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Safe: a status update on information security and the hospital community.

IT Security and Privacy are becoming increasingly visible "hot topics" across the full spectrum of industry and service sectors. Legislation and global "best practices" are working hard to defend organizations and individuals against escalating, rapidly evolving cyber-threats. Predictably, the threat landscape is having an impact on all levels to varying degrees: governmental, organizational and individual. This article introduces the basic context for information security and offers insight into how a number of hospitals are addressing the situation, what barriers they currently face and what opportunities they see unfolding.

Canada↗

Internet-based interactive teaching file for neuroradiology.

OBJECTIVE: Our goal was to implement an interactive neuroradiologic teaching file that can be accessed on the Internet and easily expanded to include radiologic, clinical, and pathologic correlation. CONCLUSION: Our growing interactive neuroradiologic teaching file is available on the Internet. It provides an easily accessed database of interesting cases to aid in the study or analysis of difficult cases.

Computer Graphics↗

Internet-enabled solutions for health care business problems.

Many health care delivery organizations have built, installed, or made use of Nets. As single entities merge with others, and independent institutions become part of much larger delivery networks, the need for collaboration is critical. With the formation of such partnerships, existing platforms will become increasingly available from which it will be possible to build disparate technologies that must somehow be part of a single working "system." Nets can enable this leveraging, allowing access from multiple technological platforms. The collaboration, distribution, application integration, and messaging possibilities with the Nets are unprecedented. We believe that meeting a health care delivery organization's needs without these benefits will soon be unthinkable. While Nets are not the answer to the challenges facing health care delivery today, they certainly are a large contributor to the solution.

Computer Communication Networks↗

Protecting patients' privacy. Health information networks raise new questions.

Privacy is established as both a value and a right in our society, and as healthcare moves to improve quality and efficiency through the development of health information networks, which allow the electronic exchange of financial and clinical information, there will be a growing awareness of the necessity to protect patient privacy and confidentiality in these environments. Dealing with these concerns will require that healthcare providers take steps to ensure the security of patient information through technological and physical measures, programs of orientation and education, and the careful development and implementation of clear policies and procedures.

Computer Security↗

Six opinions on IT security. Panel discussion.

Physicians consult over the Internet. Diagnoses are delivered via E-mail. Data is kept in multimedia repositories. Health care IT is filled with data security challenges. Here's what six experts think about the possibilities and vulnerabilities.

Chronology as Topic↗

Patient participation in EHR benefits.

Patient participation in EHR creation can significantly broaden the range of healthcare information in the record and, ultimately, improve clinical decision support. The care with which patient-authored information is handled, however, must equal the care devoted to clinician data entry and review. Web-based access, self-service management, consent delegation and agent permissions management are just a few of the features that will encourage active and positive patient involvement with their healthcare records and with their own health management.

Computer Security↗

Healthcare public key infrastructure (HPKI) and non-profit organization (NPO): essentials for healthcare data exchange.

To share healthcare information and to promote cooperation among healthcare providers and customers (patients) under computerized network environment, a non-profit organization (NPO), named as OCHIS, was established at Osaka, Japan in 2003. Since security and confidentiality issues on the Internet have been major concerns in the OCHIS, the system has been based on healthcare public key infrastructure (HPKI), and found that there remained problems to be solved technically and operationally. An experimental study was conducted to elucidate the central and the local function in terms of a registration authority and a time stamp authority by contracting with the Ministry of Economics and Trading Industries in 2003. This paper describes the experimental design with NPO and the results of the study concerning message security and HPKI. The developed system has been operated practically in Osaka urban area.

Computer Security↗

[Study on network architecture of a tele-medical information sharing platform].

In the article,a plan of network construction which satisfies the demand of applications for a telemedical information sharing platform is proposed. We choice network access plans in view of user actual situation, through the analysis of the service demand and many kinds of network access technologies. Hospital servers that locate in LAN link sharing platform with node servers, should separate from the broadband network of sharing platform in order to ensure the security of the internal hospital network and the administration management. We use the VPN technology to realize the safe transmission of information in the platform network. Preliminary experiments have proved the plan is practicable.

Computer Communication Networks↗

HIPAA, security, and electronic signature: a closer look.

A recent notice of proposed rule making for an electronic signature standard, if adopted, will affect the way health information is managed for years to come. Here's what you need to know about electronic signature and what the proposed standard may mean for HIM.

Authorship↗

[Documentation concepts in MedNet-Rheuma (competence network "Inflammatory-rheumatic systemic diseases")].

Concepts of documentation rely not only on the contents required and technical demands, but the procedures covered and in medical applications especially security aspects are also matters of critical concern. Even though the need for effective documentation (i.e., adequate in content, availability, feasibility and easy to retrieve analysis) is not a question, tasks and aims (for example, quality of patient care) deserve attention and establishing efforts have to be analyzed regarding their structural and personal prerequisites and implications before particular tools for documentation can be developed.

Computer Security↗

Driving toward guiding principles: a goal for privacy, confidentiality, and security of health information.

As health care moves from paper to electronic data collection, providing easier access and dissemination of health information, the development of guiding privacy, confidentiality, and security principles is necessary to help balance the protection of patients' privacy interests against appropriate information access. A comparative review and analysis was done, based on a compilation of privacy, confidentiality, and security principles from many sources. Principles derived from ten identified sources were compared with each of the compiled principles to assess support level, uniformity, and inconsistencies. Of 28 compiled principles, 23 were supported by at least 50 percent of the sources. Technology could address at least 12 of the principles. Notable consistencies among the principles could provide a basis for consensus for further legislative and organizational work. It is imperative that all participants in our health care system work actively toward a viable resolution of this information privacy debate.

Computer Security↗

Virtual private networks can provide reliable IT connections.

A VPN is a private network that uses a public network, such as the Internet, to connect remote sites and users together. Instead of using a dedicated hard-wired connection as in a trusted connection or leased lines, a VPN uses a virtual connection routed through the Internet from the organization's private network to the remote site or employee. Typical VPN services allow for security in terms of data encryption as well as means to authenticate, authorize, and account for all the traffic. VPN services allow the organization to use whatever network operating system they wish as it also encapsulate your data into the protocols needed to transport data across public lines. The intention of this IT World article was to give the reader an introduction to VPNs. Keep in mind that there are no standard models for a VPN. You're likely to come across many vendors presenting the virtues of their VPN applications and devices when you Google "VPN." However the general uses, concepts, and principles outlined here should give you a fighting chance to read through the marketing language in the online ads and "white papers."

Biotechnology↗

Socio-technical aspects of the use of health related personal information for management and research.

This paper focuses on the organisational, technical and ethical aspects related to the use of person identifiable health information for various health care management, administration, finance, research and educational purposes. It is based on the ethical standpoint that to the individuals in question, the identifiable health information represents the uttermost sensitive and critical information. In addition, nobody, possibly apart from the patients themselves, may claim ownership of such information. Thus identifiable health information should be (per individual) kept as collected and protected as possible, within the scope of the patient provider relationship. Identifiable health information should, whenever possible and reasonable, be restricted to the health care professionals providing the treatment and care to the patient, and only be made available to others, e.g. for management, research or educational purposes, either in anonymous or pseudonymous form. Secure information management (SIM) is presented as the socio-technical means to facilitate our ethical standpoint in a practical health care environment.

Computer Security↗

Privacy and security issues in teleradiology.

Teleradiology is now well established within healthcare in the USA, but ethico-legal concepts surrounding this innovation remain unclear. New legislation, the Health Insurance Portability and Accountability Act, as well as ethical guidelines and common law demonstrate the importance being placed on security of electronic data and the protection of patients' personal data. Radiologists need to be aware of the security, privacy, and confidentiality issues which relate to teleradiology, so that they can safeguard not only their own interests but also the best interests of their patients.

Computer Security↗

AAMT (American Association for Medical Transcription) speaks out on confidentiality, privacy, and patient care documentation.

Increased use of technology within the healthcare system has raised concerns about the confidentiality, privacy, and security of patient care documentation. These guidelines acknowledge the responsibility and assume the commitment to protect confidentiality, privacy, and security of patient care documentation by all individuals associated with the medical dictation and transcription process. These guidelines suggest means by which such responsibility and commitment should be demonstrated.

Computer Security↗