SBIR Phase I: Secure Computation for Private Health Information Exchange and Consolidation under a Patient-Centered Model

这个小型企业创新研究（SBIR）第一阶段项目的更广泛的影响/商业潜力是研究健康技术平台的可行性，使个人成为安全和私人健康信息同步的主要促进者。拟议的技术旨在增加个人与护理提供者互动的机会，从而提高个人？他/她自己的健康状况和行为改变对健康生活方式的好处的认识。通过促进电子健康记录交换，该平台还通过避免浪费性的记录、测试和程序的重复来产生积极的环境影响;从而减少纸张、X光胶片、用于X光胶片处理的有毒化学品和汽油的使用。以占人口5%的多重慢性病患者为对象，如果拟议的技术能影响哪怕只有1%的多重慢性病患者，使他们改变行为，迈向健康的生活方式，估计可为社会节省120亿元的医疗成本。拟议的项目解决了安全交换、共享和整合健康信息的需求，以便有意义地使用。研究目标是对所提出的平台技术进行可行性研究，以实现以患者为中心的模型。该技术是一种实用的隐私保护安全计算，适用于私有数据交换。一个重要的目标是重新生成基于个人的加密密钥？的个人数据，如生物识别或不精确的密码短语;因此，一种机制，以确保安全和隐私的电子健康数据交换。拟议的可行性研究将首先实现一个工具，使个人在以病人为中心的模式，从事安全同步和巩固健康信息。然后，它将使用公共领域中常见的电子健康记录样本，测试在第二阶段有意义使用的通用标准下对安全卫生信息交换和整合的互操作性支持。根据结果，可以评估所提出的技术的有效性，以提高患者参与健康信息交换的有效性，以及其帮助护理提供者提高护理效率，同时满足HIPAA的安全和隐私要求的潜力。

The broader impact/commercial potential of this Small Business Innovation Research (SBIR) Phase I project is to study the feasibility of a health technology platform to enable an individual to be the main facilitator for secure and private health information synchronization. The proposed technology is aimed at increasing the opportunities for an individual to interact with care providers, and consequently improves the individual?s awareness of his/her own health condition and the benefit of behavioral change towards a healthy lifestyle. By facilitating electronic health record exchange, the platfrom also creates a positive environmental impact by avoiding wasteful duplication of records, tests, and procedures; thus a reduction in the use of paper, x-ray film, toxic chemicals for x-ray film processing and gasoline from avoided medical visits. By targeting at the poly-chronic patients who account for 5% of the population, an estimated $12 billion can be saved on the healthcare cost for the society if the proposed technology can affect even just 1% of the poly-chronic patients to have a behavioral change towards a healthy lifestyle.The proposed project addresses the needs for secure exchange, sharing, and consolidation of health information for meaningful use. The research objective is to conduct feasibility study of the proposed platform technology to enable a patient centered model. The technology is a practical privacy preserving secure computation suitable for private data exchange. One important objective is to regenerate cryptographic keys based on an individual?s personal data such biometrics or imprecise passphrase; thus a mechanism to assure the security and privacy of electronic health data exchange. The proposed feasibility study will first realize a tool for empowering an individual in a patient-centered model to engage in secure synchronization and consolidation of health information. It will then test interoperability support for secure health information exchange and consolidation under the common standards for Stage 2 Meaningful Use using sample EHRs commonly available in the public domain. Based on the result, the effectiveness of the proposed technology can be evaluated in terms of its effectiveness to improve patient engagement in health information exchange, and its potential to assist care providers in increasing care efficiency while addressing the security and privacy requirement of HIPAA.