On Thursday, January 6, 2011, the Dossia Service Corporation announced that its Board of Directors had elected me as the new CEO.  I am thrilled for this opportunity, but it has also reminded me that I have a more hands-on responsibility to insure the security and privacy of the individuals and families who have entrusted us with their health information.

Fortunately, Dossia is not only in compliance with all applicable laws and regulations, but, having had to market our personal health record system through large employers, we have had to meet much more challenging security and privacy standards than our competitors, who market directly to consumers.  I am very familiar with exacting security and privacy standards from working inside a company that had to manage sensitive financial information for postal services and their customers because of our postage meter business.

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Within the past week, I was asked to take on a more active executive role in Dossia, the combination of the for-profit service corporation and the not-for-profit foundation which has a mission of deploying and managing a patient-controlled, private, portable, personal health record system.  Dossia has been in place for four years, and I began serving as the Chairman of the Board in February, 2007.

In early 2009, the Obama Administration included significant funding in the ARRA stimulus legislation for the upgrading of medical records in physician offices, and directed the U.S. Department of Health and Human Services and the Federal Trade Commission to issue regulations, which would implement a transition process over a multi-year period.  Those regulations are largely in place and the legislation and regulations have enabled Dossia and the other players in the market, including Microsoft and Google, to get anchored in a relatively stable, coherent regulatory environment.

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Recently, I re-read Michael Lewis’ great book Moneyball, which, on the surface, is a book about baseball, and, particularly about Billy Beane, the General Manager of the Oakland Athletics.

Lewis, who wrote books such as Liar’s Poker, Panic, and The Big Short, is clearly intrigued by fields of endeavor in which individuals succeed because they recognize the value of data when others are operating more by the seat of their pants.  Lewis described a baseball talent evaluation marketplace in which Billy Beane, who was obsessively driven by performance statistics, battled baseball scouts, managers, and coaches who tended to evaluate players based either on their visible physical and athletic skills or the performances these individuals observed.  As a result, when Beane overruled his organization and made decisions based on his statistical analyses, he tended to acquire undervalued talent and get a premium price when he disposed of overvalued talent.

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On Saturday, April 26, I watched a TV program hosted by Tim Russert. He and the commentators were reflecting on the broader implications of how an off-the-record comment by Senator Obama at a San Francisco speech could achieve worldwide exposure in a relatively short time. Their conclusion is that, at this time and irreversibly going forward, “everything is on the record.” I would add one other phrase as well: “Everything that is on the record is likely to stay on the record permanently.”

The combination of cell phone cameras, the ability to upload digital images to web sites, and the broad reach of user-generated content on sites like YouTube and Facebook mean that all of us have the potential to live our entire lives out in the open, not unlike the lead character played by Jim Carrey in “The Truman Show” a few years back. Scott McNealy, the Chairman of Sun Microsystems, made the comment almost a decade ago that, with the Internet, there is no privacy and all of us need to get over it. He’s right. (more…)