Health Technology
Article | September 12, 2023
Affordable healthcare is the need of the hour and interoperability is the means to that end. The healthcare ecosystem is looking into ways they can enable this affordability as soon as possible, and that is where FHIR comes in. FHR promises an on-demand exchange of secure healthcare information. It has become an increasingly popular protocol, thanks to its commitment to ensuring interoperability in the app economy, via apps.
The privilege enjoyed by consumers and participants in most industries is the ease of accessibility of information. With most of it being on the cloud, a URL ensures access to the same information regardless of where it is being accessed from or which internet enable device. This is the privilege FHIR aims to introduce in healthcare, over the current document-based approach where forms are either faxed, emailed, or electronically exchanged.
FHIR is for
Building new healthcare apps
Develop cloud-based health apps that integrate with social networks
Providing a simple to use standards-based API for cloud-based health integration services
The government looking to implement a national EHR
FHIR Aims to Reduce Cost
The medical expenses of an average American in a year are north of $12k and rising. The reasons are the unnecessary complications in the healthcare IT infrastructure. With FHIR, HL7 aims to reduce the burden on providers in sharing and accessing healthcare data at the point of care, thereby reducing the administrative expenses spent on moving data back and forth. It also promises to grant on-demand access to patients – enabling them to make better-informed healthcare decisions.
What is part of FHIR?
Pre-defined Resources and API
A common way to represent data as building blocks and rules for connecting them
Target support for common scenarios
Implementer Friendly
Familiar tooling and technologies using web standards
Multiple Libraries available for faster implementations
Mobile Friendly
Concise and easily understood specifications, RESTful API and JSON
Leverages cross-industry web technologies
Multi-paradigm
Thick client, browser, or mobile devices
Supports human readability as the base level of interoperability
Large Community for Support
Heaps of open-source software and training events, webinars, and connectathons
Specification feedback welcomed, including update requests-tracker
Out-of-the-box Interoperability
Base resources can be used as it is, can also be adapted for local requirements
Seamless exchange of information using messages or document
Start The FHIR
Health plans are jumping on the FHIR bandwagon faster than ever thanks to the Interoperability and Patient Access rule as well as the latest proposals. Do not get left behind or sustain the ramifications of non-compliance with CMS regulations.
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Healthtech Security
Article | August 31, 2023
The healthcare industry has become a prime target for cybercriminals in recent times.
According to The State of Ransomware in Healthcare 2023 report from Sophos, six in 10 healthcare organizations have been hit by ransomware in the last 12 months, up from 34% in 2021.
Among this uptick have been several headline-grabbing attacks. For example, Shields Health Care Group became the subject of the single-largest breach affecting any organization globally in April 2023, when 2.3 million patients of the Massachusetts-based medical services provider had their personal data stolen after a cybercriminal gained unauthorized access to the organization’s systems.
Meanwhile, in the UK, a ransomware attack on the University of Manchester occurred in June, affecting an NHS patient data set holding information on 1.1 million patients across 200 hospitals.
Critically, the wealth of data housed in healthcare networks, and the potential impact of data unavailability in healthcare, make the industry both attractive and lucrative to threat actors.
It’s no coincidence that the Sophos report shows the rate of encryption in the healthcare sector is at its highest level in recent years. Of those healthcare organizations which suffered a ransomware attack in 2023, 73% had their data encrypted – up from 61% in 2022. When cybercriminals can successfully take down hospital systems and/or encrypt patient data so it can’t be used, they can blackmail health service providers, demanding significant sums before reinstating systems and/or data availability.
Considering healthcare's critical role as the highest-stake industry in our society, where people's lives depend on its success, the likelihood of attackers achieving their goals is greater than in other sectors, as confirmed by the Sophos report. Indeed, of the 73% of healthcare organizations that had their data encrypted, 42% reported that they paid the requested ransom to recover data.
DSPT and the compliance burden
Without question, the security-related challenges in healthcare are mounting. Right now, industry organizations are operating against a backdrop of unprecedented operational and workforce pressures, spiralling demand for care and industrial action.
Moreover, there is a growing regulatory burden, with organizations continually asked to comply with evolving cybersecurity rules, battling with multiple compliance mandates at any given time.
Take the NHS as an example. According to the 2023 NHS Providers’ Regulation Survey, just over half (52%) of respondents said the regulatory burden on their trust had increased. And this is expected to ramp up further in the future, with the UK government setting out a new 2030 strategy aimed at bolstering cyber resilience in healthcare.
Among the compliance burdens that the NHS faces is the challenge of meeting the requirements of the newly updated Data Security and Protection Toolkit (DSPT).
Mandated to minimize cyber risks and enable healthcare providers to maintain a robust information security posture, the DSPT is not a simple checklist of security controls, but a comprehensive toolkit to evaluate current security maturity and establish a risk management programme.
Indeed, in more recent times, DSPT has moved away from being a guide for achieving certain levels of assurance, and toward a mandatory evidence-based system which demands NHS organizations align with 10 precise National Data Guardian (NDG) standards: 1. The organization assures good management and maintenance of identity and access control for its networks and information systems. 2. The organization closely manages privileged user access to networks and information systems supporting essential services. 3. The organization ensures passwords are suitable for the information being protected. 4. Process reviews are held at least once a year where data security is put at risk and following security incidents. 5. Action is taken to address problems as a result of feedback at meetings. 6. All user devices are subject to anti-virus protections, while email services benefit from spam filtering and protection deployed at the corporate gateway. 7. Action is taken on known vulnerabilities based on advice from NHS Digital, and lessons are learned from previous incidents and near misses. 8. The organization has a defined, planned and communicated response to data security incidents impacting sensitive information or key operational services. 9. The organization has demonstrable confidence in the effectiveness of the security of technology, people, and processes relevant to essential services. 10. The organization securely configures the network and information systems that support the delivery of essential services.
Reducing Compliance Challenges with the Right Solutions
Taken individually, these standards may not seem too strenuous to adhere to. However, to be compliant with DSPT, all 10 items need to be completed and deemed ‘satisfactory’.
To tick all 10 key boxes in the most effective and efficient manner simultaneously, organizations should consider their strategy carefully. This could involve embracing supportive tools to accelerate and enhance their compliance journey.
Boiled down, DSPT demands several key things, including unincumbered visibility of the entire ecosystem, as well as the ability to demonstrate secure access, logs and storage, and essential auditing processes to maintain data security.
Achieving these things might appear complicated, even daunting. However, there are solutions known as Security Information and Event Management (SIEM) systems on the market that can make achieving these capabilities, and in turn DSPT compliance, easy.
Here, we outline some of the key features to look out for to meet compliance: • Log retention: A modern SIEM should be able to provide a centralized log storage and big data platform that scales to any organization’s size. Platforms should be able to provide role-based access to log data, including ‘data privacy’ functionality that can mask sensitive data until approved. Log data should not be modified or removed by users once ingested into the platform, while all data held should also be indexed and fully searchable. • Identifying and disabling unnecessary accounts: A good SIEM will also provide account auditing facilities for Active Directory that allow administrators to quickly identify dormant accounts. They should also be able to remove privileged user access when no longer required or appropriate. More sophisticated platforms will be able to do this in an automated manner. • Easy identification of issues: Clear and easily readable dashboards, alerts and reports for user logging activity should be provided, including failed login, apparent brute-force attempts, and bad password management practices. Further, those using machine learning will be able to identify unusual behavior patterns based on a baseline of activities of users and their peer group. • Integrate with third-party threat feeds: It will also be able to integrate with a wide variety of third-party threat feeds that provide information about specific known threat payloads/hashes and destination domains/addresses.
Meeting the mandate
Of course, having the right features in place is only part of the puzzle. For organizations to be truly successful in embracing tools that enable them to meet DSPT compliance more effectively, they should work to ensure that solutions providers offer them ongoing support – both in terms of ease of deployment and to ensure that they are using key systems in an optimal manner.
Scalability is another important aspect to consider.
Systems should be able to scale and continue to support the organization as data volumes increase and become more complex over time.
In respect of scalability, organizations should take time to think about pricing models, ensuring that these are based on the number of devices (nodes). In doing so, it will become easier to accurately budget future costs, as well as provide greater budgeting certainty over the short, medium and longer term.
A converged SIEM allows organizations to prioritize the big picture over individual tools, enabling them to develop a seamless and easy to use security operations setup. Not only does this approach boost cost transparency and eliminate potential complexities with managing a variety of siloed products – equally, it reduces the burdens on security teams, eliminating complexities over system integration and enhancing performance.
A converged SIEM combines key technologies easily to offer improved security outcomes. In doing so, organizations can easily home in on specific standards and adopt security best practices while reducing the burden on security teams tasked with meeting DSPT compliance.
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Digital Healthcare
Article | November 29, 2023
Everybody deals with stress and anxiety, however the key is to know what to do when you’re stressed out. It is not always easy to keep your feelings from getting the best of you.
With this in mind, here are seven tips that a person can use to help manage their daily stresses and anxieties before they get out of control.
1. Get all of the facts of the situation: Gathering the facts of a certain event can prevent us from relying on exaggerated and fearful assumptions. By focusing on the facts, a person can rely on what is reality and what is not. Most importantly, do not focus on your fearful thoughts when you’re stressed out.
2. Take a break: Sometimes, we get stressed out when everything happens all at once. When this happens, a person should take a deep breath and try to find something to do for a few minutes to get their mind off of the problem. A person could take a walk, listen to some music, read the newspaper, or do an activity that will give them a fresh perspective on things.
3. Carry a small notebook of positive statements with you: Another technique that is very helpful in managing fear is to have a small notebook of positive statements that makes you feel good. Whenever you come across an affirmation that relaxes you, write it down in a small notebook that you can carry around with you in your pocket. Whenever you feel depressed, open up your small notebook and read those statements.
4. You can’t predict the future: While the consequences of a particular fear may seem real, there are usually other factors that cannot be anticipated and can affect the results of any situation. We may be ninety-nine percent correct in predicting the future, but all it takes is for that one percent to make a world of difference.
5. Challenge your negative thinking with positive statements and realistic thinking: When encountering thoughts that make you fearful or depressed, challenge those thoughts by asking yourself questions that will maintain objectivity and common sense. Focus on the reality of your situation and not on your thoughts. Your fearful thoughts can make things worse so try to focus on something positive when you get anxious.
6. Divide your activities into separate steps: When facing a current or upcoming task that overwhelms you with a lot of anxiety, divide the task into a series of smaller steps and then complete each of the smaller tasks one step at a time. Completing these smaller activities will make the stress more manageable and increases your chances of success.
7. Take advantage of the help that is available around you: There are many individuals who have been expertly trained in the field of psychology to help you find ways to manage fear and anxiety. Seek out someone whom you trust to provide sound advice and guidance. This same professional can also help you create an action plan for dealing with your fears and anxieties in the future.
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Health Technology, Medical Devices
Article | May 22, 2023
EMRs have transformed how healthcare organizations handle patient data, improving efficiency and reducing errors. Hospitals can utilize them to enhance patient care and optimize management processes.
Contents
1. Understanding Hospital EMR Systems
1.1 EHRs vs. EMRs
2.Role of EMR in Improving Hospital Management System
3. Resolving Challenges in EMR Implementation
4. Revolutionizing HMS with Next-Gen EMR Innovations
5. Key Takeaways
1. Understanding Hospital EMR Systems
Electronic medical records (EMR) systems in hospitals, as digital adaptations of traditional paper charts, have become an integral part of modern healthcare. They encompass vital patient information, such as diagnoses, medical histories, lab results, medications, and physicians' notes. These systems enhance workflow efficiency by streamlining clinical processes, reducing manual tasks, and facilitating quick access to patient data. By eliminating paperwork and manual searching, EMR hospital software saves valuable time and allows healthcare providers to focus more on patient care. With improved access to comprehensive and accurate information, EMR systems contribute to enhanced patient care, treatment planning, and coordination among healthcare teams, ultimately leading to better outcomes for patients and healthcare institutions.
1.1 EHRs vs. EMRs
Electronic medical records (EMRs) and electronic health records (EHRs) are two electronic systems used in modern healthcare to manage patients' medical information. While both aim to improve the quality of healthcare and patient safety, EMRs stand out for their ability to enhance workflow efficiency, improve patient care and safety, and offer better control over data security and privacy. Compared to EHRs, EMRs are more straightforward to use, less expensive, and do not require as much implementation complexity. Choosing between EMRs and EHRs ultimately depends on the specific functions that best serve the needs of the medical facility. Medical practitioners can find EMRs to be a compelling option due to their affordability and simplicity, as well as their ability to manage medical records securely and effectively.
2. Role of EMR in Improving Hospital Management System
The Hospital Management System (HMS) covers three vital areas of hospital management, namely - Operations, Finance, and Clinical. The clinical aspect of the system includes EMR, which provides medical practitioners with a range of advantages, such as
• EMRs facilitate quick transfer of patient information between different departments.
• The digital record-keeping environment helps save a significant amount of space.
• EMRs can help practitioners increase the number of patients they can see, leading to improved productivity and workflow.
• Reduced errors in medical practice can result in better patient care and management of test results.
• EMRs can reduce operational costs, especially in relation to overtime labor and transcription services.
• EMRs can be customized and scaled to meet the specific needs of medical practice.
• EMRs allow for advanced clinical documentation and e-prescribing.
• EMRs enable more efficient and accurate billing processes for healthcare practices.
In terms of benefits to patients, EMRs can improve the treatment and diagnosis of diseases,facilitate rapid decision-making and coordinate care among medical professionals assigned to individual patients,with a reduced likelihood of significant errors in a patient's health record.
3. Resolving Challenges in EMR Implementation
EMR integration is vital as more healthcare organizations adopt hospital electronic medical records. However, the process can be time-consuming and challenging. Here, we will discuss the top six challenges of integrating EMRs as well as ways to overcome them
Standardizing Data Formats
Data compatibility is one of the primary challenges in integrating EMRs. The diverse formats in which various EMR systems store data can pose a significant hindrance to integration efforts. Addressing this obstacle requires identifying a viable approach for converting the data into a standardized format that is compatible with both systems.
Coding Incompatibility
Dealing with varying coding standards is another significant challenge that arises during EMR integration. The utilization of distinct coding standards across different EMR systems can pose a considerable challenge to the integration process. To overcome this hurdle, one must devise a solution to map the codes from one system to the codes in the other system.
Data Security
EMR integration raises significant security concerns that require attention. Securing the data and restricting access to only authorized users are critical aspects that necessitate appropriate security protocols. To ensure data safety and confidentiality, it is imperative to establish sound security measures.
Maintaining Data Quality
Integrating EMR systems carries a risk of data loss or corruption, making it crucial to prioritize data quality. To address this challenge, it is imperative to establish effective measures that ensure the accuracy and reliability of the data.
Ensuring Optimal Functionality
Following the integration of EMR systems, it is crucial to conduct rigorous testing and validation to ensure that the systems are functioning optimally. Despite the potential costs and time investments involved, it is necessary to prioritize this step to avoid complications and setbacks in the future.
Cost Management
Integrating EMR systems can be a significant financial undertaking, necessitating careful planning and budgeting. It is essential to factor in the costs of licenses, hardware, software, and services when embarking on an integration project. To address this challenge, one can explore cost-saving measures such as negotiating with vendors or implementing open-source software.
4. Revolutionizing HMS with Next-Gen EMR Innovations
In the coming years, emerging trends in EMR are expected to have a significant impact on the hospital management system. It is crucial for hospital EMR management to keep a close eye on these developments and stay informed of the latest technological advancements to provide optimal care to their patients. Adapting to the evolving landscape and staying current with these changes will be essential for hospital management systems to continue providing high-quality care and remain competitive in the healthcare industry.
Cloud Computing
It refers to the instant digitization of medical records and easy access to them. It is a significant trend in the development of electronic medical records (EMR). However, there are challenges in transferring data between databases. It proves to be a boon when medical staff is scarce as it allows easy access to patient records. Moreover, Cloud Computing in EMR technology can provide healthcare providers with quick access to patient data, which can enable them to provide timely and appropriate care.
RPA
Robotic Process Automation (RPA) refers to the computerization and digitization of data. In the healthcare industry, RPA can alleviate the burden of manual labor and provide more precise and reliable data. Sophisticated software and techniques are utilized to derive this data, addressing the problem of inefficiency in EMR without necessitating a complete overhaul of the system. RPA is also a time-saving process that enables medical staff to allocate their time more effectively to crucial tasks. Additionally, RPA can reduce the need for manual labor, resulting in cost savings.
Revamping EMR with IoT, AI & Voice Recognition
The integration of IoT, artificial intelligence, and voice recognition in healthcare has significantly aided in the development of EMR. This combination has the potential to transform the healthcare industry by providing precise and swift data, which could prove critical in saving numerous lives. By combining these three technologies, more accurate data can be obtained, further enhancing patient care.
Big Data and 6G Networking for Healthcare Analysis
Big data analysis helps generate medical records by collecting and analyzing data from multiple sources. This approach provides precise insights that benefit both patients and medical professionals. The sixth-generation network, currently in development, has the potential to transform healthcare. By improving the speed of data transfer and communication between remote locations, this new network will facilitate the digitization of medical records and lead to the development of improved EHR and EMR systems.
Wearable Devices for Better Patient Monitoring
Various wearables with sensors can monitor patients' daily activities and later be integrated with EMRs for better healthcare. The wearables track patients' medical activities and vitals like heart rate and temperature. Integrating these wearables with EMRs provides timely information to healthcare centers, leading to improved care and treatment.
5. Key Takeaways
EMRs have the potential to revolutionize the healthcare industry by enhancing patient care quality, productivity, and outcomes. However, implementing EMRs entails significant changes that require strong leadership support, dedicated physician champions, efficient training and optimization, and flexibility from the implementation team. Targeted training and support for specific components of the EMR system, such as patient portals and documentation tools, can help users adopt the system more efficiently and reduce the impact on productivity. By following a well-planned implementation strategy, healthcare organizations can harness the benefits of EMRs while minimizing disruption to their operations. Overall, EMRs offer solutions that create a secure and efficient platform for healthcare facilities and patients, helping to promote better connectivity and healthier lifestyles. The demand for EMR systems is pressing and vital in the current scenario, as the developments in the EMR industry indicate that they will play a critical role in revolutionizing the medical sector.
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