Health record trust

A health record trust (also independent health record trust or health record data bank) is a proposed hybrid model for electronic health records (EHRs). Unlike the federated model where the data for electronic health records are stored in multiple databases, in this model, each patients entire EHR is stored in a single repository. Also, unlike the centralized model where all patients must store their health records with a single provider, in this model patients choose the health record trust they prefer, much like consumers choose a bank of their choice.^[1]

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This proposal was introduced in 2006 by Sen. Sam Brownback (R-KS) and most recently by Rep. Dennis Moore (D-KS) and Rep. Paul Ryan (R-WI) in the Independent Health Record Trust Act (H.R. 2991).

H.R. 2991 would establish federal guidelines to regulate health record data trusts. It would give patients explicit ownership over their records stored in a health record trust. Finally, it would establish a fiduciary responsibility for the health record trust to protect the privacy of its customer's personal health information.

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