Security framework for cloud based electronic health record (EHR) system

Health records are an integral aspect of any Hospital Management System. With newer innovations in technology, there has been a shift in the way of recording health information. Medical records which used to be managed using various paper charts have now become easier to organize and maintain, thereby increasing the efficiency of medical staff. The Electronic Health Records (EHR) System is becoming a high-tech medical management technology developed for the economic or emerging economic countries like India. In a national health system, the EHR integrates the Electronic Medical Records (EMR) in all collaborating hospitals through different networks. EHR gives healthcare professionals a way to share and manage patient data quickly and effectively. Due to the mass storage of confidential patient data, healthcare organizations are considered as one of the most targeted sectors by intruders. This paper proposes a security framework for EHR system, which takes into consideration the integrity, availability, and confidentiality of health records. The threats posed to the EHR system are modeled by STRIDE modeling tool, and the amount of risk is calculated using DREAD. The paper also suggests the security mechanism and countermeasures based on security standards, which can be utilized in an EHR environment. The paper shows that the utilization of the proposed methods effectively addresses security concerns such as breach of sensitive medical information

Information Security Foundations for Electronic Medical Records

Electronic medical records are clearly in the future and should provide benefits to all parties. Trust in the information is dependent upon the security of the system and the history of security associated with distributed electronic record systems should initiate many questions for such a critical system. The current methodology of broad regulatory guidance and letting industry “do its best” has failed in the financial sector with identity theft becoming a significant crime. Allowing the same outcome to occur in electronic medical records will both limit the efficiencies and imperil lives. The solution is to enjoin security from the ground up in a tight knit method similar to national security systems, and to do that across the myriad of players will require regulation. This paper explores the basis for the regulation of technical solutions and proposes a form in which they can be employed

EVALUATION OF FORMAT AND SECURITY OF DENTAL ELECTRONIC MEDICAL RECORD SYSTEMS IN GENERAL HOSPITAL BASED ON LEGISLATION

Background: Electronic medical records in dentistry are the latest implementation in the health sector, especially dental health history to the services needed by patients by health care facilities and affect the format of dental, medical records and electronic medical record security systems. This study aimed to review the completeness of the medical record format and the electronic medical record security system of the dental polyclinic of the General Hospital in Batam City. Method: This study used a descriptive cross-sectional observational design with two samples. Processing data in the form of tables and texts and conclusions as a result of research. Result: The results showed incomplete dental electronic medical record formats at hospital A, such as patient identity, required medical data, odontogram, intraoral examination, and treatment chart, while Hospital B included patient identity, required medical data, intraoral analysis, treatment chart, and appendix. The two samples did not meet the integrity and non-repudiation aspects of the electronic medical record security system. Conclusion: According to the Indonesian Dental Medical Record Guidelines, both samples have an incomplete dental electronic medical record format and security system

EVALUATION OF ELECTRONIC MEDICAL RECORD FORMAT AND SECURITY SYSTEM IN DENTAL CLINIC OF THE GENERAL HOSPITAL IN BATAM CITY

Background: Electronic medical records in dentistry are the latest implementation in the health sector, especially dental health history to the services needed by patients by health care facilities and affect the format of dental medical records and electronic medical record security systems. This study aimed to review the completeness of the medical record format and the electronic medical record security system of the dental polyclinic of the General Hospital in Batam City. Method: This study used a descriptive cross-sectional observational design with two samples. Processing of data in the form of tables and texts as well as conclusions as a result of research.Result: The results showed that there were incomplete dental electronic medical record formats at Hospital A such as patient identity, required medical data, odontogram, intraoral examination, and treatment chart while Hospital B such as patient identity, required medical data, intraoral examination, treatment chart, and appendix. In the electronic medical record security system, the two samples did not meet the integrity and non-repudiation aspects.Conclusion: There is an incomplete dental electronic medical record format and security system in both samples according to the Indonesian Dental Medical Record Guidelines

WHAT ARE THE BARRIERS TO THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS? A REVIEW OF RECENT STUDIES

Information technology utilization in the health sector is increasingly widespread. One aspect that cannot be separated from the intervention of information technology is medical records management through electronic medical records implementation. The number of healthcare facilities that implement electronic medical records is increasing. However, it is important to understand the various barriers that may be encountered in the electronic medical records implementation so that the success rate of implementation will be higher. This study aims to identify the current state of knowledge about electronic medical records implementation barriers. A literature review was conducted using three databases, PubMed, Science Direct, and Google Scholar using "electronic medical records'' and "implementation barriers" as keywords. There were 13 articles used in this study. There are 8 categories of barriers to the implementation of electronic medical records which consist of technical concerns, initial and maintenance costs, security concerns, lack of technical support, user resistance, system interoperability capability, lack of infrastructures, and productivity concerns

A Study Of The Security Of Electronic Medical Records Utilizing Six Knowledge Categories And Subjects Demographics

Healthcare employees with their motivation to comply with security policies play an extremely important role in protecting patients’ privacy. In this research we attempt to survey the attitude of healthcare employees towards security of Electronic Medical Records. We further review what factors impact their perception of the medical data security and determine how well they understand policies, procedures, organization structures, and other aspects related to EMR protection.