Access and Access Controls

2019 ◽  
pp. 162-169
Author(s):  
Karl E. Misulis ◽  
Mark E. Frisse
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Health Information Technology ◽  
Health Information ◽  
Healthcare Systems ◽  
Access To Information ◽  
Access Controls ◽  
Privacy And Confidentiality ◽  
Efficient Care ◽  
Regulatory Landscape

Evolution of healthcare systems and the constantly changing regulatory landscape continuously alter all facets of health information technology including access. Access to information systems must be controlled in order to protect privacy and confidentiality. Access systems must be flexible enough to be applicable regardless of device and location. While access must be secure, it cannot obstruct the efficient care of patients. Access controls depend on position because privileges and permissions depend on position. These controls are the method of enforcing authorization through mechanisms and policies. This chapter discusses some of the mechanisms of controlling access. Also discussed are some practical considerations for client and device strategy.

Responding to health information technology reported safety events: Insights from patient safety event reports

2019 ◽  
Vol 24 (3) ◽  
pp. 118-124 ◽  
Author(s):  
Katharine T Adams ◽  
Tracy C Kim ◽  
Allan Fong ◽  
Jessica L Howe ◽  
Kathryn M Kellogg ◽  
...  
Keyword(s):  
Information Technology ◽  
Patient Safety ◽  
Health Information Technology ◽  
Health Information ◽  
Healthcare Systems ◽  
Healthcare Staff ◽  
Or Education ◽  
Training And Education ◽  
Safety Event ◽  
Policy Information

Objective We analyzed the described resolutions of patient safety event reports related to health information technology to determine how healthcare systems responded to these events, recognizing that certain types of solutions such as training and education have a limited impact. Methods A large database of over 1.7 million patient safety event reports was filtered to include those identified by the reporter as being related to health information technology. The resolution text was manually reviewed and coded into one or more of four categories: No Resolution, Training/Education, Policy, Information Technology-oriented solution. Results Most events (64%) did not include a resolution. Of those that did, Training/Education was the most commonly reported single or component of a multi-pronged solution (55%), followed by Information Technology (45%). Only 59 events (6% of resolutions) described more than one method of resolution. Conclusion Health information technology-related patient safety event resolutions most often described a solution that suggested additional training or education for healthcare staff, despite the recognized limitations of training and education in resolving these events. Few events suggested multiple resolution methods. Ensuring health information technology-related events are resolved and incorporate effective solutions should be a continued focus area for healthcare systems.

scholarly journals Protocol for a mixed-methods exploratory investigation into the role of health information technology for the provision of cancer care in Indonesia

F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 904
Author(s):  
Aufia Espressivo ◽  
Herindita Puspitaningtyas ◽  
Susanna H. Hutajulu ◽  
Anis Fuad ◽  
Matthew J. Allsop
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Mixed Methods ◽  
Health Information Technology ◽  
Health Information ◽  
Cancer Care ◽  
Health Facilities ◽  
Theory Of Change ◽  
Referral System

Background: Cancer and its management can incur high costs, high risks and high demand. In Indonesia, there remains gap in the availability of national cancer data despite the establishment of a National Committee for Cancer Control. Multiple pilot projects have been developed by the Ministry of Health to improve the delivery of care, including interventions utilising digital health approaches and integrated referral information systems. However, it is not yet clear to what extent these approaches influence patient management or the experience of cancer patients themselves. This research aims to explore the current role of health information technology (HIT) in the provision of services and treatments for patients with cancer from primary to tertiary healthcare centres in Yogyakarta, Indonesia. Methods: The study will adopt an observational mixed-methods single case study design of health facilities involved in the delivery of cancer services in a sub-national health system. We will collect data through face-to-face interviews with a range of health professionals involved in the delivery of cancer care. Patients will be interviewed to share their views and experiences of the existing cancer referral system and communication with health facilities. Alongside interviews, we will undertake an analysis of routine data from participating health facilities to assess gaps in existing information systems. Data analysis will include framework analysis for qualitative data alongside descriptive analyses of quantitative data. Findings will be used to inform conceptual maps to be presented as part of Theory of Change workshops focused on understanding how the existing cancer referral system works, why and for whom, with a focus on future refinement and intervention development.  Conclusion: Our findings will inform critical thinking around the design, implementation, adaptation, and evaluation of existing systems. Through early engagement and participation of key stakeholders and project partners, we intend that findings will have immediate utility.

scholarly journals Impact of the COVID19 pandemic on the implementation of Health Information Technologies (HIT): a case study in Maternity Hospital of Lubango-Angola

2021 ◽  
Author(s):  
Tomas Hambili Paulo Sanjuluca ◽  
Ricardo Cruz-Correia ◽  
Anabela Antunes Almeida
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Health Information Technology ◽  
Health Information ◽  
Information Technologies ◽  
Maternity Hospital ◽  
Health Information Technologies ◽  
Technology Project ◽  
Information Technology Project ◽  
The Impact

Abstract Background COVID19 pandemic has shown the importance of data to manage health crises. Therefore, countries that were more mature regarding using Information Systems (IS) were better prepared to respond to their population needs. Unfortunately, in Angola, such Health Information Systems (HIS) maturity is very low, so new Health Information Technology (HIT) projects must change this scenario. Objective Describe the impact of COVID19 on a new health information technology project called "ObsCare Lubango" to collect essential data on deliveries and births at the Maternity Hospital in Lubango-Angola. Methods Retrieve data from the notes, communication events of the project management. Also, the collected data regarding obstetrics (pregnancies and childbirth) was from Jan 2019 to Apr 2021 (14 months before COVID19 and 14 months after the beginning of COVID19). The data analyzed were collected from the utilization audit trail that stores the sessions and clicks in the application logs. These logs are then presented in aggregated and anonymized form in a web interface. Results The start of COVID19 in Maternity halted the evolution of the health information project implementation. At the beginning of 2020, the usage of ObsCare Lubango was growing steadily (5.9%, 7.5%, 9.4% in the first three months), but rapidly dropped to 0% in the following months after the first of COVID arrived in late March. Conclusion COVID19 had a significant impact on the evolution of ObsCare Lubango and heavily impacted the quality of the data collected in the paper. COVID19 will probably increase the digital divide in health care between nations.

Best Practices for Implementing Electronic Health Records and Information Systems

2010 ◽  
pp. 120-138 ◽  
Author(s):  
Beste Kucukyazici ◽  
Karim Keshavjee ◽  
John Bosomworth ◽  
John Copen ◽  
James Lai
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Electronic Health Records ◽  
Health Information Technology ◽  
Health Information ◽  
Technology Implementation ◽  
Healthcare Organizations ◽  
Implementation Framework ◽  
Multi Level ◽  
Insight Into

This chapter introduces a multi-level, multi-dimensional meta-framework for successful implementations of EHR in healthcare organizations. Existing implementation frameworks do not explain many features experienced and reported by implementers and have not helped to make health information technology implementation any more successful. To close this gap, we have developed an EHR implementation framework that integrates multiple conceptual frameworks in an overarching, yet pragmatic meta-framework to explain factors which lead to successful EHR implementation, in order to provide more quantitative insight into EHR implementations. Our meta-framework captures the dynamic nature of an EHR implementation through their function, interactivity with other factors and phases, and iterative nature.

scholarly journals Health Information Systems

2013 ◽  
Vol 22 (01) ◽  
pp. 114-116
Author(s):  
M. Cuggia ◽  
L. Toubiana
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Health Information Technology ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Information Systems ◽  
It Impacts

Summary Objectives: Summarize excellent current research in the field of Health Information Systems. Method: Synopsis of the articles selected for the IMIA Yearbook 2013. Results: Five papers from international peer reviewed journals have been selected for the section on health information systems. Conclusions: The selected articles illustrate current research regarding health information technology (IT) impacts and evaluation and the latest developments in health information exchange.

scholarly journals The Hippocratic Bargain and Health Information Technology

2010 ◽  
Vol 38 (1) ◽  
pp. 7-13 ◽  
Author(s):  
Mark A. Rothstein
Keyword(s):  
Information Technology ◽  
Medical Care ◽  
Health Information Technology ◽  
Health Information ◽  
Fourth Century ◽  
Public Places ◽  
Ethical Foundation ◽  
Starting Point ◽  
Wide Range ◽  
Privacy And Confidentiality

Since the fourth century, B.C.E., the Oath of Hippocrates has been the starting point in analyzing the obligations of physicians to protect the privacy and confidentiality interests of their patients. The pertinent provision of the Oath reads as follows: “What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account must be spread abroad, I will keep to myself, holding such things shameful to be spoken about.”This part of the Oath is subject to more than one interpretation, but its commonly accepted meaning provides the ethical foundation for the physician’s duty of confidentiality. The Oath expressly declares that a physician’s obligation of confidentiality applies beyond matters of medical care. At a time when there were no hospitals or physician offices, patients received medical care in their homes or in public places. Physicians treating patients in their homes could be expected to see and hear a wide range of activities that might be considered embarrassing, immoral, or even illegal.

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