This chapter describes the legal, policy and operational changes that are needed in the Netherlands to establish an integrated health information system. It sets out the requirements to take advantage of the strengths and to address the problems uncovered in this review of the current Dutch health information system. The recommendations include an overarching requirement to approach health data more as a public good than as a commodity, and to develop and implement a national digital health strategy that strengthens mutual trust across all stakeholder groups. A range of policy actions to implement the national digital health strategy are recommended in this chapter, including the need for technical infrastructure and interoperability standards, and an overarching data governance framework that includes greater harmonisation of policies and practices to ensure privacy and promote data security.