Special Issue in Clinical Information Systems Security (original) (raw)

Medical Information Security

2011

Modern medicine is facing a complex environment, not from medical technology but rather government regulations and information vulnerability. HIPPA is the government’s attempt to protect patient’s information yet this only addresses traditional record handling. The main threat is from the evolving security issues. Many medical offices and facilities have multiple areas of information security concerns. Physical security is often weak, office personnel are not always aware of security needs and application security and transmission protocols are not consistently maintained. Health insurance needs and general financial opportunity has created an emerging market in medical identity theft. Medical offices have the perfect storm of information collection, personal, credit, banking, health, and insurance. Thieves have realized that medical facilities have as much economic value as banks and the security is much easier to crack. Mostly committed by insiders, medical identity theft is a wel...

A literature review: Security Aspects in the Implementation of Electronic Medical Records in Hospitals

MEDIA ILMU KESEHATAN

Backgrounds: Electronic Medical Records have complete and integrated patient health data, and are up to date because RME combines clinical and genomic data, this poses a great risk to data disclosure The priority of privacy is data security (security) so that data will not leak to other parties. That way cyber attacks can be suppressed by increasing cybersecurity, namely conducting regular evaluation and testing of security levels.Objectives: To determine the security technique that maintains privacy of electronic medical records.Methods: This type of research uses a literature review methodResults: Data security techniques are determined from each type of health service. Data security techniques that can be applied are cryptographic methods, firewalls, access control, and other security techniques. This method has proven to be a very promising and successful technique for safeguarding the privacy and security of RMEConclusion: Patient medical records or medical records are very pri...

INFORMATION SECURITY IN ELECTRONIC MEDICAL RECORDS MANAGEMENT SYSTEM

Web technologies offer some very exciting benefits in Health Care environments, such as the ease of use, capabilities to organise and link information (from distributed sources), strong multimedia presentation capabilities, and broad coverage of most hardware platforms and operating systems. These benefits have been adopted and used by the Electronic Medical Record Systems, which provide access to medical record information using Electronic Information Technologies. In this Research, study the security problems related to the Electronic Medical Record (EHMs). More specifically we propose a security policy (based on the Role Based Access Control) that addresses many of the related security problems it also describes an Internet-based application for patient care using advanced multimedia techniques in a secure environment. The aim is to offer high quality care to users of health services over inexpensive communication pathways, using secure Internet-based, interactive communication tools. The provision of communication security over the Internet requires also the use of cryptographic and authentication techniques for Internet environment and the use of firewalls. Electronic medical records (EMR) adoption is posited to improve patient care through enhancements in activities ranging from information access and exchange, to medical research. As such, a concerted governmental effort is underway to encourage EMR adoption. However, uptake has been slow as breaches have led to concerns over information security and privacy. The response of EMR managers to these concerns will be critical to EMR adoption. That said, managing information security and privacy is a complicated endeavour, requiring attention to multiple facets of the firm. Thus, research is needed to assist scholars and EMR managers in exploring and understanding the 6 related salient issues. This study conceptualizes and applies a framework based largely on the work of Dhillon (1997, 2006) which addresses the technical, formal, and informal dimensions of information security and privacy in the healthcare provider context. In doing so, it 1) describes and supports a conceptual framework for scholarly exploration of EMR information security and privacy issues, 2) highlights key issues within each dimension of the framework, and 3) provides an information security and privacy planning framework for EMR managers

A Framework for an Institutional High Level Security Policy for the Processing of Medical Data and their Transmission through the Internet

Journal of Medical Internet Research, 2001

Background: The Internet provides many advantages when used for interaction and data sharing among health care providers, patients, and researchers. However, the advantages provided by the Internet come with a significantly greater element of risk to the confidentiality, integrity, and availability of information. It is therefore essential that Health Care Establishments processing and exchanging medical data use an appropriate security policy. Objective: To develop a High Level Security Policy for the processing of medical data and their transmission through the Internet, which is a set of high-level statements intended to guide Health Care Establishment personnel who process and manage sensitive health care information. Methods: We developed the policy based on a detailed study of the existing framework in the EU countries, USA, and Canada, and on consultations with users in the context of the Intranet Health Clinic project. More specifically, this paper has taken into account the major directives, technical reports, law, and recommendations that are related to the protection of individuals with regard to the processing of personal data, and the protection of privacy and medical data on the Internet. Results: We present a High Level Security Policy for Health Care Establishments, which includes a set of 7 principles and 45 guidelines detailed in this paper. The proposed principles and guidelines have been made as generic and open to specific implementations as possible, to provide for maximum flexibility and adaptability to local environments. The High Level Security Policy establishes the basic security requirements that must be addressed to use the Internet to safely transmit patient and other sensitive health care information. Conclusions: The High Level Security Policy is primarily intended for large Health Care Establishments in Europe, USA, and Canada. It is clear however that the general framework presented here can only serve as reference material for developing an appropriate High Level Security Policy in a specific implementation environment. When implemented in specific environments, these principles and guidelines must also be complemented by measures, which are more specific. Even when a High Level Security Policy already exists in an institution, it is advisable that the management of the Health Care Establishment periodically revisits it to see whether it should be modified or augmented.

Towards a practical healthcare information security model for healthcare institutions

4th International IEEE EMBS Special Topic Conference on Information Technology Applications in Biomedicine, 2003., 2003

In recent years, a number of countries have introduced plans for national electronic patient record (EPR) systems. This paper argues that, in the near future, both patients and healthcare stakeholders will be able to access medical records from WWW-based EPR systems. We contend that the primary impediment to the successful implementation and widespread uptake of the EPR concept is the fact that current healthcare information security (HIS) applications are not sufficiently robust. This paper identifies two main Information Security technologies: 1) Public key infrastructure (PKI) and 2) Biometrics that hold a lot of promise in a healthcare context. The key contribution of this paper is to propose a novel multi-layered HIS framework based on a combination of PKI, Smartcard and Biometrics technologies. We argue that this new HIS framework could assist healthcare institutions to provide a truly secure infrastructure for the electronic transmission of clinical data in the future. This paper also makes a case for the creation of a new nodal HIS body because existing information security bodies like the Forum of Incident Response and Security Teams are for general-purpose organizations and not specifically suited for the healthcare sector.

Health Information Privacy and Security Framework: Supporting Electronic Medical Records in Healthcare Systems

2017

The need to record information regarding a patient has been considered as an old, but important issue within the medical arena. Recently, much progress has been noted in the process of collection, storage, and retrieval of patients‘ data, with more healthcare organizations moving towards paperless environment of electronic medical records (EMRs). However, only a handful of studies have looked into privacy and security issues associated with EMRs, as perceived by patients and healthcare providers. Such issues, if left unaddressed, may affect the quality of EMRs, the speed at which they are implemented and accepted by patients and providers, the ability for healthcare institutions to exchange patient information, as well as the quality of patient care and patient safety. As such, this article proposes a comprehensive and multidimensional framework of EMRs success in the healthcare sector. The framework developed in this study can be applied to evaluate and to measure the effectiveness...

Healthcare Data Security Technology: HIPAA Compliance

Wireless Communications and Mobile Computing

Information technology (IT) plays an increasingly important and prominent role in the health sector. Data security is more important than ever to the healthcare industry and in world in general. The number of data breaches compromising confidential healthcare data is on the rise. For data security, cloud computing is very useful for securing data. Due to data storage issue, there is a need to use the electronic communication, and a number of methods have been developed for data security technology. Health Insurance Portability and Accountability Act (HIPAA) is one of the methods that can help in healthcare research. On stored database of patient in hospital or clinic, we can develop a conservational and analytical method so as to keep the medical records of the patients in a well-preserved and adequate environment. The method includes the improvement of working possibilities by delivering all the details necessary for the patient. All the information must be identified clearly. The ...

Information Security in a Distributed Healthcare Domain

2006

In healthcare, patient information is a critical factor. The right information at the right time is a necessity in order to provide the best possible care for a patient. Patient information must also be protected from unauthorized access in order to protect patient privacy. It is furthermore common for patients to visit more than one healthcare provider, which implies a need for cross border healthcare and continuity in the patient process.

Managing the Information Security Issues of Electronic Medical Records

International Journal of Security, Privacy and Trust Management, 2018

All healthcare providers should have enough knowledge and sufficient information to understand the potential risk, which can lead to a breach in the Jordanian health information system (Hakeem program). This study aims to emphasise the importance of sharing sensitive health information among healthcare providers, create laws and regulations to keep the electronic medical records secure, and increase the awareness about health information security among healthcare providers. The study conducted seven interviews with medical staff and an information technology technician. The study results showed that sharing sensitive information in a secure environment, creating laws and regulations, and increasing the awareness about health information security render the electronic medical records of patients more secure and safe.