1. Ethics and the Internet Helga E. Rippen, MD, PhD, MPH CoChair, eHealth Ethics Initiative Chair, Internet Healthcare Coalition (Director of Medical Informatics, Pfizer Health Solutions, Inc.)

2. Why Now? Critical mass and exponential growth New/non-health participants Questionable practices Bad press Legislation/regulation concerns Increased use of Internet by healthcare

3. Translation & Implementation Translation & Implementation Regulation FTC, FDA…+ Regulation FTC, FDA…+ Self-Regulation URAC, HON, Hi-Ethics, AMA Self-Regulation URAC, HON, Hi-Ethics, AMA Domain Name Restrictions WHO (dot.health) Domain Name Restrictions WHO (dot.health) Code of Ethics eHealth Code

4. The 8 Principles 1. Candour & trustworthiness 2. Truthfulness & non-deception 3. Quality 4. Informed consent 5. Privacy & data security 6. Professionalism & best practices 7. Responsible partnering 8. Accountability

5. What Does This Mean to You? Regulation and/or accreditation Trust issue You will be impacted -- so start now What Should You Do?

6. Predictions New profession -- ethics officer Some regulation (escalation possible) Included as part of accreditation

7. Resources eHealth Code of Ethics http://www.ihealthcoalition.org Criteria for assessing Quality on the Internet http://hitiweb.mitretek.org/hswg