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2 Emerging Requirements Driving Multilayered Transformation
Pages 4-8

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From page 4...
... population,2 CMS already maintains a huge repository of clinical, administrative, and claims data as well as information both on providers and on individual patients. To improve health care significantly and as mandated in the legislation referred to in Chapter 1, CMS is required to move beyond processing claims -- it must also collect, manage, analyze, and make available information extracted from its data repositories.
From page 5...
... Information to support a "learning health care system." 4 CMS must identify those areas in which timely access to accurate information will best contribute to objectives for health care improvement just as other large enterprises are using information to meet analogous business objectives. Examples of such areas include the following: (1)
From page 6...
... In addition, see Institute of Medicine, Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement, Cheryl Ulmer, Bernadette McFadden, and David R Nerenz, eds., The National Academies Press, Washington, D.C., 2009; and Institute of Medicine, Future Directions for the National Healthcare Quality and Disparities Reports, Cheryl Ulmer, Michelle Bruno, and Sheila Burke, eds., The National Academies Press, Washington, D.C., 2010.)
From page 7...
... Managing expectations for CMS's wide range of constituencies will be ever more important, along with developing and maintaining methods to learn from and communicate with stakeholders. As the health care industry continues to evolve, the requirements for data from multiple constituencies will continue to increase rapidly.
From page 8...
... How should CMS track and manage provenance information associated with the data that it is using? What protections will be in place for assuring compliance with legally mandated and emerging confidentiality and security requirements for patient data while also ensuring sufficient access for legitimate biomedical and health research?

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