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Enhancing NHII Governance and Local LHII Support

This report provides key recommendations for NHII governance and support at the local level to ensure effective operation and infrastructure. Recommendations include defining relationships, establishing guiding principles, creating resource centers, funding grants, and analyzing best practices.

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Enhancing NHII Governance and Local LHII Support

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  1. REPORT FROM GOVERNANCE Laura Adams Richard D. Marks

  2. KEY RECOMMENDATIONS • Category 1: LHII (RHIO) governance as it relates to the organizational and technological infrastructure of the NHII. DHHS should: • Define the governing and functional relationships of the NHII to LHIIs • Furnish the minimal functions and technological and interoperability standards of the NHII and LHIIs • Establish a set of guiding principles for LHII governance, assuring appropriate community representation, and differentiating between governance (strategy) and administration (tactics)

  3. KEY RECOMMENDATIONS • Category 2: Resources to support people at the local level who will create and operate LHIIs. DHHS should promptly: • Establish a resource center (starter kit, white papers, funding guidelines, best practices, checklists, actual objective case studies of successes and failures, interactive portal for national collaboration among NHII and LHIIs) • Establish a national database of NHII-LHII legal analyses • Establish a program of LHII planning grants focusing on governance issues such as identification of stakeholder issues, trusted conveners, strategic and structural development • Fund critical analysis of initiatives that can be used as models for LHIIs to identify governance and operating best practices and lessons learned

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