Health IT and Electronic Health Activate your FREE membership today |  Log-in

Community Blog

Mar 19 2013   1:03PM GMT

The healthcare cloud is on the horizon



Posted by: Jenny Laurello
Cloud, Cloud computing, Data breach, EHR, HIE, HIPAA, HL7, IEEE, SaaS, storage as a service, virtualization

Guest post by Thomas C. Jepsen, IEEE Computer Society member and health IT consultant

You may recall a Joni Mitchell song from the 1970s about “looking at clouds from both sides now,” in which the singer concludes that, “I really don’t know clouds at all.” If you’re involved in health IT these days, you’ve probably felt this way yourself at one time or another.

Cloud computing has had limited acceptance in many market sectors, particularly healthcare, despite its relentless promotion over the last five years. The initial optimistic estimates of the cloud computing market size have been scaled back to more realistic numbers. Reports of data loss and security breaches have discouraged many potential customers — especially in the healthcare sector, where privacy, security and reliability are primary concerns — and shifted the focus from the public cloud (i.e., the Internet) to private clouds implemented as secure private networks. A recent poll indicated that while 37% of healthcare providers included cloud computing in their strategic plans, only about 5% had actually implemented a functional cloud platform.

Part of the cloud’s image problem is that it’s not really an architecture — it is a “marketecture.” A glimpse inside the cloud reveals the primary technology underlying cloud computing is virtualization — providing the user with a segment of platform, infrastructure, software, or storage for their exclusive use. Some of these services like software as a service and storage as a service may offer significant advantages, especially for small and mid-size healthcare providers who cannot afford the services of a full-time IT department. But the fundamental requirements for any healthcare-related application — privacy, security, reliability — need to be considered in selecting a vendor.

One option is to obtain these services from an HIE. HIEs were originally developed to enable healthcare providers to share medical records and related patient data. Since HIEs are designed to handle protected health information, they are required to support common health information technology protocols such as HL7, and to conform to HIPAA privacy and security regulations. Many state and regional HIEs are already in service; however, developing a business model that provides a consistent revenue stream has been problematic. HIEs looking for a sustainable business plan may want to consider offering virtualized services to small clinics and private practices that don’t have, or can’t afford, a full-time IT staff. Some of the services that could be offered include electronic health records (EHRs), identity management, data backup, and business analytics.

One of the issues that arises when healthcare providers negotiate with third-party vendors is ownership of data from a legal standpoint. HIPAA and the title XIII breach disclosure portion of the HITECH Act require that the vendor operate under the same “umbrella of security” as the healthcare provider itself. Negotiating a contract with a vendor unfamiliar with the details of HIPAA and breach disclosure can be difficult. One advantage of dealing with an HIE as a vendor is the ability to use a standardized agreement called the data use and reciprocal support agreement (DURSA), which spells out the details of data ownership, access, and reporting responsibility for both parties. The details of a DURSA agreement can be customized to suit the needs of a specific provider/HIE relationship.

Finally, there are some basic questions healthcare providers need to ask when contracting for virtual services:

  • Where is my data being stored? What is the physical location of the data? What backup technique is being used?
  • What security features have been implemented? Is authentication performed for both clients and servers? Is the entire service HIPAA compliant?
  • How is privacy enforced? Who else has access to my data?
  • Is the EHR certified, standards-based, and interoperable? Will it enable me to meet meaningful use criteria?

While we can’t guarantee that this approach will cause the clouds to part and the sun to come out, asking the right questions of the right vendor will put you on the path to secure and cost-efficient use of virtualized services.

Comment on this Post

Leave a comment:

drag123  |   Jan 18, 2016  11:22 AM (GMT)

Thanks for sharing free itunes gift cards keep it up!


 

sapnasabkirani14  |   Feb 1, 2016  6:10 AM (GMT)

That was an pretty interesting post and i would like to share it.
Delhi Escorts


 

agario  |   Feb 4, 2016  3:06 AM (GMT)

Thanks
for your post. Click to play:

happy wheels , agario,pacman, car games 

plants vs zombiessolitaire 


 


mortalkombatxl  |   Apr 11, 2016  2:09 AM (GMT)

I just want to say : why you do not click to play!
– <a href=”http://mortalkombatxl.com/”>Mortal Kombat XL</a> 
– <a href=”http://ataribreakoutaz.com/”>Atari Breakout</a> 
– <a href=”http://dragonballzgames247.com/”>Dragon Ball Z Games</a> 

 

jamshadhashmi  |   Apr 14, 2016  5:56 PM (GMT)

Pretty! This has been an incredibly wonderful post. Many thanks
for providing this info.

Driver Toolkit

 

chirag99  |   Apr 15, 2016  2:53 AM (GMT)

Yeah! Every one want to look handsome n Pretty there is way to change your look and the way is botched plastic surgery the best way in the world.


 

happywheels21  |   Apr 16, 2016  3:22 AM (GMT)

Thanks for sharing this valuable information to our vision. 

 

atifa  |   Apr 18, 2016  7:57 AM (GMT)

Done well. I am astounded with the standard of the data offered. I sincerely hope that you keep up with the fantastic job accomplished.

 

qrcodegenerator  |   Apr 19, 2016  11:13 PM (GMT)

Great! Thanks for sharing the information. That is very
helpful for increasing my knowledge in this field

Qr code
generator
|dog games | fighting games | shooting games


 

hindiserials  |   Apr 25, 2016  10:16 PM (GMT)

Thanks Alot For this News. Now i am going to follow all of your posts.

This Hindi Serials have changed my life and now i am search for healthcare things on my own.

 

hindiserials  |   Apr 25, 2016  10:24 PM (GMT)

i am sharing this post because of all the CLAT Admit Card 2016 and other updates are going to chase the dreams of life.


 

atifa  |   Apr 26, 2016  2:50 AM (GMT)

Great post and I guess I’m also a fan of blog commenting as it has numerous benefits. Everyone must read this article

<a href=”http://cracxpro.com/wondershare-pdf-editor-pro/
“>See more this type blog</a>

 

suzi02  |   May 3, 2016  12:41 AM (GMT)

Whatever you have said is abslutely right. iPhone 8 release date


 

rjrocker  |   May 18, 2016  2:46 PM (GMT)

Do you hear about Godaddy $1 Hosting? This is one of the hottest deal in web hosting right now.


 

generalcategories  |   May 18, 2016  11:53 PM (GMT)

Looking to experiment with new hair style trends in 2006? Your choices abound! There’s an absolute feast of looks to choose from. Update your hair style with one of these hot trends that dominate the hair scene this year. stylekeeper

Are you having a financial business website? Are you happy with the return of your investment in developing the website? I mean to say is the site focused to showcase your business? If the case is otherwise, you are in need of one of the best finance website templates. localfinance

If you are becoming despondent because you are always losing at World of Warcraft, you will probably benefit from getting a game guide. One of the most popular guides is the Zygor In-game Guides. This is a review summary of the Zygor guides and how they can help you improve your gaming experience. legalguide

You may be thinking about a number of key considerations when it comes to improving your home. Typically, most families will be thinking about an important balance. Is it better to move to a new property, or to improve the one that you already have? homeimprovementguide

If you have ever planned and booked a vacation you have probably seen a reference to or have been asked if you would like to purchase travel insurance. Many people think it is worthless and others wouldn’t consider booking without it. So do you really need it? Let’s find out… toptravelers

A writing style is a unique way of putting words together. There is no ‘ideal’ style for web copywriting, as each client may prefer a different writing style depending on their targeted audience and company policy. styleblog

Business ventures, in their startup have a considerable amount of fear. The fear is of failing the venture and hence a considerable amount of capital, and in extreme cases, of going bankrupt. Business consultants have a very important duty of saving businesses from going bust right at the beginning. gobusiness

Is best personal development possible without the application of The 11 Forgotten Laws of attraction? Was the original version of the Law of Attraction – revealed to us all not long ago – just a hype? This article will attempt to shed light on some facts and the 11 Forgotten Laws. lawtoday

Improving your home is a good investment. Home improvements offer many benefits. It beautifies your home, making it more attractive and a comfortable place to live in. besthomeimprovement

One who wishes to go on an adventure travel may certainly have a very clear picture of what kind of adventure he plans to take on. You can plan it on your own but it is time consuming and a lot more confusing than you can imagine. travel101


 

Generalcategories  |   May 18, 2016  11:55 PM (GMT)

smart home
improvement

 

11224  |   Jun 6, 2016  10:34 AM (GMT)

Great Info & Awesome Blog Setting Thanks Admin For Sharing Some Kind Of  Awesome Articles From: <a href=http://www.jojosoftwares.com/cleanmymac-3-activation-code-crack-full/> CleanMyMac3 </a>


 

ffssdsd  |   Jun 12, 2016  10:52 AM (GMT)

<a href="http://www.newzealandsurftour.com/">surftour</a>
<a href="http://www.goldenempirereviews.com/">goldenempire</a>
<a href="http://www.premiumtravelvietnam.com/">vietnam</a>
<a href="http://www.detroithighschoolsports.com/">schoolsports</a>
<a href="http://www.slogreenbusiness.com/">business</a>
<a href="http://www.greatergoodmagazine.org/">magazine</a>
<a href="http://www.foodphotographyreviews.com/">foodphotography</a>
<a href="http://www.rubiksgames.com/">rubiksgames</a>
<a href="http://www.thestockchatroom.com/">stockchatroom</a>
<a href="http://www.hotelbookingus.com/">hotelbooking</a>
<a href="http://www.weddinglemeridien.com/">lemeridien</a>
<a href="http://www.avhomesolutions.com/">homesolutions</a>
<a href="http://www.carpaintjobcost.net/">carpaint</a>
<a href="http://www.richmondgymnastics.org/">gymnastics</a>
<a href="http://www.retailmarketingagencies.comtform.com/">retailmarketing</a>
<a href="http://www.solarpowerenergies.com/">solarpowerenergies</a>
<a href="http://www.homeofficelawyerblog.com/">officelawyerblog</a>
<a href="http://www.thekitchenonpalisade.com/">kitchen</a>
<a href="http://www.shighappens.com/">happens</a>
<a href="http://www.ricnorcreative.com/">creative</a>
<a href="http://www.extreemmusic.com/">extreemmusic</a>
<a href="http://www.inspirecontest.com/">inspirecontest</a>
<a href="http://www.educationstartups.com/">educationstartup</a>
<a href="http://www.sweetblissphotography.com/">photography</a>
<a href="http://www.globaltourism2011.com/">globaltourism2011</a>
<a href="http://www.mosssociety.com/">mosssociety</a>
<a href="http://www.homeentertainmentcentersonline.com/">entertainmentcenters</a>
<a href="http://www.interiordesigncoursesonline.com/">interiordesigncourse</a>
<a href="http://www.inventorsbusinesscenter.com/">inventorsbusiness</a>
<a href="http://www.instructioneducation.com/">education</a>
<a href="http://www.organizationalfinance.com/">finance</a>
<a href="http://www.ebooksinprint.org/">ebooksinprint</a>
<a href="http://www.beautifulhomespainting.net/">homespainting</a>
<a href="http://www.customproducttraining.com/">producttraining</a>
<a href="http://www.motorcyclethink.com/">motorcycle</a>
<a href="http://www.fastcurrencytrading.com/">currencytrading</a>
<a href="http://www.electricmotorsport.org/">electricmotorsport</a>
<a href="http://www.federalhousinghelp.com/">housinghelp</a>
<a href="http://www.getplatform.com/">platform</a>
<a href="http://www.worldvisionperu.com/">peru</a>
<a href="http://www.pokeraffiliatelistings.net/">affiliate</a>
<a href="http://www.homedesignblogger.com/">homedesign</a>
<a href="http://www.sportsoffering.com/">sportsoffer</a>
<a href="http://www.tsmentertainment.com/">entertainment</a>
<a href="http://www.businessispersonalblog.com/">blog</a>
<a href="http://www.casinopokersportsbetting.com/">sportsbetting</a>
<a href="http://www.worldtechinc.com/">techinc</a>
<a href="http://www.riceimportexport.com/">importexport</a>
<a href="http://www.lesbiangayresort.com/">gayresort</a>
<a href="http://www.effectiveonlinemarketingsolutions.com/">effectiveonlinemarketing</a>
<a href="http://www.travellution.org/">travellution</a>

 

Forgot Password

No problem! Submit your e-mail address below. We'll send you an e-mail containing your password.

Your password has been sent to: