Recommendation for data security
The health data is exchanged between different clinicians for giving better care and treatment to the patients. The data of the patient can be fetched from different locations for providing point of care. It is the fast technology to give instant care in the case of emergency. The physician of the emergency department can take time sensitive information for improving the health of the patient. With the increasing growth of the digital patient record, there is an increase in the risk of information security. The privacy is the major concern of the patient for effectively managing the relationship with the physicians. The security measures should be taken under consideration for managing the privacy of the confidentiality of the information.
- Data confidentiality: The records of the patient should be kept confidential. The effective communication creates the confidence of trust between the clinician and the patients. The legal proceedings should be followed for managing the confidentiality of data.
- Privacy: It is the sharing of information between doctor and the patient. The security measures should be taken to manage no involvement of the third party during the conversation between the two credentials.
- Security: Digital signature, cryptographic and encryption methods should be emphasised for the development of effective and secured system.
The designing of the audit trails provides the complete and consistent information, comprehensibility, traceability, accessibility, credibility, accuracy, precision, and recoverability from the issues associated with the designing of the health information system. The effectiveness of the audit trails depends on the following:
- The data elements chosen for the research should be relevant to the scenario such as user, start date, end date, role of the user, and others.
- Preparation of the research question for the accomplishment of audit trail such as what are the benefits of the health information system?, what are the main problems and issues associated with the system organization?, and others.
- Preparation of the audit trail matrix for study. “The elements of the matrix are completeness, consistency, comprehensibility, traceability, accessibility, credibility, accuracy, precision, and recoverability, of the information” (Adeleke, 2014).
With the involvement of high tech technologies in the health information system such as digital signature, data correction, and audit logs increases the complexity of the system to meet regulatory compliance due to the following reasons:
- High cost of the information system is the major problem to accomplish the operations. “The organization of the paper work, development of policies and structure, training of the employees, appointment of the official and other raises the cost of the project” (Gorman, 2010).
- Tracking of regulation: The variation in the rules and regulation depends on the state to state.
- Extensive documentation: The arrangement of patient records, clinician records, legal records, ad etc. creates a picture of big data with the issues of privacy and security.
The factors which should be taken into consideration for designing health information technologies based on human factor and user interface are:
- Factors associated with patient risks such as increasing index body mass, comorbidity presence, and many more
- Factors associated with surgical skills such as technical skills, experience of the doctors, decision making capability of the doctor, and others.
- Factor associated with operation profile of the doctors such as excellency with the system, new technologies, and others.
“The quality of the clinical practice can be improved by the implementation of data warehouse in the curriculum of the health information system for managing information related to enterprise ID of the patient, ID of the facilities, ID of the provider, and others” (Sinha, 2015). The relational database is used for developing business intelligence reports and reporting tools management. The following figure shows the conceptual architecture of the data warehouse implemented in the health information system.
- The record is opened of the wrong patient
- The wrong mode of action is applied to the patient
- The display of inaccurate data
- The displayed data is incomplete
- The standards and policies used are not convenient
- Recalling of the information according to the user requirement
- The feedback is inadequate bout automation
- The data storage got corrupted or lost.
|
Priority Area |
Current and Future Strategy |
|
Governance |
“The decision making process involves customers and career Identification of requirement for the ICT decision making process” (Edens, 2016) |
|
Workforce |
The roles and responsibilities should be divided according to the capabilities and skills of the clinician and staff. The framework should be developed to motivate the employees for working curriculum. |
|
Policies and standards |
Policies and procedure should be developed to fulfil the legal requirement, balance between information sharing, increasing the efficiency of information lifecycle management, information related to intellectual property, and others. |
|
Consumers and community |
“The ICT technologies are helpful in carrying over decision making activities” (Wuest, 2015). The commencement of implementation opens the new path of communication between patients and the clinicians. |
|
Current and future requirement |
The electronic medication management system, electronic health record, electronic medical record, electronic monitoring, and etc. are some of the recommended modules for the health information system. “The new system should use the tactics of business intelligence, monitoring of the planning and performance, and use of data warehousing and analytical tools” (Cox, 2014). Transition plan should be used for filling the gap between current strategy and future strategy. |
|
Investment |
The effective utilization of ICT assets and resources helps in enhancing the performance of the health information system and reducing the cost of the organization. |
“The evaluation of the object depends on the hardware and software used in the health information system” (Dimick, 2014). The success of the project depends on the clinical workflow. The complexity arises with the acceptance of the system at both ends user as well as clinicians. The evaluation of the facilities provided to the customers takes time. The working of the clinician is completely transformed with the implementation of the health information system. The following are some of the challenges which should be taken under consideration during the development of the health information system:
|
Phase |
Description |
|
Artefact design |
“The model should be designed according to the requirement of the market” (Wang, 2017) |
|
Relevance to the problem |
The technology based solution is the major concern for the design |
|
Evaluation of the design |
The demonstration of quality ad efficacy of the design |
|
Contribution of the design |
Effective research for the development of effective design |
|
Designing of the search process |
The development of standards for the research is the concern area |
|
Communication |
The proper communication and analysis of the views is the troublesome job |
Conclusion:
The health information system is useful for taking suggestions from the doctors available all around the world in case of emergency. The doctors can fetch complete report of the patient for analysing and giving their decision to cure the patient from illness instantaneously. The electronic medication management system, electronic health record, electronic medical record, electronic monitoring, and etc. are some of the recommended modules for the health information system. The new system should use the tactics of business intelligence, monitoring of the planning and performance, and use of data warehousing and analytical tools.
References:
Adeleke, T. (2014). Relevance of health information system and the roles of HM professional in the healthcare delivery system (1st ed.). Retrieved from https://www.researchgate.net/publication/271699527_Relevance_of_health_information_management_HIM_and_the_roles_of_HIM_professionals_in_healthcare_delivery_systems
Cox, O. (2014). Information technology for the health professions (1st ed.). Retrieved from https://www.saintleo.edu/media/980667/information_technology_for_the_health_professions.pdf
Dimick, C. (2014). Health information management: “Current health IT revolution” drastically changes HIM in the near future (1st ed.). Retrieved from https://library.ahima.org/doc?oid=106207
Edens, T. (2016). Health information management (1st ed.). Retrieved from https://www.marionfinancial.com/news_articles/white-papers/Health_Information_Management_Abridged_White_Paper.pdf
Gorman, L. (2010). Health information technology: Benefits and problems (1st ed.). Retrieved from https://www.ncpa.org/pdfs/st327.pdf
Sinha, R. (2015). Impact of health information technology in public health (1st ed.). Retrieved from https://www.google.co.in/url?sa=t&rct=j&q=Research%20paper%20pdf%20on%20health%20information%20management&source=web&cd=10&cad=rja&uact=8&ved=0ahUKEwjQnP-m0K7UAhWBuY8KHZI-A90QFgheMAk&url=https://sljbmi.sljol.info/article/download/2239/2048/&usg=AFQjCNFbnsKakh0uPgkyDxF5s-63-f2S5g
Wang, C. (2017). Health information management strategy (1st ed.). Retrieved from https://ww2.health.wa.gov.au/~/media/Files/Corporate/Reports%20and%20publications/Information%20management%20strategy/WA_Health_Information_Management_Strategy_2017-2021.ashx
Wuest, P. (2015). Personal health information management and the design of consumer health information technology (1st ed.). Retrieved from https://healthit.ahrq.gov/sites/default/files/docs/citation/09-0075-EF.pdf
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