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A Report by a Panel of the
 NATIONAL ACADEMY OF PUBLIC ADMINISTRATION
for the U.S. Office of Management and Budget, the General Services Administration, and Federal Chief Information Officers Council
On Health Information Technology and Privacy
October
 
27
th
November
 
3
rd
,
 
2008
 
2009
 
 
ABOUT
 
THE
 
ACADEMY
 
The
 
National
 
Academy
 
of 
 
Public
 
Administration
 
is
 
the
 
preeminent
 
independent,
 
non
profit
 
organization
 
for
 
public
 
governance.
 
Established
 
in
 
1967
 
and
 
chartered
 
by
 
Congress,
 
the
 
Academy
 
has
 
become
 
an
 
independent
 
source
 
of 
 
trusted
 
advice
 
for
 
every
 
branch
 
and
 
level
 
of 
 
government,
 
Congressional
 
committees
 
and
 
civic
 
organizations.
 
The
 
Academy
 
works
 
constructively
 
with
 
government
 
agencies
 
to
 
improve
 
their
 
performance
 
and
 
management
 
through
 
problem
 
solving,
 
objective
 
research,
 
comprehensive
 
analysis,
 
strategic
 
planning,
 
and
 
connecting
 
people
 
and
 
ideas.
 
The
 
Academy
 
is
 
led
 
by
 
its
 
elected
 
membership
 
of 
 
more
 
than
 
600
 
distinguished
 
Fellows.
 
This
 
work
 
by
 
the
 
National
 
Academy
 
of 
 
Public
 
Administration
 
is
 
licensed
 
under
 
a
 
Creative
 
Commons
 
Attribution
Noncommercial
Share
 
Alike
 
3.0
 
United
 
States
 
License.
 
For
 
more
 
information,
 
see
 
http://creativecommons.org/licenses/by
nc
sa/3.0/us.
 
Cover
 
and
 
back
 
cover
 
illustrations
 
are
 
taken
 
from
 
the
 
actual
 
tag
 
cloud
 
for
 
the
 
National
 
Dialogue
 
on
 
Health
 
IT
 
and
 
Privacy.
 
The
 
interactive
 
tag
 
cloud
 
is
 
available
 
at
 
http://www.thenationaldialogue.org/healthit/tags.
 
 
 A Report by a Panel of the
NATIONAL ACADEMY OFPUBLIC ADMINISTRATION
 For the U.S. Office of Management and Budget, the General Services Administration, and the Federal Chief Information Officers Council 
February 2009
A National Dialogue on Health InformationTechnology and Privacy
PANELFranklin S. Reeder
*
 Alan P. Balutis
*
 
Gary A. Christopherson
*
 
C. Alan Lyles
*
 
Sallyanne Payton
*
 
*
 National Academy Fellow
 
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Interesting report. Found a lot of intersting facts for myself.

Good info for all health care professionals

Having adapted this platform clearly illustrates the forward, proactive leadership necessary to develop and exchange solutions to such an important topic. The platform enables clear and connected ideas to be exchanged and as such can lead to concepts that can foster viable alternatives for today and tomorrow. Applause for this effort.

Connectologist -- Thanks for taking the time to post your comments. We definitely understand the desire for full transparency. We also realize -- and wrote about in the report -- the importance of synthesizing feedback that you receive from citizens into something actionable for policymakers; otherwise, you may just wind up with a lot of ideas but no clear actions that should follow from them. Your point is an understandable one; translating from the ideas and concerns of the average person to policy principles is never one-to-one process. In this case, we chose a Panel of Fellows of the National Academy -- folks who bring deep expertise in government, health IT, privacy, and civic engagement -- to do the translating, based both on what they heard here and their own knowledge and ability to add context. We hope we got it right, and try to be up-front about the fact that the conclusions in this report reflect what the Panel thinks it heard from those who participated -- nothing more, nothing less. It's worth noting, though, that all the data that forms the basis for these conclusions remains publicly available to anyone at http://www.thenationaldialogue.org/he.... Head to that site and you'll have literally every piece of data that the Panel had when forming its conclusions, and we'd be well pleased if you and other citizens looked at that data and formed your own conclusions! Civic engagement was always the overriding goal of this exercise, and if we've inspired anyone to think more deeply about the issue or try harder to understand peoples' desires for their personal health care and privacy -- even if that thinking leads to disagreement with the conclusions we've outlined here -- we call that a success. Thanks again for reading and posting your comments. Best, The National Dialogue Team

While it seems many of the goals of this project were successfully met, there remain some serious gaps. The analysis and conclusions based on the user generated discussion are totally opaque, rendering claims of "transparent democracy" are unfulfilled by the end result as presented in the report. Claims of "participatory democracy" are likewise compromised -- certainly there was participation in the front end, yet there's no visibility into how (or if) this participation influenced the end product. It seems that the first half of a participatory policy forum were successfully met. Delivering on the transparency promise requires that the back end of the process provide the same degree openness and disclosure. The appropriate black box of policy making is in the actual development of policy, not in the drawing of conclusions and recommendations from participatory input sought from the public and independent industry experts.

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