Information systems can help prevent a public health crisis. To do so, systems integration is necessary. As we can see from our textbook, BioSense can summarize and present analytical results by source,day,and syndrome for each zip code,state,and metropolitan area using maps,graphs,and tables. Registered state and local public health agencies as well as hospitals and health care providers are allowed to access data.
In case of Korea there can be difficulties we can think of.
The first one is standardization. We must also integrate systems among small-sized clinics, medium-sized clinics and large general hospitals. But who can be willing to participate in the transition process that would be burdensome and time-consuming without any benefits? Furthermore,we should consider herb doctor’s offices as well as western-style hospitals.There are many differences such as terminologies,concept,
prescription between the two.
The second one is systemization itself. But some individual doctors still have their medical records as a form of paper. I have visited an ENT doctor two years ago in Seoul. There were three to four nurses who are busy in doing something like supporting the doctor, looking for medical reords, and answering questions. A nurse asked me my resident registration number, and then started to look for my medical record from the piles of paper files.The doctor and CEO of a small clinic seemed not to need any help or support. What can the central government give them while he just wants staus quo?
The third one is privacy. Even in any cases and situations,it is inevitable that privacy problems may occur. What we should do to prevent moral hazard of insiders and invasion of outsiders is just to do our best to bulid firewall, educate and punish evil-doers.
If these problems were solved, I think IS will be able to prevent a public health crisis.
But we have a long way to go.
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3 comments:
Almost all the advanced countries have the plan of developing U-healthcare services with leading edge scientific technologies.
I think U-healthcare services should be realized in the future and will come true even if there may some obstacles like security, privacy, systemization, and standardization issues.
Most of countries worry about these issues. But we cannot escape the fruitfulness of this services.
Hospital related services are still out of control from the public. Very difficult special words, complex processes, reliability issues explains why this service is not easy to be included public IT/IS services.
Standardization will be possible because we have long history of standardization experiences and de jure standardization organization worldwide. All the related stakeholders will paricipate in the standardization process.
Security for preventing to break privacy is also related to reach public common idea for overcoming the obstacles raised in the context. Special encryption technologies such as quantum encryption will be developed in the near future because there can be heard some initial success stories in scientific journals.
Success story of demonstration in bank area is published in communication journal.
U-healthcare including Bio-Sense has also both of bright and dark sides. The most import thing is how we can make it good use in our society. For this service to succeed, it should be suggested to discuss in world-level organization, for example, UN, WHO,...
Hardware and infrastructure are ready to start, but key success factors are the issues the auther raised. Most of the related specialists regard it as "hot potatos". But I think we cannot escape from it.
Importance of Information Systems Audit and Validation
: Understanding, Experience, and Technology for Compliance
MetricStream Delivers
Information technology has become a core enabler of business processes within the organizations today. As a result, companies are required to audit and validate their relevant IT systems to ensure that their business processes and underlying records comply with regulations such as the Sarbanes-Oxley Act of 2002 or Healthcare Insurance Portability and Accountability Act (HIPAA) or 21 CFR Part 11(FDA). This paper defines an “easy-to-implement” framework for auditing and validating IT systems for regulatory compliance. It also identifies a best practice which calls for IT organizations and software vendors to proactively audit their software development and implementation processes on an ongoing basis to identify and correct any systemic issues to lower the cost of compliance.
What kind of information society do we want to live in, especially the society involving our health and well-being?
Biosense case is about the information system that assesses and evaluates real-time clinical data of different hospitals and clinics throughout the world. It shows the benefit and advantage of profiling and analyzing data regarding different occurences of diseases in the world to learn of any pandemics and to take necessary measures to proactively prevent, rather than reactively treat, serious diseases that may spread.
Obviously, we want this system on one hand since it may help us not contract any life-threatening or otherwise serious or deadly disease through vaccination other early preventive measures. On the other hand, what about the patients' privacy?
I suggest that we adopt the European opt-in model in health and medicine information management systems as well. Let the patients willing to provide their personal information and clinical data real-time to help WHO and other medical institutions study pandemics and other contagious diseases give express consents. Let those patients who are unwilling to sacrifice their privacy be fully protected
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