{"id":3231,"date":"2009-09-25T08:45:56","date_gmt":"2009-09-25T13:45:56","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=3231"},"modified":"2009-09-25T08:47:11","modified_gmt":"2009-09-25T13:47:11","slug":"hipaa-is-so-1996","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2009\/09\/hipaa-is-so-1996.html","title":{"rendered":"&#8220;HIPAA is SO 1996&#8221;"},"content":{"rendered":"<p>That&#8217;s a direct quote from <a href=\"http:\/\/www.pamf.org\/publicaffairs\/presskit\/bios\/tangp.html\" target=\"_blank\">Paul Tang<\/a>, of the Palo Alto Medical Foundation, at last week&#8217;s meeting of the <a href=\"http:\/\/healthit.hhs.gov\/portal\/server.pt?open=512&amp;objID=1269&amp;parentname=CommunityPage&amp;parentid=5&amp;mode=2\" target=\"_blank\">Health IT Policy committee<\/a>, of which he is vice chair.<\/p>\n<p>Dr. Tang was riffing on an e-Patient Dave quote, which I read during my <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2009\/09\/health-it-policy-e-patients-want-access.html\" target=\"_blank\">testimony<\/a>:<\/p>\n<blockquote><p>I want innovation at a rate that resembles the rate of improvement in cell phones and iPods: I want to think, in 2011, that the healthcare tool I started using in 2009 is, well, \u201cthat\u2019s SO 2009,\u201d just the way many people think about their cell phones.<\/p><\/blockquote>\n<p>It&#8217;s a good meme, made better by <a href=\"http:\/\/privacy.cs.cmu.edu\/people\/sweeney\/\" target=\"_blank\">Latanya Sweeney<\/a>&#8216;s testimony at the end of the day which asked the committee to start digging in to infrastructure design, not just abstract policy discussions. Here are some quotes I captured:<\/p>\n<p><span><span>&#8220;The Advance HIT Project (advancehit.org) launches Monday: our goal is to ensure tech decisions are well-informed. <\/span><\/span><span><span>My goal was to leave you with hope. Barring that, some architectural designs.&#8221;<\/span><\/span><\/p>\n<p><span><span>&#8220;I wish that there had been a meeting that included 5 ways to design the national infrastructure, <\/span><\/span><span><span>then we asked panelists how their privacy concerns mapped onto those 5 designs.&#8221;<\/span><\/span><\/p>\n<p><span><span>Keep following the work of this committee. Their debates go to the heart of participatory medicine: whose data is it? What policies will be in place to allow data liquidity yet protect patient privacy? And to quote Diana Forsythe (yes, <a href=\"https:\/\/participatorymedicine.org\/epatients\/archives\/2008\/03\/recruit-doctors-let-e-patients-lead-go-mobile.html\" target=\"_blank\">again<\/a>!):<\/span><\/span><\/p>\n<p><em>Whose assumptions and whose point of view are inscribed in the design of this tool?<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>That&#8217;s a direct quote from Paul Tang, of the Palo Alto Medical Foundation, at last week&#8217;s meeting of the Health IT Policy committee, of which he is vice chair. 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