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should be updated with a summary not to exceed so many words, such as 50.
Individual doctors' offices could query the database on questions as relates to the entire database, but cannot query on patients they are not seeing. Insurance companies, health maintenance organizations, and large organizations such as hospitals can only query the database through the data base administrators. They can query whole data base information only, not obtain records of individuals. There should be a limit of the number of inquiries per month, and a fee for each inquiry. There should be no inquiries allowed for three to five years after the data base has been started if no back data has been entered. This brings up the question of do we need to input all previously seen patients. This would be a phenomenal task, especially at large family practice and primary care groups. Instead, I propose that only new patients be inputted and, therefore, over a three to five year period a substantial database will be developed. During the interim, it is those patients that are in the system that we are seeing that we need to know the information about and, therefore, that is the information that is important to the physician.
There are still questions that have not been answered. The database of the server may have to be fairly large, there must be a secured programming group, which develops how the data will be viewed. The number of inquiries per hour can become staggering. Additional
Specifics on the security of the information will also have to be addressed. The prefix prevents outside individuals from investigating the data, the initials and social security number have some benefit and the first two letters of the mother's maiden name allows some security from those offices that have the ability to input into the data base. Is the mother's maiden name secure enough to prevent a physician's office from inputting data on a patient that they may be able to obtain initials and social security number? Will this prevent a doctor's office, a hospital administrator through their admissions office from looking up information on a health care provider or another individual? The tracking of inquiries and investigation of those inquiries that are not followed by the input of information may help with this. I believe that a consortium of physicians working intimately with computing experts can answer these questions and many others. [5?]
Internet
NSC will develop a web-based system of patient and physician detailed neuroscience information.
RESEARCH
Education and Research will be paramount. All expanding health care institutions are supported by research. Research allows the (Continued on page 78)
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