Cloud Computing and Healthcare Services

There is a significant volume of healthcare data generated daily. The data are important and vital for decision making and delivering the best care for patients. Cloud computing is a cost effective method that facilitates real-time data collection, data storage and exchange between healthcare organizations. Cloud infrastructure is characterized with a high throughput and a high volume storage; two important factors for efficient data analysis of large patients’ population. Security and privacy are of the major concerns for using cloud-based healthcare services. Healthcare organization should have electronic medical records in order to use the cloud infrastructure. In order to cope with the rapid advancements in information technology and the utilization of cloud based services, efforts should be dedicated to move healthcare data form the traditional paper based to the electronic format. Then, regional legislation and policies should be enacted to regulate and control the usage of healthcare data

Pre-hospital Emergency Notification System

The number of death cases is increasing annually due to the increasing number of population in the country while the quality of medical healthcare is not progressing fast enough to ensure the quality of life. One of the factor causes the mortality of people is the lack of appropriate pre-hospital care provided. The effectiveness of pre-hospital care is important to reduce the death risk of severe cases like road accident and heart attack. The author proposes a mobile application which allows the emergency medical team to notify the hospital about the incoming victim’s personal information and medical condition. It also provides a web-based system used by hospital staff to view the incoming victims. Rapid Application Development is used in this project. The prototype has been developed using App Inventor 2, PHP and MYSQL. A mock-up database of the victim personal information is stored in MYSQL

An archetypal determination of mobile cloud computing for emergency applications using decision tree algorithm.

Numerous users are experiencing unsafe communications due to the growth of big network mediums, where no node communication is detected in emergency scenarios. Many people find it difficult to communicate in emergency situations as a result of such communications. In this paper, a mobile cloud computing procedure is implemented in the suggested technique in order to prevent such circumstances, and to make the data transmission process more effective. An analytical framework that addresses five significant minimization and maximization objective functions is used to develop the projected model. Additionally, all mobile cloud computing nodes are designed with strong security, ensuring that all the resources are allocated appropriately. In order to isolate all the active functions, the analytical framework is coupled with a machine learning method known as Decision Tree. The suggested approach benefits society because all cloud nodes can extend their assistance in times of need at an affordable operating and maintenance cost. The efficacy of the proposed approach is tested in five scenarios, and the results of each scenario show that it is significantly more effective than current case studies on an average of 86%

Semiotics:Semantic model-driven development for IoT interoperability of emergency services

Modern early warning systems (EWSs) use Internet-of-Things (IoT) technologies to realize real-time data acquisition, risk detection and message brokering between data sources and warnings' destinations. Interoperability is crucial for effective EWSs, enabling the integration of components and the interworking with other EWSs. IoT technologies potentially improve the EWS efficiency and effectiveness, but this potential can only be exploited if interoperability challenges are properly addressed. The three main challenges for interoperability are: (1) achieving semantic integration of a variety of data sources and different representations; (2) supporting time- and safety-critical applications with performance and scalability; and (3) providing data analysis for effective responses with personalized information requirements. In this paper, we describe the “SEmantic Model-driven development for IoT Interoperability of emergenCy serviceS” (SEMIoTICS) framework, which supports the development of semantic interoperable IoT EWSs. The framework has been validated with a pilot performed with accident use cases at the port of Valencia. The validation results show that it fulfils the requirements that we derived from the challenges above.</p

Pre-hospital Emergency Notification System

The number of death cases is increasing annually due to the increasing number of population in the country while the quality of medical healthcare is not progressing fast enough to ensure the quality of life. One of the factor causes the mortality of people is the lack of appropriate pre-hospital care provided. The effectiveness of pre-hospital care is important to reduce the death risk of severe cases like road accident and heart attack. The author proposes a mobile application which allows the emergency medical team to notify the hospital about the incoming victim’s personal information and medical condition. It also provides a web-based system used by hospital staff to view the incoming victims. Rapid Application Development is used in this project. The prototype has been developed using App Inventor 2, PHP and MYSQL. A mock-up database of the victim personal information is stored in MYSQL

Exploring Strategies that IT Leaders Use to Adopt Cloud Computing

Information Technology (IT) leaders must leverage cloud computing to maintain competitive advantage. Evidence suggests that IT leaders who have leveraged cloud computing in small and medium sized organizations have saved an average of $1 million in IT services for their organizations. The purpose of this qualitative single case study was to explore strategies that IT leaders use to adopt cloud computing for their organizations. The target population consisted of 15 IT leaders who had experience with designing and deploying cloud computing solutions at their organization in Long Island, New York within the past 2 years. The conceptual framework of this research project was the disruptive innovation theory. Semistructured interviews were conducted and company documents were gathered. Data were inductively analyzed for emergent themes, then subjected to member checking to ensure the trustworthiness of findings. Four main themes emerged from the data: the essential elements for strategies to adopt cloud computing; most effective strategies; leadership essentials; and barriers, critical factors, and ineffective strategies affecting adoption of cloud computing. These findings may contribute to social change by providing insights to IT leaders in small and medium sized organizations to save money while gaining competitive advantage and ensure sustainable business growth that could enhance community standards of living

The Value of Integrated Information Systems for U.S. General Hospitals

Each year, huge investments into healthcare information systems (HIS) are being made all over the world. Despite the enormous cost for the hospitals, the overall benefits and costs of the healthcare information systems have not been deeply assessed. In recent years, much previous research has investigated the link between the implementation of Information Systems and the performance of organizations. Although the value of Healthcare Information System or Healthcare Information Technology (HIS/HIT) has been found in many studies, some questions remain unclear. Do HIS/HIT systems influence different hospitals the same way? How to understand and explain the mechanism that HIS/HIT improves the performance of hospitals? To address these questions, our research will: 1) Identify the bottlenecks of the current healthcare system which affects the operation efficiency (mismatch between demand and service provided); 2) Adopt the institutional theory to explain the process of implementing HIS/HIT and the possible outcomes; 3) Conduct an empirical study, to expose issues of current healthcare system and the value of the HIS/HIT, and to identify the factors that affect the performance of different hospitals; and 4) Design a decision support system for hospitals. Based on institutional theory, we explain the empirical findings from 2014 HIMSS database. To solve the mismatch between the patient needs and doctor’s schedule, we will propose a business model for a new integrated information management system. It gives the physicians and patients a comprehensive picture needed to understand the type of different patients. A classification schema will be designed to provide recommendations for scheduling decision, and it is supported by the interactive system

PICT-DPA: A Quality-Compliance Data Processing Architecture to Improve the Performance of Integrated Emergency Care Clinical Decision Support System

Emergency Care System (ECS) is a critical component of health care systems by providing acute resuscitation and life-saving care. As a time-sensitive care operation system, any delay and mistake in the decision-making of these EC functions can create additional risks of adverse events and clinical incidents. The Emergency Care Clinical Decision Support System (EC-CDSS) has proven to improve the quality of the aforementioned EC functions. However, the literature is scarce on how to implement and evaluate the EC-CDSS with regard to the improvement of PHOs, which is the ultimate goal of ECS. The reasons are twofold: 1) lack of clear connections between the implementation of EC-CDSS and PHOs because of unknown quality attributes; and 2) lack of clear identification of stakeholders and their decision processes. Both lead to the lack of a data processing architecture for an integrated EC-CDSS that can fulfill all quality attributes while satisfying all stakeholders’ information needs with the goal of improving PHOs. This dissertation identified quality attributes (PICT: Performance of the decision support, Interoperability, Cost, and Timeliness) and stakeholders through a systematic literature review and designed a new data processing architecture of EC-CDSS, called PICT-DPA, through design science research. The PICT-DPA was evaluated by a prototype of integrated PICT-DPA EC-CDSS, called PICTEDS, and a semi-structured user interview. The evaluation results demonstrated that the PICT-DPA is able to improve the quality attributes of EC-CDSS while satisfying stakeholders’ information needs. This dissertation made theoretical contributions to the identification of quality attributes (with related metrics) and stakeholders of EC-CDSS and the PICT Quality Attribute model that explains how EC-CDSSs may improve PHOs through the relationships between each quality attribute and PHOs. This dissertation also made practical contributions on how quality attributes with metrics and variable stakeholders could be able to guide the design, implementation, and evaluation of any EC-CDSS and how the data processing architecture is general enough to guide the design of other decision support systems with requirements of the similar quality attributes