The document discusses how current health information exchange efforts are failing to achieve comprehensive electronic patient records and effective prevention and population health. It proposes that health record banks can address these challenges by providing a centralized repository for complete patient records, incentivizing electronic health record adoption, and generating revenue to fund prevention services. The Health and Prevention Promotion Initiative (HAPPI) would combine a community prevention organization with a health record bank in order to achieve the goals of a successful health information infrastructure and the "Triple Aim" of better health, better care, and lower costs. Next steps include piloting HAPPI programs with external funding and disseminating lessons learned.