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

这个小企业创新研究（SBIR）第一阶段项目的更广泛影响/商业潜力是研究一个卫生技术平台的可行性，使个人成为安全和私人卫生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，从而改善个人的健康状况。认识到自己的健康状况，以及改变行为方式向健康生活方式转变的好处。通过促进电子健康记录交换，该平台还避免了记录、测试和程序重复的浪费，从而产生了积极的环境影响；因此，减少了纸张、x射线胶片、x射线胶片加工用有毒化学品和避免就医的汽油的使用。通过针对占人口5%的多慢性患者，如果所提议的技术能够影响1%的多慢性患者，使他们的行为改变到健康的生活方式，估计可以为社会节省120亿美元的医疗保健费用。拟议的项目解决了安全交换、共享和整合卫生信息以供有意义使用的需求。研究目的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，适用于私人数据交换。一个重要的目标是基于单个密钥重新生成加密密钥。个人资料，如生物特征或不精确的密码；从而建立了一种保证电子卫生数据交换安全性和保密性的机制。拟议的可行性研究将首先实现一种工具，使个人能够在以患者为中心的模型中参与安全同步和整合健康信息。然后，它将使用公共领域中常见的电子病历样本，在第二阶段有意义使用的通用标准下，测试安全健康信息交换和整合的互操作性支持。根据研究结果，可以评估所提议的技术在提高患者参与健康信息交换方面的有效性，以及在帮助护理提供者提高护理效率的同时满足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.