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San Francisco health board raises privacy concerns, defers action on new statewide data exchange
Summary
After a lengthy presentation by Cal Index and Blue Shield, San Francisco’s Health Service Board voted unanimously to defer action and demanded detailed answers about data collection, governance and opt-out procedures before members’ records remain part of the exchange.
President Scott and other members of the Health Service Board of the City and County of San Francisco pressed Cal Index and Blue Shield on Dec. 9 over a new statewide clinical information exchange that will combine payer and provider records.
Cal Index director of strategic accounts Jennifer Pacheco told the board the system will normalize clinical and payer data to produce longitudinal patient records intended to improve medication adherence tracking, emergency care and analytics. "When data is combined, payer and provider, you can improve the quality of care and lower costs," Pacheco said during the public presentation.
The board’s concerns focused on notice to members, governance and whether the exchange’s use of an opt-out model — rather than…
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