"This day's discussion has drawn more clearly into focus what properties we are seeking in the people-centered network and what conditions may need to obtain in order to get there. I think analyzing the success of the San Diego initiative further would be of considerable value - it is very different from the Estonian situation where national government had a strong role. Scale might play a common role."

Vint Cerf, Chair of the Secretariat for the People-Centered Internet

• Trust is critical

• Data ownership is critical - Estonia citizens own it - early timing of this decision was particularly valuable

• At every organizational decision - the person-patient's perspective must be incorporated
• People should co-own their health data and - as in Estonia

• Policy and regulations is key challenge - we need to move towards a more collaborative model of cooperation between government agencies

• We need champions that have capacity to execute.

• Global data infrastructure need - pandemic as a global driver - Epidemiological data - global threat need for data

• How important is to overcome Adoption barriers

• Drivers - incentives - vital for co-creation - How does health literacy become a driver for families?

• How important is knowledge curation.

• How to develop a federated model at a global level?

• No difference in 2 presentations other than different ecosystems - one focused on providers use of info and the other on individuals or families use of information - adaptation relies on understanding of cultures to sustain adoption.

• Privacy is still a big barrier to adoption of federated health information systems.

• Families can serve as navigators of knowledge.

• Things only work when the required conditions are met.

• Multinational agencies have a big role to play in driving a top down change in development culture

• Must add a portal for mobile health-wearables so that person can contribute vital context - what is going on in my life and my family.