Message-Oriented Middleware on the Cloud for Exchanging E-Health Data

2014 ◽  
pp. 186-200
Author(s):  
Piero Giacomelli
Keyword(s):  
Health Information ◽  
Remote Monitoring ◽  
Cloud Storage ◽  
Health Sector ◽  
Health Data ◽  
Cloud Infrastructure ◽  
Future Directions ◽  
Testing Environment ◽  
Message Oriented Middleware ◽  
Monitoring Software

Cloud infrastructure has been one of the latest technologies in the e-health sector. Despite many research studies focusing on the privacy of the e-health data stored on the cloud, the ways of exchanging e-health information between client and cloud have not yet been fully addressed. Moving from this initial consideration, in this chapter, the authors evaluate the possibility of using Message-Oriented Middleware (MOMS) for exchanging data between the cloud storage and the remote device used in telemedicine and remote monitoring software. The evaluation is done using a cloud testing environment and a low bandwidth connection modem and a simulation of 50 patients taking a 10 minutes 3Lead EGC test. Some possible future directions on this architecture are suggested as well as some possible improvements.

Health Information Technology and Human Rights

2015 ◽  
pp. 1381-1392
Author(s):  
Shane O'Hanlon
Keyword(s):  
Information Technology ◽  
Human Rights ◽  
Electronic Health Records ◽  
Health Information Technology ◽  
Health Information ◽  
Health Data ◽  
Future Directions ◽  
The Right To Privacy ◽  
Legal Provisions ◽  
The Right

Information technology has the potential to transform healthcare and eradicate many of the inequities seen in the area. However, the use of electronic means to process sensitive health data poses significant risks. Electronic health records have been designed to be more secure than traditional paper records, but there have been notable cases where data has been lost, stolen, or viewed by unauthorised persons. Misuse of health information technology can result in severe violations of human rights. In particular, the right to privacy can be eroded by inappropriate protections, which still exist in some health systems. This chapter describes the rights framework in healthcare, analyses legal provisions for protection of health data, considers why such protections are necessary, outlines examples of rights violations, and proposes future directions.

Health Information Technology and Human Rights

2014 ◽  
pp. 235-246
Author(s):  
Shane O’Hanlon
Keyword(s):  
Information Technology ◽  
Human Rights ◽  
Electronic Health Records ◽  
Health Information Technology ◽  
Health Information ◽  
Health Data ◽  
Future Directions ◽  
The Right To Privacy ◽  
Legal Provisions ◽  
The Right

Information technology has the potential to transform healthcare and eradicate many of the inequities seen in the area. However, the use of electronic means to process sensitive health data poses significant risks. Electronic health records have been designed to be more secure than traditional paper records, but there have been notable cases where data has been lost, stolen, or viewed by unauthorised persons. Misuse of health information technology can result in severe violations of human rights. In particular, the right to privacy can be eroded by inappropriate protections, which still exist in some health systems. This chapter describes the rights framework in healthcare, analyses legal provisions for protection of health data, considers why such protections are necessary, outlines examples of rights violations, and proposes future directions.

The Impact of Health Information Technology on Human Rights

2012 ◽  
Vol 4 (2) ◽  
pp. 50-60
Author(s):  
Shane O’Hanlon
Keyword(s):  
Information Technology ◽  
Human Rights ◽  
Health Information ◽  
Health Data ◽  
Future Directions ◽  
The Right To Privacy ◽  
Legal Provisions ◽  
Recent Developments ◽  
The Right ◽  
The Impact

Information technology has the potential to transform healthcare and eradicate many of the inequities seen in the area by improving availability and management of health information. However the use of electronic means to process sensitive health data poses significant risks. Electronic health records have been designed to be more secure than traditional paper records, but there have been notable cases where data has been lost, stolen, or viewed by unauthorised persons. Misuse of information technology can result in severe violations of human rights. In particular the right to privacy can be eroded by inadequate protections which persist in some health systems. This article describes recent developments in the area, analyses legal provisions for protection of health data, outlines examples of rights violations, and proposes future directions.

scholarly journals Alberta's Data and Analytic Strategy: Leveraging Linked Data to Drive Innovation

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Larry Svenson
Keyword(s):  
Health System ◽  
Health Information ◽  
Data Warehouse ◽  
Data Access ◽  
Health Data ◽  
Direct Access ◽  
Safe Haven ◽  
For Profit ◽  
Secondary Use ◽  
Not For Profit

BackgroundThe Province of Alberta, Canada, maintains a mature data environment with linkable administrative and clinical data dating back up to 30 years. Alberta has a single payer, publicly funded and administered, universal health system, which maintains multiple administrative data sets. Main AimThe main aim of the strategy is to fully maximize the data assets in the province to drive health system health system innovation, with a focus on improving health outcomes and quality of life. Methods/ApproachThe Alberta Ministry of Health has created the Secondary Use Data Access (SUDA) initiative to leverage its administrative health data. SUDA envisions strengthening partnerships between the public and private sectors through two main data access approaches. The first is direct access to de-identified data held within the Alberta Health data warehouse by key health system stakeholders (e.g. academic institutions, professional associations, regulatory colleges). The second is indirect access to private and not-for-profit organizations, using a data access safe haven (DASH) approach. Indirect access is achieved through private sector investments to a trusted third party that hires analysts placed within the Ministry of Health offices. ResultsStaffing agreements and privacy impact assessments are in place. Indirect access includes a multiple stakeholder steering committee to vet and prioritize projects. Private and not-for-profit stakeholders do not have access to raw data, but rather receive access to aggregated data and statistical models. All data disclosures are done by Ministry staff to ensure compliance with Alberta's Health Information Act. Direct access has been established for one professional organization and one academic institution, with access restricted to de-identified data. ConclusionThe Secondary Use Data Access initiative uses a safe haven approach to leveraging data to provide a more secure approach to data access. It reduces the need to provision data outside of the data warehouse while improving timely access to data. The approach provides assurances that people's health information is held secure, while also being used to create health system improvements.

scholarly journals Accessing Population Health Information through Interactive Systems: Lessons Learned and Future Directions

2001 ◽  
Vol 116 (2) ◽  
pp. 132-147 ◽  
Author(s):  
Daniel J. Friedman ◽  
Marlene Anderka ◽  
James W. Krieger ◽  
Garland Land ◽  
David Solet
Keyword(s):  
Health Information ◽  
Population Health ◽  
Lessons Learned ◽  
Interactive Systems ◽  
Future Directions

scholarly journals British Columbia’s Health Data Platform: Unleashing the Power of a Data Environment Commons for Health and Health System Improvement

2020 ◽  
Vol 5 (5) ◽  
Author(s):  
Shirley Wong ◽  
Victoria Schuckel ◽  
Simon Thompson ◽  
David Ford ◽  
Ronan Lyons ◽  
...  
Keyword(s):  
Health Sector ◽  
Data Access ◽  
Health Data ◽  
Decision Makers ◽  
Security And Privacy ◽  
Privacy And Security ◽  
Data Accessibility ◽  
Data Platform ◽  
Access To Data ◽  
Data Consumer

IntroductionThere is no power for change greater than a community discovering what it cares about.1 The Health Data Platform (HDP) will democratize British Columbia’s (population of approximately 4.6 million) health sector data by creating common enabling infrastructure that supports cross-organization analytics and research used by both decision makers and cademics. HDP will provide streamlined, proportionate processes that provide timelier access to data with increased transparency for the data consumer and provide shared data related services that elevate best practices by enabling consistency across data contributors, while maintaining continued stewardship of their data. HDP will be built in collaboration with Swansea University following an agile pragmatic approach starting with a minimum viable product. Objectives and ApproachBuild a data sharing environment that harnesses the data and the understanding and expertise about health data across academe, decision makers, and clinicians in the province by: Enabling a common harmonized approach across the sector on: Data stewardship Data access Data security and privacy Data management Data standards To: Enhance data consumer data access experience Increase process consistency and transparency Reduce burden of liberating data from a data source Build trust in the data and what it is telling us and therefore the decisions made Increase data accessibility safely and responsibly Working within the jurisdiction’s existing legislation, the Five Safes Privacy and Security Framework will be implemented, tailored to address the requirements of data contributors. ResultsThe minimum viable product will provide the necessary enabling infrastructure including governance to enable timelier access, safely to administrative data to a limited set of data consumers. The MVP will be expanded with another release planned for early 2021. Conclusion / ImplicationsCollaboration with Swansea University has enabled BC to accelerate its journey to increasing timelier access to data, safely and increasing the maturity of analytics by creating the enabling infrastructure that promotes collaboration and sharing of data and data approaches. 1 Margaret Wheatley

Health information systems in Namibia

2018 ◽  
Vol 119 (7/8) ◽  
pp. 358-376
Author(s):  
Cathrine Tambudzai Nengomasha ◽  
Ruth Abankwah ◽  
Wilhelm Uutoni ◽  
Lilian Pazvakawambwa
Keyword(s):  
Information Systems ◽  
Health Information ◽  
Mixed Methods Research ◽  
Health Sector ◽  
Health Information Systems ◽  
Quality Of Healthcare ◽  
Research Approach ◽  
Content Type ◽  
Patient Health ◽  
Data Survey

Purpose This paper aims to report some findings of a study that investigated health information systems (HISs) in Namibia with a view of establishing the nature of these systems and coming up with recommendations on how these could be enhanced. Design/methodology/approach This study applied a mixed methods research approach, using interviews and survey questionnaire to collect data. Survey data were analysed for descriptive statistics using SPSS and data from interviews were analysed applying content analysis for data analysis. Findings The findings of this study indicate fragmented HISs resulting in duplication of diagnosis, tests and treatment. The findings show that there were errors in capturing data into the systems, which could compromise the reliability of the data and compromise service delivery. Research limitations/implications This study was limited to two (Khomas and Oshana) of the fourteen regions in Namibia; therefore, further studies could look at other regions, as the study findings cannot be generalised to the entire country. Practical implications The findings and recommendations, particularly those relating to the public health sector, could inform policies and procedures, especially those relating to the patient health passport (card), and the way health information is shared within and across health sectors. Originality/value This study focused on health information sharing, whereas a previous study on HISs concentrated on quality of healthcare.

Cloud infrastructure as a growth driver of the modern digital economy

2021 ◽  
Vol 14 (4) ◽  
pp. 433-455
Author(s):  
Husan S. UMAROV
Keyword(s):  
Cloud Storage ◽  
Digital Economy ◽  
Cloud Infrastructure ◽  
High Quality ◽  
Cloud Technologies ◽  
Modern Russian

Subject. This article discusses the issues of development of cloud infrastructure in Russia and abroad, the advantages of cloud technologies, and forecasting their potential prospects. Objectives. The article aims to identify the features and potential problematic aspects of the development of cloud technologies in the modern Russian and foreign digital economies and predict the prospects for their advancement taking into account the post-pandemic development of world economies in 2020–2021. Methods. For the study, I used the methods of observation, generalization, and analysis. Results. The article describes the benefits of cloud infrastructure for the growth of global digital economies, as well as potential threats that impede the effectiveness of cloud technologies in Russia and abroad. Conclusions. The article concludes that it is necessary to further implement legislative initiatives in Russia that contribute to the high-quality storage of information and ensure its confidentiality in cloud storage.

Information Technology and Resistance to Public Sector Reforms

2012 ◽  
pp. 14-33
Author(s):  
Roberta Bernardi
Keyword(s):  
Information Technology ◽  
Developing Countries ◽  
Public Sector ◽  
Health Information ◽  
Resistance To Change ◽  
Health Sector ◽  
Health Information Systems ◽  
Health Sector Reforms ◽  
Public Sector Reforms ◽  
Global And Local

The objective of the chapter is to discuss how Information Technology can mitigate constraints to policy implementations stemming from a highly contested context. Main recommendations have been drawn by discussing main challenges met by Kenya in the restructuring of its health Information Systems as demanded by health sector reforms. The discussion will focus on how Information Technology can be used to limit the drawbacks of a highly contested policy context, mediate between global and local interests, and mitigate resistance to change. The chapter concludes with main recommendations on how to extend research on the implications of software designs in implementing public sector reforms and other policies in developing countries.

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