Identifying Appropriate Federal Roles in the Development of
Electronic Personal Health Records: Results of a Key Informant Process

Table of Contents

• Executive Summary
  • Evolving Federal Activity and Conceptions of Federal Roles
  • Interview Themes: Opportunities for Federal Contributions
  • Commentary: Critical Challenges for the Federal Government
  • Conclusion: Emerging Decisions and Priorities for the Federal Government
    
    
• I: Introduction
  
  
• II: Evolving Federal Activity and Conceptions of Federal Roles
  • Government as Health Care Provider
  • Government as Payer
  • Government as Participant in Standards Efforts
  • Government as Regulator
  • Government as Researcher
  • Government as Public Educator and Knowledge Disseminator
  • Government as Guardian of Population Health and the Public Interest
  • Government as Employer
    
    
• III: Interview Themes: Opportunities for Federal Contributions
  • Visioning and Strategic Leadership
  • Leading and Facilitating Standards-based Approaches
  • Enforcing Laws and Creating the Right Regulatory Environment
  • Supporting Experimentation and Facilitating the Evolution of PHRs
    
    
• IV: Commentary: Critical Challenges for the Federal Government
  1. What vision of health care and health system reform will inform the government's involvement with PHRs?
  2. What is the government's vision for empowering consumers, and how will it be translated into policies and programs?
  3. What is government's role in encouraging multiple types of PHR uses in the public interest?
  4. What federal actions are needed to promote population-wide benefits for PHRs?
  5. How can the coordination of federal policy decisions be strengthened and enhanced, and how will progress be assessed?
     
     
• V: Conclusion: Emerging Decisions and Priorities for the Federal Government
  
  
• APPENDIX 1: Evolving Conceptions of Personal Health Records
  
  
• APPENDIX 2: Interviews
  

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