The Office of the National Coordinator should:
- Move more boldly to ensure the nation has EHR systems that are able to exchange health data in a universal manner based on metadata-tagged data elements
- Facilitate the emergence of competitive companies that would provide small or under-resourced physician practices, community-based long-term care facilities, and hospitals with a range of cloud-based services
- Redirect the focus of meaningful use measures as rapidly as possible from data collection of specified lists of health measures to higher levels of data exchange and the increase use of clinical decision supports
- By 2013, provide incentives for hospitals and eligible professionals to submit meaningful use clinical measures that are calculated from computable data. By 2015, encourage or require that quality measures under all of its reporting programs (Physician Quality Reporting Initiative, hospitals, Medicare Advantage plans, nursing homes, etc.) be able to be collected in a tagged data element model
- Propose an appropriate structure of administrative, civil and criminal penalties for the misuse of national health IT infrastructure and individual patient records
- Appoint a working group to develop policies and standards for the appropriate secondary uses of healthcare data
The full report may be viewed here.