Security and privacy aspects of mobile applications for post-surgical care

Mobile technologies have the potential to improve patient monitoring, medical decision making and in general the efficiency and quality of health delivery. They also pose new security and privacy challenges. The objectives of this work are to (i) Explore and define security and privacy requirements on the example of a post-surgical care application, and (ii) Develop and test a pilot implementation Post-Surgical Care Studies of surgical out- comes indicate that timely treatment of the most common complications in compliance with established post-surgical regiments greatly improve success rates. The goal of our pilot application is to enable physician to optimally synthesize and apply patient directed best medical practices to prevent post-operative complications in an individualized patient/procedure specific fashion. We propose a framework for a secure protocol to enable doctors to check most common complications for their patient during in-hospital post- surgical care. We also implemented our construction and cryptographic protocols as an iPhone application on the iOS using existing cryptographic services and libraries

On the Use of XML in Medical Imaging Web-Based Applications

The rapid growth of digital technology in medical fields over recent years has increased the need for applications able to manage patient medical records, imaging data, and chart information. Web-based applications are implemented with the purpose to link digital databases, storage and transmission protocols, management of large volumes of data and security concepts, allowing the possibility to read, analyze, and even diagnose remotely from the medical center where the information was acquired. The objective of this paper is to analyze the use of the Extensible Markup Language (XML) language in web-based applications that aid in diagnosis or treatment of patients, considering how this protocol allows indexing and exchanging the huge amount of information associated with each medical case. The purpose of this paper is to point out the main advantages and drawbacks of the XML technology in order to provide key ideas for future web-based applicationsPeer ReviewedPostprint (author's final draft

Systematizing Genome Privacy Research: A Privacy-Enhancing Technologies Perspective

Rapid advances in human genomics are enabling researchers to gain a better understanding of the role of the genome in our health and well-being, stimulating hope for more effective and cost efficient healthcare. However, this also prompts a number of security and privacy concerns stemming from the distinctive characteristics of genomic data. To address them, a new research community has emerged and produced a large number of publications and initiatives. In this paper, we rely on a structured methodology to contextualize and provide a critical analysis of the current knowledge on privacy-enhancing technologies used for testing, storing, and sharing genomic data, using a representative sample of the work published in the past decade. We identify and discuss limitations, technical challenges, and issues faced by the community, focusing in particular on those that are inherently tied to the nature of the problem and are harder for the community alone to address. Finally, we report on the importance and difficulty of the identified challenges based on an online survey of genome data privacy expertsComment: To appear in the Proceedings on Privacy Enhancing Technologies (PoPETs), Vol. 2019, Issue

Adaptively Secure Computationally Efficient Searchable Symmetric Encryption

Searchable encryption is a technique that allows a client to store documents on a server in encrypted form. Stored documents can be retrieved selectively while revealing as little information as\ud possible to the server. In the symmetric searchable encryption domain, the storage and the retrieval are performed by the same client. Most conventional searchable encryption schemes suffer\ud from two disadvantages.\ud First, searching the stored documents takes time linear in the size of the database, and/or uses heavy arithmetic operations.\ud Secondly, the existing schemes do not consider adaptive attackers;\ud a search-query will reveal information even about documents stored\ud in the future. If they do consider this, it is at a significant\ud cost to updates.\ud In this paper we propose a novel symmetric searchable encryption\ud scheme that offers searching at constant time in the number of\ud unique keywords stored on the server. We present two variants of\ud the basic scheme which differ in the efficiency of search and\ud update. We show how each scheme could be used in a personal health\ud record system

Explaining Health Reform: Building Enrollment Systems That Meet the Expectations of the Affordable Care Act

Highlights the enrollment system features needed to meet reform provisions for expanding health insurance coverage, examines states' current systems, and offers guidance on developing modernized, ACA-ready systems, including simplifying program rules

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