Skip to main content
SpringerLink
Log in

Health Information Infrastructure

  • Chapter
  • First Online:
Biomedical Informatics

  • 7414 Accesses

Abstract

Health information infrastructure (HII) comprises community-level informatics systems to make comprehensive electronic patient records available when and where needed for the entire population. There are numerous difficult and highly interdependent challenges that HII systems must overcome, including privacy, stakeholder cooperation, assuring all-digital information, and providing financial sustainability. A feasible solution to all these problems can be effectively provided by health record banks (HRBs), community-based repositories of patient-controlled electronic medical records. The transition to value-based care reimbursement is likely to accelerate progress toward HRB solutions in the U.S., similar to those that have already been successfully implemented in other nations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 119.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Notes

  1. 1.

    Surescripts Survey Finds Patients Prefer Digitally Savvy Doctors and Demand a Connected Healthcare Experience. Released 28 Sept 2015. Retrieval 28 Aug 2018: 7 https://surescripts.com/news-center/press-releases/!content/surescripts-survey-finds-patients-prefer-digitally-savvy-doctors-and-demand-a-connected-healthcare-experience

  2. 2.

    21st Century Cures Act, H.R.34 — 114th Congress (2015–2016), Section 4006. Retrieval 29 Oct 2018: 7 https://www.congress.gov/bill/114th-congress/house-bill/34

  3. 3.

    21st Century Cures Act: Interoperability, Information Blocking and the ONC Health IT Certification Program. Released May 1, 2020. Retrieval 23 May 2020: 7 https://www.federalregister.gov/documents/2020/05/01/2020-07419/21st-century-cures-act-interoperability-information-blocking-and-the-onc-health-it-certification

  4. 4.

    General Accounting Office Report 11-99 (2010) Public Health information Technology: Additional Strategic Planning Needed to Guide HHS’s Efforts to Establish Situational Awareness Capabilities. Retrieval 23 May 2020: 7 https://www.gao.gov/products/GAO-11-99

  5. 5.

    General Accounting Office Report 17-377 (2017) Public Health Information Technology: HHS Has Made Little Progress toward Implementing Enhanced Situational Awareness Network Capabilities. Retrieval 23 May 2020: 7 https://www.gao.gov/products/GAO-17-377

  6. 6.

    General Accounting Office (2020) Priority Open Recommendations: Department of Health and Human Services (April 23, 2020). Retrieval 23 May 2020: 7 https://www.gao.gov/assets/710/706568.pdf

  7. 7.

    Department of Health and Human Services. (2003) The National Health Information Infrastructure. Retrieval 29 Oct 2018: 7 http://aspe.hhs.gov/sp/nhii/

  8. 8.

    Reboot: Re-examining the strategies needed to successfully adopt health IT. Retrieval 29 Oct 2018: 7 https://www.thune.senate.gov/public/_cache/files/0cf0490e-76af-4934-b534-83f5613c7370/C60F25439BE1CEC36DF9E3834942D908.ehr-white-paper-april-15.pdf

  9. 9.

    CMS. Advancing Interoperability and Health Information Exchange (Request for Information). Retrieval 29 Oct 2018: 7 https://www.federalregister.gov/documents/2013/03/07/2013-05266/advancing-interoperability-and-health-information-exchange

  10. 10.

    Loonsk JW. Where’s the plan for interoperability? Healthcare IT News (22 Sept 2014). Retrieval 29 Oct 2018: 7 https://www.healthcareitnews.com/news/wheres-plan-interoperability

  11. 11.

    Dullabh PM, Parashuram S, Hovey L, Ubri P, Fischer K. (2016) Evaluation of the State HIE Cooperative Agreement Program: Final Report. Retrieval 29 Oct 2018: 7 https://www.healthit.gov/sites/default/files/reports/finalsummativereportmarch_2016.pdf

  12. 12.

    California Health Care Foundation. (2005) National Consumer Health Privacy Survey. Retrieval 29 Oct 2018: 7 http://www.chcf.org/publications/2005/11/national-consumer-health-privacy-survey-2005

  13. 13.

    Chopra A, Park T, Levin PL. (2010) ‘Blue Button’ Provides Access to Downloadable Personal Health Data. Retrieval 29 Oct 2018: 7 http://www.whitehouse.gov/blog/2010/10/07/blue-button-provides-access-downloadable-personal-health-data

  14. 14.

    Miliard M. (2014) Patients want online access to records. Healthcare IT News (5 May 2014). Retrieval 29 Oct 2018: 7 https://www.healthcareitnews.com/news/patients-want-online-access-records

  15. 15.

    Yasnoff WA. (2006) Health Record Banking: A Practical Approach to the National Health Information Infrastructure. Retrieval 29 Oct 2018: 7 http://nhiiadvisors.com/slides/Health%20Rec%20Banking.html

  16. 16.

    Haislmaier EF. (2006) Health Care Information Technology: Getting the Policy Right. Retrieval 29 Oct 2018: 7 http://www.heritage.org/Research/Reports/2006/06/Health-Care-Information-Technology-Getting-the-Policy-Right

  17. 17.

    Health Record Banking Alliance. (2006) Retrieval 29 Oct 2018: 7 http://www.healthbanking.org

  18. 18.

    State of Washington Health Care Authority. (2006) Washington State Health Information Infrastructure: Final Report and Roadmap for State Action. Retrieval 29 Oct 2018: 7 http://providersedge.com/ehdocs/ehr_articles/Washington_State_Health_Information_Infrastructure-Final_Report_and_Roadmap_for_State_Action.pdf

  19. 19.

    Castro D. (2007) Improving Health Care: Why a Dose of IT May Be Just What the Doctor Ordered. Information Technology and Innovation Foundation. Retrieval 29 Oct 2018: 7 http://www.itif.org/publications/improving-health-care-why-dose-it-may-be-just-what-doctor-ordered

  20. 20.

    Yaraghi N. (2016) You Should Control Your Own Health Care Data. U.S. News (12 Feb 2016). Retrieval 29 Oct 2018: 7 https://www.usnews.com/opinion/blogs/policy-dose/articles/2016-02-12/to-protect-patients-privacy-give-them-control-of-their-health-data

  21. 21.

    Kushner J and Verma S. (2018) Giving patients control of their health information will help give patients control of their health. Recode (15 Mar 2018). Retrieval 29 Oct 2018: 7 https://www.recode.net/2018/3/15/17114684/health-care-digital-information-jared-kushner-seema-verma-president-trump

  22. 22.

    Yaraghi N. (2015) A Sustinable Busines Model for Health Information Exchange Platforms: The Solution to Interoperability in Health Care IT. Brookings Institution (30 Jan 2015). Retrieval 29 Oct 2018: 7 https://www.brookings.edu/research/a-sustainable-business-model-for-health-information-exchange-platforms-the-solution-to-interoperability-in-health-care-it/

  23. 23.

    Kendall D and Quill E. (2015) A Lifetime Electronic Health Record for Every American. Third Way (28 May 2015). Retrieval 29 Oct 2018: 7 https://www.thirdway.org/report/a-lifetime-electronic-health-record-for-every-american

  24. 24.

    Blumenthal D. (2016) The Biggest Obstacle to the Health-Care Revolution. Wall Street Journal (28 Jun 2016) Retrieval 29 Oct 2018: 7 https://blogs.wsj.com/experts/2016/06/28/how-to-make-health-care-records-as-mobile-as-patients/

  25. 25.

    Frost & Sullivan. (2015) Moving Beyond the Limitations of Fragmented Solutions: Empowering Patients with Integrated, Mobile On-Demand Access to the Health Information Continuum. Retrieval 29 Oct 2018: 7 http://coranetsolutions.com/wp-content/uploads/Moving%20Beyond%20the%20Limitations%20of%20Fragmented%20Solutions%20Whitepaper.pdf

  26. 26.

    Coombs B. (2018) Medicare chief says it’s time health care caught up to other industries to benefit consumers. CNBC (30 Apr 2018). Retrieval 29 Oct 2018: 7 https://www.cnbc.com/2018/04/30/cms-verma-says-its-time-health-care-caught-up-to-other-industries.html

  27. 27.

    Kunnamo I. (2018) National health record bank (the eArchive) in Finland. Retrieval 29 Oct 2018: 7 https://www.dropbox.com/s/yfpck5hpzkd8lh0/HRBA%20Kunnamo.pdf

  28. 28.

    e-Estonia Healthcare. Retrieval 29 Oct 2018: 7 https://e-estonia.com/solutions/healthcare/e-health-record/

  29. 29.

    Hummel GS. (2016) Brazil eHealth – Overview, Trends, and Opportunities. Consulate General of the Kingdom of the Netherlands. Retrieval 29 Oct 2018: 7 https://www.rvo.nl/sites/default/files/2017/01/Brazil%20Healthcare%20-%20Guilherme%20Hummel.pdf

  30. 30.

    Retrieval 29 Oct 2018: 7 http://hugophr.com

  31. 31.

    Retrieval 29 Oct 2018: 7 https://caredox.com

  32. 32.

    Retrieval 29 Oct 2018: 7 https://www.patientsknowbest.com/patients.html

  33. 33.

    Retrieval 29 Oct 2018: 7 https://www.betterpath.com

  34. 34.

    Retrieval 29 Oct 2018: 7 https://www.ciitizen.com

  35. 35.

    Bell K. (2018) Apple wants to put medical records on your iPhone. Here’s how it works. Mashable (24 Jan 2018). Retrieval 29 Oct 2018: 7 https://mashable.com/2018/01/24/apple-iphone-medical-records-how-to/

  36. 36.

    Health Record Banking Alliance. (2012) Health Record Banking: A Foundation for Myriad Health Information Sharing Business Models. White Paper (12 Dec 2012). Retrieval 29 Oct 2018: 7 http://www.healthbanking.org/uploads/9/6/9/4/9694117/hrba_white_paper_business_model_dec_2012.pdf

  37. 37.

    Brakeville S and Perepa B. (2018) Blockchain basics: Introduction to distributed ledgers. IBM Developer Tutorial (31 Oct 2018). Retrieval at: 7 https://developer.ibm.com/tutorials/cl-blockchain-basics-intro-bluemix-trs/

  38. 38.

    Marr B. (2017) A Complete Beginner’s Guide to Blockchain. Forbes (24 Jan 2017). Retrieval at: 7 https://www.forbes.com/sites/bernardmarr/2017/01/24/a-complete-beginners-guide-to-blockchain/?sh=187ac78a6e60

  39. 39.

    Retrieval 29 Oct 2018: 7 https://gdpr-info.eu

  40. 40.

    Breland A. (2017) Tech faces public anger over internet privacy repeal. The Hill (2 Apr 2017). Retrieval 29 Oct 2018: 7 https://thehill.com/policy/technology/326816-tech-faces-public-anger-over-internet-privacy-repeal

  41. 41.

    King C. (2018) Tech Industry Pursues a Federal Privacy Law, on Its Own Terms. New York Times (26 Aug 2018). Retrieval 29 Oct 2018: 7 https://www.nytimes.com/2018/08/26/technology/tech-industry-federal-privacy-law.html

  42. 42.

    Wakabayashi D. (2018) California Passes Sweeping Law to Protect Online Privacy. New York Times (28 Jun 2018). Retrieval 29 Oct 2018: 7 https://www.nytimes.com/2018/06/28/technology/california-online-privacy-law.html

References

  • Abelson, R., & Goldstein, M. (2015, May 2). Millions of anthem customers targeted in cyberattack. New York Times. Retrieval 29 Oct 2018: http://www.nytimes.com/2015/02/05/business/hackers-breached-data-of-millions-insurer-says.html

  • Adler-Milstein, J., Bates, D. W., & Jha, A. K. (2011). A survey of health information exchange organizations in the United States: Implications for meaningful use. Annals of Internal Medicine, 154, 666–671.

    Article  Google Scholar 

  • Agency for Healthcare Research and Quality. (2006). Costs and benefits of health information technology. Evidence Report/Technology Assessment 132, publication 06-E006. Retrieval 29 Oct 2018: https://www.ahrq.gov/downloads/pub/evidence/pdf/hitsyscosts/hitsys.pdf

  • Associated Press. (2015, July 17). Online attacks at UCLA Health exposed 4.5 million. New York Times. Retrieval 29 Oct 2018: http://www.nytimes.com/2015/07/18/business/online-attacks-at-ucla-health-exposed-4-5-million.html

  • Balas, E. A., & Boren, S. A. (2000). Managing clinical knowledge for health care improvement. In Yearbook of medical informatics 2000: Patient-centered systems (pp. 65–70). Schattauer: Stuttgart.

    Google Scholar 

  • Ball, M., & Gold, J. (2006). Banking on health: Personal records and information exchange. Journal of Healthcare Information Management, 20(2), 71–83.

    PubMed  Google Scholar 

  • Bates, D. W. (2000). Using information technology to reduce rates of medication errors in hospitals. British Medical Journal, 320, 788–791.

    Google Scholar 

  • Bates, D. W., Leape, L. L., Cullen, D. J., et al. (1998). Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. Journal of theAmerican Medical Association, 280(15), 1311–1316.

    Google Scholar 

  • Creswell, J. (2014, September 30). Doctors find barriers to sharing digital medical records. New York Times. Retrieval 29 Oct 2018: https://www.nytimes.com/2014/10/01/business/digital-medical-records-become-common-but-sharing-remains-challenging.html

  • Detmer, D., Bloomrosen, M., Raymond, B., & Tang, P. (2008). Integrated personal health records: Transformative tools for consumer-centric care. BMC Medical Informatics and Decision Making, 8, 45. Retrieval 29 Oct 2018: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2596104/

  • Devine, E. B., Totten, A. M., Gorman, P., Eden, K. B., Kassakian, S., Woods, S., Daeges, M., Pappas, M., McDonagh, M., & Hersh, W. R. (2017, December 7). Health information exchange use (1990–2015): A systematic review. EGEMS (Washington, DC), 5(1), 27. Retrieval 29 Oct 2018: https://egems.academyhealth.org/articles/10.5334/egems.249/

  • Dodd, B. (1997, October). An independent “health information bank” could solve health data security issues. British Journal of Healthcare Computing and Information Management, 14(8), 2.

    Google Scholar 

  • Dyson, E. (2005, September). Personal health information: Data comes alive! Release, 1.0(24), 1.

    Google Scholar 

  • Gold, J. D., & Ball, M. J. (2007). The health record banking imperative: A conceptual model. IBM Systems Journal, 46(1), 43–55.

    Article  Google Scholar 

  • Haun, K., & Topol, E. J. (2017, January 2). The health data conundrum. New York Times. Retrieval 29 Oct 2018: https://www.nytimes.com/2017/01/02/opinion/the-health-data-conundrum.html

  • Hersh, W. (2004). Healthcare information technology: Progress and barriers. Journal of the American Medical Association, 292, 2273–2274.

    Google Scholar 

  • Hillestad, R., Bigelow, J., Bower, A., Girosi, F., Meili, R., Scoville, R., & Taylor, R. (2005). Can electronic medical record systems transform health care? Potential health benefits, savings, and costs. Health Affairs, 24, 1103–1117.

    Article  Google Scholar 

  • Institute of Medicine. (1991). The computer-based patient record: An essential technology for patient care. Washington, DC: National Academy Press.

    Google Scholar 

  • Institute of Medicine. (1997). The computer-based patient record: An essential technology for patient care (Revised ed.). Washington, DC: National Academy Press.

    Google Scholar 

  • Institute of Medicine Committee on Quality of Health Care in America. (1999). To err is human: Building a safer health care system. Washington, DC: National Academy Press.

    Google Scholar 

  • Insitute of Medicine Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.

    Google Scholar 

  • JGIM. (2015). Special supplement on patient control of medical records (8 articles). The Journal of General Internal Medicine, 30(1 Supplement). Retrieval 29 Oct 2018: https://link.springer.com/journal/11606/30/1/suppl/page/1

  • Johnston, D., Pan, E., Walker, J., Bates, D. W., & Middleton, B. (2003). The value of computerized provider order entry in ambulatory settings. Boston: Center for Information Technology Leadership, Partners Healthcare.

    Google Scholar 

  • Kaelber, D. C., et al. (2008). The value of personal health records (p. 52). Boston/Chicago: Center for Information Technology Leadership, Partners Healthcare/Health Information Management and Systems Society.

    Google Scholar 

  • Kaufmann, A., Meltzer, M., & Schmid, G. (1997). The economic impact of a bioterrorist attack: Are prevention and post-attack intervention programs justifiable? Emerging Infectious Diseases, 3(2), 83–94.

    Article  CAS  Google Scholar 

  • Kendall, D. B. (2009). Protecting patient privacy through health record trusts. Health Affairs, 28(2), 444–446.

    Article  Google Scholar 

  • Kidd, M. R. (2008). Personal electronic health records: MySpace or HealthSpace? British Medical Journal, 336, 1029–1030.

    Article  Google Scholar 

  • Kish, L. J., & Topol, E. J. (2015). Unpatients – why patients should own their medical data. Nature Biotechnology, 33, 921–924. Retrieval 29 Oct 2018: http://www.nature.com/nbt/journal/v33/n9/full/nbt.3340.html

  • Kostyack, P. (2002). The emergence of the healthcare information trust. Matrix: Journal of Law-Medicine, 12(293), 339–447.

    Google Scholar 

  • Krist, A. H., & Woolf, S. H. (2011). A vision for patient-centered health information systems. Journal of the American Medical Association, 305(3), 300–301.

    Google Scholar 

  • Labkoff, S. E., & Yasnoff, W. A. (2007). A framework for systematic evaluation of health information infrastructure progress in communities. Journal of Biomedical Informatics, 40(2), 100–105.

    Article  Google Scholar 

  • Lapsia, V., Lamb, K., & Yasnoff, W. A. (2012). Where should electronic records for patients be stored? International Journal of Medical Informatics, 81(12), 821–827.

    Article  Google Scholar 

  • Lipton, E., & Johnson, K. (2001, December 26). The anthrax trail: Tracking bioterror’s tangled course. New York Times, Section A, p. 1.

    Google Scholar 

  • Makary, M. A., & Daniel, M. (2016). Medical error – the third leading cause of death in the US. British Medical Journal, 353, i2139.

    Google Scholar 

  • Mandl, K. D., & Kohane, I. S. (2008). Tectonic shifts in the health information economy. The New England Journal of Medicine, 358(16), 1732–1737.

    Article  CAS  Google Scholar 

  • Masys, D. R. (2002). Effects of current and future information technologies on the health care workforce. Health Affairs, 21(5), 33–41.

    Article  Google Scholar 

  • McDonald, C. J., Overhage, J. M., Barnes, M., et al. (2005). The Indiana network for patient care: A working local health information infrastructure. An example of a working infrastructure collaboration that links data from five health systems and hundreds of millions of entries. Health Affairs, 24(5), 1214–1220.

    Article  Google Scholar 

  • McGlynn, E. A., Asch, S. M., Adams, J., et al. (2003). The quality of health care delivered to adults in the United States. The New England Journal of Medicine, 348, 2635–2645.

    Google Scholar 

  • Menachemi, N., Rahurkar, S., Harle, C. A., et al. (2018). The benefits of health information exchange: An updated systematic review. Journal of the American Medical Informatics Association, 25(9), 1259–1265.

    Article  Google Scholar 

  • Mikk, K. A., Sleeper, H. A., & Topol, E. J. (2017). The pathway to patient data ownership and better health. Journal of the American Medical Association, 318(15), 1433–1434.

    Google Scholar 

  • Miller, H., Yasnoff, W., & Burde, H. (2009). Personal health records: The essential missing element in twenty-first century healthcare. Chicago: Health Information and Management Systems Society.

    Google Scholar 

  • National Committee on Vital and Health Statistics. (2001). Information for health: A strategy for building the National Health Information Infrastructure. Report and recommendations from the National Committee on Vital and Health Statistics. Retrieval 31 Oct 2018: https://aspe.hhs.gov/report/information-health-strategy-building-national-health-information-infrastructure

  • National Research Council, Computer Science and Telecommunications Board. (2001). Networking health: Prescriptions for the Internet. Washington, DC: National Academy Press.

    Google Scholar 

  • Overhage, J. M., Suico, J., & McDonald, C. J. (2001, November). Electronic laboratory reporting: Barriers, solutions and findings. Journal of Public Health Management and Practice, 7(6), 60–66.

    Article  CAS  Google Scholar 

  • Porter, E. (2018, March 6). Your data is critical to a robotic age. Shouldn’t you be paid for it? New York Times. Retrieval 29 Oct 2018: https://www.nytimes.com/2018/03/06/business/economy/user-data-pay.html

  • President’s Council of Advisors on Science and Technology. (2010). Realizing the full potential of health information technology to improve healthcare for Americans: The path forward. Washington, DC: Executive Office of the President (40). Retrieval 31 Oct 2018: https://obamawhitehouse.archives.gov/sites/default/files/microsites/ostp/pcast-health-it-report.pdf

  • President’s Information Technology Advisory Committee. (2001, February). Transforming health care through information technology. President’s Information Technology Advisory Committee: Panel on Transforming Health Care. Retrieval 31 Oct 2018: https://www.nitrd.gov/pubs/pitac/pitac-hc-9feb01.pdf

  • Ramsaroop, P., & Ball, M. (2000). The “bank of health”: A model for more useful patient health records. MD Computing, 17, 45–48.

    CAS  PubMed  Google Scholar 

  • Reuters. (2015, March 17). Premara blue cross says data breach exposed medical data. New York Times. Retrieval 29 Oct 2018: http://www.nytimes.com/2015/03/18/business/premera-blue-cross-says-data-breach-exposed-medical-data.html

  • Saccavini, C., & Greco, F. (2004). Health current account project. Presented at EuroPAC MIR (Session 7.19).

    Google Scholar 

  • Shabo, A. (2006). A global socio-economic-medico-legal model for the sustainability of longitudinal health records. Methods of information in medicine, 45, 240–245 (Part 1), 498–505 (Part 2).

    Google Scholar 

  • Shortliffe, E. H. (2011). Demonstrating value to secure trust. In C. Grossmann, B. Powers, & J. M. McGinnis (Eds.), Digital infrastructure for the learning health system: 5. weaving a strong trust fabric. Institute of Medicine. Retrieval 29 Oct 2018: https://www.ncbi.nlm.nih.gov/books/NBK83558/.

  • Sinsky, C., Colligan, L., Ling, L., et al. (2016). Allocation of physician time in ambulatory practice: A time and motion study in 4 specialties. Annals of Internal Medicine, 165(11), 753–760. Retrieval 29 Oct 2018: http://annals.org/aim/article-abstract/2546704/allocation-physician-time-ambulatory-practice-time-motion-study-4-specialties.

    Article  Google Scholar 

  • Sittig, D. F., & Singh, H. (2020, May 18). COVID-19 and the need for a national health information technology infrastructure. Journal of the American Medical Association, 323(23), 2373–2374. https://doi.org/10.1001/jama.2020.7239.

    Article  CAS  PubMed  Google Scholar 

  • Steinbrook, R. (2008). Personally controlled online health data – The next big thing in medical care? The New England Journal of Medicine, 358(16), 1653–1656.

    Google Scholar 

  • Szolovits, P., Doyle, J., Long, W. J., Kohane, I., & Pauker, S. G. (1994). Guardian angel: Patient-centered health information systems. Technical Report MIT/LCS/TR-604, Massachusetts Institute of Technology Laboratory for Computer Science.

    Google Scholar 

  • Turn, R., Shapiro, N. Z., & Juncosa, M. L. (1976). Privacy and security in centralized vs. decentralized database systems. Policy Sciences, 7, 17–29.

    Article  Google Scholar 

  • Wagner, M. M., Dato, V., Dowling, J. N., & Allswede, M. (2003). Representative threats for research in public health surveillance. Journal of Biomedical Informatics, 36(3), 177–188.

    Article  CAS  Google Scholar 

  • Walker, J., Pan, E., Johnston, D., Adler-Milstein, J., Bates, D. W., & Middleton, B. (2004). The value of healthcare information exchange and lnteroperability. Boston: Center for Information Technology Leadership, Partners Healthcare.

    Google Scholar 

  • Weber, G. M. (2013). Federated queries of clinical data repositories: the sum of the parts does not equal the whole. Journal of the American Medical Informatics Association, 20, e155–e161. Retrieval 29 Oct 2018: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3715334/

  • Yasnoff, W. A. (2016). A secure and efficiently searchable health information architecture. Journal of Biomedical Informatics, 61, 237–246.

    Article  Google Scholar 

  • Yasnoff, W. A., & Shortliffe, E. H. (2014). Lessons learned from a health record bank start-up. Methods of Information in Medicine, 53, 66–72.

    Article  CAS  Google Scholar 

  • Yasnoff, W. A., Humphreys, B. L., Overhage, J. M., Detmer, D. E., Brennan, P. F., Morris, R. W., Middleton, B., Bates, D. W., & Fanning, J. P. (2004). A consensus action agenda for achieving the national health information infrastructure. Journal of the American Medical Informatics Association, 11(4), 332–338.

    Article  Google Scholar 

  • Yasnoff, W. A., Sweeney, L., & Shortliffe, E. H. (2013). Putting health IT on the path to success. Journal of the American Medical Association, 309(10), 989–990.

    Article  CAS  Google Scholar 

  • Yasnoff, W. A., Shortliffe, E. H., & Shortell, S. M. (2014). A proposal for financially sustainable population health organizations. Population Health Management, 17(5), 255–256.

    Article  Google Scholar 

  • Yeager, V. A., Vest, J. R., Walker, D., Diana, M. L., & Menachemi, N. (2017, September 4). Challenges to conducting health information exchange research and evaluation: Reflections and recommendations for examining the value of HIE. EGEMS (Washington, DC), 5(1), 15. Retrieval 29 Oct 2018: https://egems.academyhealth.org/articles/10.5334/egems.217/

Download references

Author information

Authors and Affiliations

  1. National Health Information Infrastructure (NHII) Advisors and Johns Hopkins University, Portland, OR, USA

    William A. Yasnoff

Authors
  1. William A. Yasnoff
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to William A. Yasnoff .

Editor information

Editors and Affiliations

  1. Biomedical Informatics, Columbia University, New York, NY, USA

    Edward H. Shortliffe

  2. Informatics Institute, University of Alabama at Birmingham, Birmingham, AL, USA

    James J. Cimino

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Yasnoff, W.A. (2021). Health Information Infrastructure. In: Shortliffe, E.H., Cimino, J.J. (eds) Biomedical Informatics. Springer, Cham. https://doi.org/10.1007/978-3-030-58721-5_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-58721-5_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-58720-8

  • Online ISBN: 978-3-030-58721-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation