for Citrix Chief Security Strategist Kurt Roemer HIMSS16 lunch-and-learn session, it was crucial, a collection of experts from the different connected -yet corral corners of the health universe.
What we found was a doctor, a lawyer and (wait ...) a self-proclaimed nerdy nurse. to deepen was in the issue of data security in mobile environments in health care and the concept of balancing user experience and:
, the point of this amassing Team for "Healthcare IT security strategies After the letter of the law" explore privacy
[Many technology companies including Citrix have arrangements in place to protect patient information. But it is equally important for the healthcare IT executives to make informed strategic design decisions, what types of solutions they implement the workflow support and in ensuring the way, certainly compliant mobility.
we knew that in 45 minutes, we would not solve the problems of the world. The idea was to highlight important points to encourage curiosity and spur future action.
During the dialogue Kurt lived dangerously, a series of provocative topics to its lively podium opening. The group did not disappoint - and the conversation led to six main points and many future topics for testing:
While we are making progress towards interoperability in healthcare, we have not yet reached it
[, it is not only the interoperability through the exchange of data, but also, it includes user is able to interpret data correctly when it is shared. Our expanded panel to the concept of interoperability one step further noting that it actually goes beyond the data and their interpretation, which. in the world of workflows
Roemer asked whether the concept of interoperability in healthcare is truly striking. Nurse Brittney dived right into this issue, as an elusive magic unicorn refers interoperability. "Can I touch them yet - or stroke it" , she joked, eliciting waves of laughter from the audience. Her response was that interoperability has not been achieved in the healthcare industry.
Wilson was also a caregiver perspective on workflows and notes that they vary greatly from one shift to another. Most shift workers, when asked to describe a process or a workflow that can not be mentioned in detail the chronological steps required to complete the process.
to a patient in the hospital Granted is a good example. Different layers perform this in different ways. This inequality affects receive intake phase on the interoperability of the data in the patients.
Panelist Dr. John shared another point that makes interoperability more difficult to achieve. Patients often present with their own data from their devices and expect that they should be integrated into their health data. However, patients provided data poses problems. This means that the information really accurate
food for thought:
- Physical implementations often do not take full account of the need for interoperability
- , the healthcare industry needs to look at the bigger picture of interoperability and define the components - .. workflows, patient data, the standardization of data formats, the cooperation between independent units and more [1945010bewegensichinRichtungbesseregemeinsameNutzungvonDaten] standardizing workflows and they help us to structure efficiently.
The healthcare industry is more complex than many vertical industries where interoperability is alive and well.
people underestimate the complexity of interoperability in healthcare to achieve. Many try to equate healthcare to other industries, most frequently, banking and financial services.
Dr. John explained that the banking sector dominated the interoperability due to the relatively small number of variables that need to be managed: credits, debits, identity, minutes, seconds, dollars and cents. Healthcare is complicated because there juggle so many variables: interact, the number of institutions with which a patient, as well as special features can on mapped information such as medication, family history, allergies, injuries, operations, existing conditions and more.
Panelist Attorney Brian found this impact how the legal side of healthcare. There is nothing legally wrong move with the control of data sharing for the patient in a consent-based system. Patient portals fall outside the jurisdiction of the HIPAA because patients must be contractual agreement for the exchange of information. (He also noted that is driven on the other side in the case of medical malpractice cases, exchange of information or by the letter of the law. He has the Buzzwords noted as "summons" and "evidence", the proliferation of data in lawsuits drive) ,
Food for thought:
- to patient records consistently designed and not maintained from institution to institution, full interoperability can be achieved, health information exchange (HIEs) in the healthcare ecosystem.
- Integration of open source can make it possible to manage their own data, the patient and give the industry another way to solve the interoperability problem.
- activation of patients control their own records via a secure distributed book - a block chain-type book as in the financial industry -. Investigation another idea is worth
- be made if the steps, this type of ledger to take over in the healthcare industry, it must be determined that (or person) to pay for this type of initiative and this kind of initiative?
- bring uniformity to various agreement models provide help data accuracy and data integrity to manage. The panelists agreed that what should we strive for is to drive to a standard that works for all. When designing this standard data integrity must be guaranteed. Lawyer Brian stated that the Substance Abuse and Mental Health Services Administration (SAMHSA) verified models standardized agreement to implement; However, many countries still have the mental health and HIV checks in place, the cover - and limit -. the dissemination of information
- The pressure towards uniformity plays a particularly important role to deliver quality emergency care. This raises the question: "In emergency situations should medical facilities and ER departments record health data, if it comes from patient devices?"
- reliability and reproduction of data is "uneven." Very It is not yet mature platform for the management of data and make actionable, so that doctors interpret and make logical care provisions.
Medical professionals need to be able to measure the accuracy of the data provided to the patient. That usable data can then be used to any advantage of the patient.
Thanks to the Internet of Things (IoT), now get the patient to the health entities "pre-instrumented" with their own devices. Many are armed with data from these devices and they want to contribute to their own health records. These data need to be validated before it can be considered properly
Food for thought .:
- How can we meticulous design spread platform for the management and the patient data made available? What would it look like?
The healthcare industry progress towards limiting the symptoms and conditions have to do get escalated doctors.
Dr. John explained that the ultimate goal of the industry, patients should publish its function "to interpret all of their data to clinicians. What that means is that patients who have the ability to have their to analyze their own data. you also need to have the right kinds of interfaces to help you determine to take the actions based on the analysis of data.. This is many escalations to physicians
alleviate food for thought .:
- patients Educating is the first step
- Arming them based with easy to use interfaces that they drive their own care allow to actionable data is the second step.
- Analytics, machine learning and visualization tools it can to make it clear (or a clinician), which should be the time for an intervention to a patient.
- be accessible to the person who has a device usable data should bear.
Those who provide direct patient care typically have no discussions with patients about data security and de-identifying data. Maybe they should ...
The stress to have an identity certainly relies on the patient's health impaired unnecessary stress. This in turn affects the quality of life. Caregivers receive in the medical profession, because they are concerned with patients' whole being. " Nurses, doctors and healthcare professionals to restore quality of life to which are persistent they serve.
food for thought .:
- nurses and other caregivers need to know how patients about the connection between data security and good educate health
you have there, turns forty-five minutes of artfully moderated twists and encapsulated in several minutes.
, it was a conversation that literally have to walk for days. We covered a lot of ground and saw imaginary unicorns, but we have not managed to find elephants in the room
Now let the group a constant in all the :. breaking Citrix, although barriers is committed to solve industrial problems and those at the front, enabling the care of patients. Our ultimate goal is to enable clinicians to work anywhere, on any device over any network so that patients can have better health care experience.
To learn more about Citrix solutions for healthcare to read, click here. To learn more about Citrix Security and Compliance Solutions, click here.
Learn more about the panelists
empower an advocate for patients and nurses with the use of technology, Brittney Wilson, BSN, RN also (known during the panel as a nurse or Brittney the Nerdy nurse) is Product Director for Health and author of the blog known as TheNerdyNurse.com . My blog focuses on and strengthening the nurses and caregivers through the use of technology.
Dr. John Mattison, MD , (also known as Dr. John) is Assistant Medical Director, Chief Medical Information Officer at Kaiser Permanente SCAL. He is a doctor and author with a long-standing interest in security issues.
Brian R. Balow , (also as a lawyer Brian known), is a lawyer and member of Dawda, Mann, Mulcahy & Sadler, PLC. He has ten years experience in health care and the privacy field work, focus on patients' rights and patient safety.
HIMSS is a global, cause-based, not-for-profit organization dedicated to better health through information technology (IT)
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