      Information Science
      Medicine and Medical Research


Distribution Statement : APPROVED FOR PUBLIC RELEASE