A Human Centered Framework for Information Security Management: A Healthcare Perspective

Research on the human element of information security is fragmented at best. This paper presents a management framework for organizations in the health care industry who wish to improve their information security procedures in an effort to comply with HIPAA and other regulations. The emphasis is on securing an organization from internal threats by adequately educating employees and building an organizational culture where security initiatives are valued and respected. The premise of the paper is that a cultural approach is the only way to gain the versatile security environment needed to comply with regulations as vast and complex as HIPAA. We argue that this framework demands that empirical data be collected through careful industry research with health care providers so as to prove the real world value of its application

Antimicrobial resistance as a global health threat:the need to learn lessons from the COVID-19 pandemic

The global COVID‐19 pandemic has exacerbated existing health, social, and economic challenges and threatened progress towards achieving the UN sustainable development goals. We discuss lessons learned from the COVID‐19 pandemic for global policymaking for health security governance, with a particular focus on antimicrobial resistance. We identify One Health as the primary foundation of public health risk management owing to the collaborative, multidisciplinary, and multisectoral efforts that underpin the One Health approach and that enhance understanding of the complex interactions at the human–animal–environment interface. We discuss the narrow human‐centric focus of the One Health approach, highlight the underrepresentation of the environmental sector in One Health networks, and encourage greater representation from the environmental sector. Furthermore, we highlight the importance of the social sciences for health security research and the need for effective communication and trust. Finally, we underscore the importance of strengthened and collaborative health, social care, and disaster management systems. The application of these lessons will facilitate holistic, multisectoral, collaborative, and ethical actions on antimicrobial resistance

Investigating factors that impact employee retention at Kunene Health Care.

Masters Degree. University of KwaZulu-Natal, Durban.The efficiency and success of an organisation depends mainly on its capacity to retain its employees. High staff turnover may result in an organisation not being able to meet its objectives and cause it to lose business and customers – and this can spoil its good reputation. Previous studies emphasised the importance of regarding human resource management as the most important asset in any serious organisation determined to realise self-determined goals and objectives. The purpose of this study was to determine the factors that influence employee retention at Kunene Health Care, in order to provide recommendations aimed at curbing or significantly reducing employee turnover and enhancing staff retention. A qualitative research approach was employed, and semi-structured interviews were conducted with 15 individuals in the company. The study used a purposive sampling technique – collecting primary data while also utilising secondary data. The study found that inconsistent remuneration packages discouraged employee retention at Kunene Health Care. Employment security, workplace organisation, and the working environment were the most important factors that employees considered when deciding whether to stay or leave the company. Poor working conditions, a lack of skill recognition, failure of management to provide opportunities for career progression, unchallenging job content, un-natured superior-subordinates relationships, and a hostile social atmosphere all discouraged employee retention at Kunene Health Care. The study recommended that Kunene Health Care use techniques that increase communication, performance and career planning, in order improve retention – while also mitigating the cost of new employees

Cloud-assisted body area networks: state-of-the-art and future challenges

Body area networks (BANs) are emerging as enabling technology for many human-centered application domains such as health-care, sport, fitness, wellness, ergonomics, emergency, safety, security, and sociality. A BAN, which basically consists of wireless wearable sensor nodes usually coordinated by a static or mobile device, is mainly exploited to monitor single assisted livings. Data generated by a BAN can be processed in real-time by the BAN coordinator and/or transmitted to a server-side for online/offline processing and long-term storing. A network of BANs worn by a community of people produces large amount of contextual data that require a scalable and efficient approach for elaboration and storage. Cloud computing can provide a flexible storage and processing infrastructure to perform both online and offline analysis of body sensor data streams. In this paper, we motivate the introduction of Cloud-assisted BANs along with the main challenges that need to be addressed for their development and management. The current state-of-the-art is overviewed and framed according to the main requirements for effective Cloud-assisted BAN architectures. Finally, relevant open research issues in terms of efficiency, scalability, security, interoperability, prototyping, dynamic deployment and management, are discussed

Using Information Governance to Evaluate Patient Care in Amazon's One Medical

This paper explores the information governance (IG) maturity of Amazon's One Medical (AOM), a digital health and telehealth primary care organization. Combining Amazon's technology expertise with One Medical's healthcare services, AOM aims to transform healthcare through a human-centered, technology-powered model. However, successfully integrating Amazon's disruptive approach into the complex healthcare industry is challenging. To examine AOM's IG maturity, we compare and critique patient care in AOM against the ARMA Maturity Model and AHIMA's IGPHC framework. The study discusses the implications of telehealth on the doctor-patient relationship, rising roles of ancillary service teams, commoditization of healthcare, and potential monopolization. It also addresses security risks, compliance challenges, and the impact of technology on disadvantaged populations. Our analysis highlights the growing importance of information management in the evolving intersection between healthcare and technology and suggests potential areas for improvement in AOM's IG maturity.Comment: 26 pages, 1 figure, 3 table

Migrants and emerging public health issues in a globalized world: threats, risks and challenges, an evidence-based framework

International population mobility is an underlying factor in the emergence of public health threats and risks that must be managed globally. These risks are often related, but not limited, to transmissible pathogens. Mobile populations can link zones of disease emergence to lowprevalence or nonendemic areas through rapid or high-volume international movements, or both. Against this background of human movement, other global processes such as economics, trade, transportation, environment and climate change, as well as civil security influence the health impacts of disease emergence. Concurrently, global information systems, together with regulatory frameworks for disease surveillance and reporting, affect organizational and public awareness of events of potential public health significance. International regulations directed at disease mitigation and control have not kept pace with the growing challenges associated with the volume, speed, diversity, and disparity of modern patterns of human movement. The thesis that human population mobility is itself a major determinant of global public health is supported in this article by review of the published literature from the perspective of determinants of health (such as genetics/biology, behavior, environment, and socioeconomics), population-based disease prevalence differences, existing national and international health policies and regulations, as well as inter-regional shifts in population demographics and health outcomes. This paper highlights some of the emerging threats and risks to public health, identifies gaps in existing frameworks to manage health issues associated with migration, and suggests changes in approach to population mobility, globalization, and public health. The proposed integrated approach includes a broad spectrum of stakeholders ranging from individual health-care providers to policy makers and international organizations that are primarily involved in global health management, or are influenced by global health events

Evaluating staff attitudes, intentions, and behaviors related to cyber security in large Australian health care environments: Mixed methods study

Background: Previous studies have identified that the effective management of cyber security in large health care environments is likely to be significantly impacted by human and social factors, as well as by technical controls. However, there have been limited attempts to confirm this by using measured and integrated studies to identify specific user motivations and behaviors that can be managed to achieve improved outcomes. Objective: This study aims to document and analyze survey and interview data from a diverse range of health care staff members, to determine the primary motivations and behaviors that influence their acceptance and application of cyber security messaging and controls. By identifying these issues, recommendations can be made to positively influence future cyber security governance in health care. Methods: An explanatory sequential mixed methods approach was undertaken to analyze quantitative data from a web-based staff survey (N=103), with a concurrent qualitative investigation applied to data gathered via in-depth staff interviews (N=9). Data from both stages of this methodology were mapped to descriptive variables based on a modified version of the Technology Acceptance Model (TAM; TAM2). After normalization, the quantitative data were verified and analyzed using descriptive statistics, distribution and linearity measures, and a bivariate correlation of the TAM variables to identify the Pearson coefficient (r) and significance (P) values. Finally, after confirming Cronbach , the determinant score for multicollinearity, and the Kaiser-Meyer-Olkin measure, and applying the Bartlett test of sphericity (X2), an exploratory factor analysis (EFA) was conducted to identify the primary factors with an eigenvalue ( ) \u3e 1.0. Comments captured during the qualitative interviews were coded using NVivo software (QSR International) to create an emic-to-etic understanding, which was subsequently integrated with the quantitative results to produce verified conclusions. Results: Using the explanatory sequential methodology, this study showed that the perceived usefulness of security controls emerged as the most significant factor influencing staff beliefs and behaviors. This variable represented 24% of all the variances measured in the EFA and was also the most common category identified across all coded interviews (281/692, 40.6%). The word frequency analysis showed that systems, patients, and people represented the top 3 recurring themes reported by the interviewees. Conclusions: To improve cyber security governance in large health care environments, efforts should be focused on demonstrating how confidentiality, integrity, availability, policies, and cloud or vendor-based controls (the main contributors of usefulness measured by the EFA) can directly improve outcomes for systems, staff, and patients. Further consideration also needs to be given to how clinicians should share data and collaborate on patient care, with tools and processes provided to support and manage data sharing securely and to achieve a consistent baseline of secure and normalized behaviors

Information Technology and Russia's Social Modernization

Information technologies play a very important role in modernizing Russia's economy and society as whole. Its competitive advantage lies in the availability of highly educated labour resources. Russia accounts for approximately 9% of researchers in the world as opposed to a share of about 0.3% in the world innovation market. Our approach is based on identifying ways to set up IT innovation centres and create an organizational and economic mechanisms making possible the transfer of new technologies to production processes and the creation of tools for innovative management. In the markets of high technology Russia will concentratie on software tools for IT security, applied modelling information systems, various types of software, and cryptographic systems, some types of specialized computing systems. In the Education Project two main mechanisms of systemic change are envisaged: to identify and support leading higher educational institutions; to introduce on a grand scale new knowledge-management methods and put mechanisms into practice. Among the main intentions of the Education Project the following should be mentioned: the modernization of its material-technical base, the internetization of education, the expansion of innovation centres on the pattern of universities and scientific and research institutes, the creation of Russian "Siliceous Valley"- Skolkovo complementary clusters of small, innovative companies. In the framework of the Health Care 2020 Programme. Activities are underway to introduce a Federal Register of the most widespread diseases, to operate waiting lists of those who need high technology medical help, and to centralize access to the common database of normative and reference information. Drafts of their electronic presentation formats are developed on the basis of international ISO standards. An Internet market for various types of medical and information services is being set up; telemedicine technologies are being taken into account. The social orientation of IT development will improve educational and health care systems, accelerate progress in extending the number of qualified professionals in IT (according to experts, the demand for these in 2012 will increase by up to 550,000 persons, and even then the country's demand will only be satisfied to the degree of 15%). A model enabling Russia to enter the group of countries with a high development of intellectual potential demands more intensive introduction of IT in modernization of Russian society. --codes Information technology,human factor,modern economy,social factors,telecommunication,education,personal training,medicine,national healthcare,telemedicine,social networks,internatization

Information Accountability Framework for a Trusted Health Care System

Trusted health care outcomes are patient centric. Requirements to ensure both the quality and sharing of patients’ health records are a key for better clinical decision making. In the context of maintaining quality health, the sharing of data and information between professionals and patients is paramount. This information sharing is a challenge and costly if patients’ trust and institutional accountability are not established. Establishment of an Information Accountability Framework (IAF) is one of the approaches in this paper. The concept behind the IAF requirements are: transparent responsibilities, relevance of the information being used, and the establishment and evidence of accountability that all lead to the desired outcome of a Trusted Health Care System. Upon completion of this IAF framework the trust component between the public and professionals will be constructed. Preservation of the confidentiality and integrity of patients’ information will lead to trusted health care outcomes

Eliciting user requirements with older adults: Lessons from the design of an interactive domestic alarm system

This paper documents how methodological challenges were addressed when identifying user requirements for an Interactive Domestic Alarm System (IDAS) designed to enable older adults to live independently in their own homes for longer. A novel approach to determine possible IDAS functionality is described, and the results of focus groups conducted with older adults and care workers are reported. The paper identifies some difficulties encountered when using the focus group method with an ageing sample, and highlights the importance of careful preparatory work if this method is to be used successfully in such a context