• Personal control of access plus use of health data is important.

• How do we ensure trust is sustained?

• How do we build trust?

• We need transparency without obfuscation - ownership of data needs to be both legalistic and practical

• Trust in government is a major challenge to implementing health care systems.

• Agents of change must have incentives to break through silos to make change - with more empowerment of individuals so that we don't crush individual views.

• Speed to scale of implementation of online healthcare system requires the right incentives to promote adoption by all parties - small states and cities.

• Creating a community of interest for the family member responsible for health can enhance health literacy broadly - varies with culture

• Not everything is family centric - frequently peers have more influence on behavior change.

• It is critical to understand family influence on an individual in a culture to create and apply effective tools.

• A key to adoption of strong authentication and identification is to minimize the amount of information the government requires from the citizens.

• A data vault - virtual me - filled with health data under personal control is a good idea.

• We need community self organization - meetups - where we expand definition of community to people with common health predictors or profiles.

• Global Connect Corps - Service projects for empowering people as they get connected to business - health and financial networks - eg SEALnetonline dot org.

• TORT law in the US can both support trust and erode trust

• We need a crowd sourced database of positive deviance - PD is a formalized term focused on hot spotting - where we use open mapping of PD so that we can more clearly see how to effect change individually or collectively.

• Privacy begins where convenience ends

• Survival requires self determination.

Source: Mark Finnern, via Twitter