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Personal Health Record and Authorized Release of Information for Social Security. Authorized Release of Information over the Nationwide Health Information Network. March 1, 2010. Addy Naik | Senior Health IT Analyst | Social Security Administration. Social Security as a stakeholder.
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Personal Health Record and Authorized Release of Information for Social Security Authorized Release of Information over the Nationwide Health Information Network March 1, 2010 Addy Naik | Senior Health IT Analyst | Social Security Administration
Social Security as a stakeholder • 3 million applications for disability benefits • 15-20 million requests for medical records • 500k medical providers • $500 million dollars for medical records
Disability Process Transfer Application for Clinical Adjudication Authorization for Release of Information Social Security Field Office Providers Application Information Requests for Medical Records Decision Claimant Adjudication Social Security Disability Determination Services
Intake Process Information collected in the application Over Phone Providers Problems List Disability Application In person Claimant Medications Tests Over Internet
Intake Process • Burden on the claimant • Low Quality • Time
Personal Health Records Tests and Labs PHR Insurance Provider Secondary Use Emergency Services
Using Personal Health Records Application Information Over Phone Disability Application In person Claimant PHR Over Internet
Using PHR Over NHIN NHIN Over Phone Disability Application In person Claimant PHR Over Internet
Benefits • Time • Consistent Information • Longitudinal information • Reuse Infrastructure
Technical Prototype • Objective • Develop a prototype with value case for personal health records working on NHIN • Findings • Technology challenges • Policy and regulatory challenges • Whitepaper
Challenges • Policies • Standards • Privacy