Yasnoff, William A.Humphreys, Betsy L.Overhage, J. MarcDetmer, Don E.Brennan, Patricia FlatleyMorris, Richard W.Middleton, BlackfordBates, David W.Fanning, John P.2020-04-012020-04-012004Yasnoff, W. A., Humphreys, B. L., Overhage, J. M., Detmer, D. E., Brennan, P. F., Morris, R. W., Middleton, B., Bates, D. W., & Fanning, J. P. (2004). A consensus action agenda for achieving the national health information infrastructure. Journal of the American Medical Informatics Association : JAMIA, 11(4), 332–338. https://doi.org/10.1197/jamia.M1616https://hdl.handle.net/1805/22460This article is made available for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.BACKGROUND: Improving the safety, quality, and efficiency of health care will require immediate and ubiquitous access to complete patient information and decision support provided through a National Health Information Infrastructure (NHII). METHODS: To help define the action steps needed to achieve an NHII, the U.S. Department of Health and Human Services sponsored a national consensus conference in July 2003. RESULTS: Attendees favored a public-private coordination group to guide NHII activities, provide education, share resources, and monitor relevant metrics to mark progress. They identified financial incentives, health information standards, and overcoming a few important legal obstacles as key NHII enablers. Community and regional implementation projects, including consumer access to a personal health record, were seen as necessary to demonstrate comprehensive functional systems that can serve as models for the entire nation. Finally, the participants identified the need for increased funding for research on the impact of health information technology on patient safety and quality of care. Individuals, organizations, and federal agencies are using these consensus recommendations to guide NHII efforts.en-USPublisher PolicyThis article is made available for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.Health policyHealth services researchMedical informaticsMedical records systemsNational health programsArticle