Medication errors are a major source of patient injury, hospitalization, and death. Medication management in primary care is extremely complicated, given the continually expanding array of available therapies, fragmentation of care, proliferation of information sources, and numerous obstacles experienced by patients (e.g., cost). This study integrates interventions that target patients, providers, and the overall practice system in an effort to improve the medication management process.

This study will attempt to improve the quality of medication management and outcomes for the most common diseases in the United States, including hypertension, coronary artery disease, diabetes, and heart failure. In addition, it will try to simultaneously improve use of several of the most common preventive services in the U.S., including screening for cervical cancer, breast cancer, colorectal cancer, osteoporosis, and vaccination against pneumococci.

Thirty-three states and 1 territory formed the HISPC, which aims to address the privacy and security challenges presented by electronic health information exchange through multi-state collaboration. With the support of its state or territorial governor, each team engaged a steering committee and a range of local stakeholders to 1) assess variations in organization-level business policies and state laws that affect health information exchange; 2) identify and propose practical solutions, while preserving the privacy and security requirements in applicable Federal and State laws and 3) develop detailed plans to implement solutions.

Thirty-three states and 1 territory formed the HISPC, which aims to address the privacy and security challenges presented by electronic health information exchange through multi-state collaboration. With the support of its state or territorial governor, each team engaged a steering committee and a range of local stakeholders to 1) assess variations in organization-level business policies and state laws that affect health information exchange; 2) identify and propose practical solutions, while preserving the privacy and security requirements in applicable Federal and State laws and 3) develop detailed plans to implement solutions.