Engagement “New norm” for patient involvement Facilitated personal record interface Clinician–patient electronic partnership Patient information access/control Updated best practices delivered at point of decision Active patient support for data use in care improvement Clinician–public health e-partnership Value proposition and patient confidence Shared learning culture Patient–clinician outcome partnerships Person-centric, lay-oriented health information Closing the disparity gap Continuous evaluation AHRQ, FDA, NIH, and ONC use established links with patient community to foster active embracing of the digital health utility Patient and clinician groups mediate public engagement and facilitate dialogue among stakeholders to develop shared learning culture/trust
Governance Progressively evolving requirements, specifications, process protocols for exchange, interoperability, and research Cross-national harmonization to foster the global e-health utility Broad ongoing evaluation capacity The vision Guiding principles Participant roles and responsibilities Process and protocol stewardship Implementation phasing Continuous evaluation ONC works with other agencies, the HIT community, and patient/clinician groups to foster development of a governance mechanism that encourages dynamic entrepreneurial growth while safeguarding personal security and the common good

a Optional elements denoted with [ ]. See Appendix B for details.

b Sample list, neither definitive nor complete. See page xxiii for list of acronyms.

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