Google engineering manager Alan Newberger blogged yesterday about the software giant’s pilot program with Cleveland Clinic, which integrates patients’ electronic health records with their Google accounts. The initiative seems the first step in a long-term goal to provide citizens with universal access to their medical histories, and the ability to quickly exchange information with insurance plans, medical groups, pharmacies and hospitals.

Patients don’t have to participate in the program. Those that opt in will give authorization via Google’s “AuthSub” interface. Still, the initiative is sounding the alarm bells for privacy rights groups – the same groups that have spoken out against a national health network and other government-sponsored electronic health efforts.

Maybe a watchful eye on how Google handles the situation, including the very real privacy and confidentiality concerns, will provide the federal government a clue on how to get their own initiatives moving. It certainly wouldn’t be the first time industry paved the road.