Investigation Interoperability Problems in Pharmacy Automation: A Case Study in Saudi Arabia

The aim of this case study is to investigate the nature of interoperability problems in hospital systems automation. One of the advanced healthcare providers in Saudi Arabia is the host of the study. The interaction between the pharmacy system and automated medication dispensing cabinets is the focus of the case system. The research method is a detailed case study where multiple data collection methods are used. The modelling of the processes of inpatient pharmacy systems is presented using Business Process Model Notation. The data collected is analysed to study the different interoperability problems. This paper presents a framework that classifies health informatics interoperability implementation problems into technical, semantic, organisational levels. The detailed study of the interoperability problems in this case illustrates the challenges to the adoption of health information system automation which could help other healthcare organisations in their system automation projects

Marshfield Clinic: Health Information Technology Paves the Way for Population Health Management

Highlights Fund-defined attributes of an ideal care delivery system and best practices, including an internal electronic health record, primary care teams, physician quality metrics and mentors, and standardized care processes for chronic care management

Reporting an Experience on Design and Implementation of e-Health Systems on Azure Cloud

Electronic Health (e-Health) technology has brought the world with significant transformation from traditional paper-based medical practice to Information and Communication Technologies (ICT)-based systems for automatic management (storage, processing, and archiving) of information. Traditionally e-Health systems have been designed to operate within stovepipes on dedicated networks, physical computers, and locally managed software platforms that make it susceptible to many serious limitations including: 1) lack of on-demand scalability during critical situations; 2) high administrative overheads and costs; and 3) in-efficient resource utilization and energy consumption due to lack of automation. In this paper, we present an approach to migrate the ICT systems in the e-Health sector from traditional in-house Client/Server (C/S) architecture to the virtualised cloud computing environment. To this end, we developed two cloud-based e-Health applications (Medical Practice Management System and Telemedicine Practice System) for demonstrating how cloud services can be leveraged for developing and deploying such applications. The Windows Azure cloud computing platform is selected as an example public cloud platform for our study. We conducted several performance evaluation experiments to understand the Quality Service (QoS) tradeoffs of our applications under variable workload on Azure.Comment: Submitted to third IEEE International Conference on Cloud and Green Computing (CGC 2013

Towards security monitoring patterns

Runtime monitoring is performed during system execution to detect whether the system’s behaviour deviates from that described by requirements. To support this activity we have developed a monitoring framework that expresses the requirements to be monitored in event calculus – a formal temporal first order language. Following an investigation of how this framework could be used to monitor security requirements, in this paper we propose patterns for expressing three basic types of such requirements, namely confidentiality, integrity and availability. These patterns aim to ease the task of specifying confidentiality, integrity and availability requirements in monitorable forms by non-expert users. The paper illustrates the use of these patterns using examples of an industrial case study

Governors' Budgets for FY 2013 - What Is Proposed for Medicaid?

Examines trends in governors' Medicaid budget proposals, including expected shortfalls, fiscal priorities, additional spending cuts, policy actions to control Medicaid costs, and targeted investments, as well as tax cuts and fiscal reform proposals

Development of canopy vigour maps using UAV for site-specific management during vineyard spraying process

Site-specific management of crops represents an important improvement in terms of efficiency and efficacy of the different labours, and its implementation has experienced a large development in the last decades, especially for field crops. The particular case of the spray application process for what are called “specialty crops” (vineyard, orchard fruits, citrus, olive trees, etc.)FI-DGR grant from Generalitat de Catalunya (2018 FI_B1 00083). Research and improvement of Dosaviña have been developed under LIFE PERFECT project: Pesticide Reduction using Friendly and Environmentally Controlled Technologies (LIFE17 ENV/ES/000205)This research was partially funded by the “Ajuts a les activitats de demostració (operació 01.02.01 de Transferència Tecnològica del Programa de desenvolupament rural de Catalunya 2014-2020)” and an FI-DGR grant from Generalitat de Catalunya (2018 FI_B1 00083). Research and improvement of Dosaviña have been developed under the LIFE PERFECT project: Pesticide Reduction using Friendly and Environmentally Controlled Technologies (LIFE17 ENV/ES/000205).This research was partially funded by the “Ajuts a les activitats de demostració (operació 01.02.01 de Transferència Tecnològica del Programa de desenvolupament rural de Catalunya 2014-2020)” and an FI-DGR grant from Generalitat de Catalunya (2018 FI_B1 00083). Research and improvement of Dosaviña have been developed under LIFE PERFECT project: Pesticide Reduction using Friendly and Environmentally Controlled Technologies (LIFE17 ENV/ES/000205)Postprint (updated version

Email for clinical communication between healthcare professionals

Email is one of the most widely used methods of communication, but its use in healthcare is still uncommon. Where email communication has been utilised in health care, its purposes have included clinical communication between healthcare professionals, but the effects of using email in this way are not well known. We updated a 2012 review of the use of email for two-way clinical communication between healthcare professionals

Web Vulnerability Study of Online Pharmacy Sites

Consumers are increasingly using online pharmacies, but these sites may not provide an adequate level of security with the consumers’ personal data. There is a gap in this research addressing the problems of security vulnerabilities in this industry. The objective is to identify the level of web application security vulnerabilities in online pharmacies and the common types of flaws, thus expanding on prior studies. Technical, managerial and legal recommendations on how to mitigate security issues are presented. The proposed four-step method first consists of choosing an online testing tool. The next steps involve choosing a list of 60 online pharmacy sites to test, and then running the software analysis to compile a list of flaws. Finally, an in-depth analysis is performed on the types of web application vulnerabilities. The majority of sites had serious vulnerabilities, with the majority of flaws being cross-site scripting or old versions of software that have not been updated. A method is proposed for the securing of web pharmacy sites, using a multi-phased approach of technical and managerial techniques together with a thorough understanding of national legal requirements for securing systems

Towards improved performance and interoperability in distributed and physical union catalogues

Purpose of this paper: This paper details research undertaken to determine the key differences in the performance of certain centralised (physical) and distributed (virtual) bibliographic catalogue services, and to suggest strategies for improving interoperability and performance in, and between, physical and virtual models. Design/methodology/approach: Methodically defined searches of a centralised catalogue service and selected distributed catalogues were conducted using the Z39.50 information retrieval protocol, allowing search types to be semantically defined. The methodology also entailed the use of two workshops comprising systems librarians and cataloguers to inform suggested strategies for improving performance and interoperability within both environments. Findings: Technical interoperability was permitted easily between centralised and distributed models, however the various individual configurations permitted only limited semantic interoperability. Significant prescription in cataloguing and indexing guidelines, greater participation in the Program for Collaborative Cataloging (PCC), consideration of future 'FRBR' migration, and greater disclosure to end users are some of the suggested strategies to improve performance and semantic interoperability. Practical implications: This paper informs the LIS research community and union catalogue administrators, but also has numerous practical implications for those establishing distributed systems based on Z39.50 and SRW, as well as those establishing centralised systems. What is original/value of the paper?: The paper moves the discussion of Z39.50 based systems away from anecdotal evidence and provides recommendations based on testing and is intimately informed by the UK cataloguing and systems librarian community