NHIN Direct: An Open Government Health IT Collaboration
summary
Describes a working, open-source secure transport for clinician-to-clinician exchange that treats health messaging like email: implements S/MIME over SMTP/TLS with X.509 certificates and a delegated HISP key management option, publishes reference code (Java, C#) under BSD on code.google.com/p/nindirect, and proves feasibility with four demonstration systems and ~2,000 automated tests. Claims decentralized trust is hardest problem, notes 60+ organizations engaged, and positions Direct as a simple push transport complementing query-based HIE.
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chapters (17)
- 0:00Intro
- 0:38Patientcentered medicine
- 1:21Episodic medicine
- 4:11Care transition
- 5:53Business model problem
- 6:56Baseline model
- 7:40Meaningful use
- 9:22Electronic health information
- 13:14Cruise Ship Model
- 17:06Health Information Exchange
- 20:05Secure Email
- 23:51Get Involved
- 25:19Questions for Dave
- 33:46Cost Savings
- 39:34Community Development
- 41:37sprints
- 45:33Acquisition and funding
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