Healthcare Data Analytics on the Cloud

Meaningful analysis of voluminous health information has always been a challenge in most healthcare organizations. Accurate and timely information required by the management to lead a healthcare organization through the challenges found in the industry can be obtained using business intelligence (BI) or business analytics tools. However, these require large capital investments to implement and support the large volumes of data that needs to be analyzed to identify trends. They also require enormous processing power which places pressure on the business resources in addition to the dynamic changes in the digital technology. This paper evaluates the various nuances of business analytics of healthcare hosted on the cloud computing environment. The paper explores BI being offered as Software as a Service (SaaS) solution towards offering meaningful use of information for improving functions in healthcare enterprise. It also attempts to identify the challenges that healthcare enterprises face when making use of a BI SaaS solution

Value-driven Security Agreements in Extended Enterprises

Today organizations are highly interconnected in business networks called extended enterprises. This is mostly facilitated by outsourcing and by new economic models based on pay-as-you-go billing; all supported by IT-as-a-service. Although outsourcing has been around for some time, what is now new is the fact that organizations are increasingly outsourcing critical business processes, engaging on complex service bundles, and moving infrastructure and their management to the custody of third parties. Although this gives competitive advantage by reducing cost and increasing flexibility, it increases security risks by eroding security perimeters that used to separate insiders with security privileges from outsiders without security privileges. The classical security distinction between insiders and outsiders is supplemented with a third category of threat agents, namely external insiders, who are not subject to the internal control of an organization but yet have some access privileges to its resources that normal outsiders do not have. Protection against external insiders requires security agreements between organizations in an extended enterprise. Currently, there is no practical method that allows security officers to specify such requirements. In this paper we provide a method for modeling an extended enterprise architecture, identifying external insider roles, and for specifying security requirements that mitigate security threats posed by these roles. We illustrate our method with a realistic example

BUSINESS INTELLIGENT AGENTS FOR ENTERPRISE APPLICATION

Fierce competition in a market increasingly crowded and frequent changes in consumer requirements are the main forces that will cause companies to change their current organization and management. One solution is to move to open architectures and virtual type, which requires addressing business methods and technologies using distributed multi-agent systems. Intelligent agents are one of the most important areas of artificial intelligence that deals with the development of hardware and software systems able to reason, learn to recognize natural language, speak, make decisions, to recognize objects in the working environment etc. Thus in this paper, we presented some aspects of smart business, intelligent agents, intelligent systems, intelligent systems models, and I especially emphasized their role in managing business processes, which have become highly complex systems that are in a permanent change to meet the requirements of timely decision making. The purpose of this paper is to prove that there is no business without using the integration Business Process Management, Web Services and intelligent agents.business intelligence, intelligent agents, intelligent systems, management, enterprise, web services

On-site customer analytics and reporting (OSCAR):a portable clinical data warehouse for the in-house linking of hospital and telehealth data

This document conveys the results of the On-Site Customer Analytics and Reporting (OSCAR) project. This nine-month project started on January 2014 and was conducted at Philips Research in the Chronic Disease Management group as part of the H2H Analytics Project. Philips has access to telehealth data from their Philips Motiva tele-monitoring and other services. Previous projects within Philips Re-search provided a data warehouse for Motiva data and a proof-of-concept (DACTyL) solution that demonstrated the linking of hospital and Motiva data and subsequent reporting. Severe limitations with the DACTyL solution resulted in the initiation of OSCAR. A very important one was the unwillingness of hospitals to share personal patient data outside their premises due to stringent privacy policies, while at the same time patient personal data is required in order to link the hospital data with the Motiva data. Equally important is the fact that DACTyL considered the use of only Motiva as a telehealth source and only a single input interface for the hospitals. OSCAR was initiated to propose a suitable architecture and develop a prototype solution, in contrast to the proof-of-concept DACTyL, with the twofold aim to overcome the limitations of DACTyL in order to be deployed in a real-life hospital environment and to expand the scope to an extensible solution that can be used in the future for multiple telehealth services and multiple hospital environments. In the course of the project, a software solution was designed and consequently deployed in the form of a virtual machine. The solution implements a data warehouse that links and hosts the collected hospital and telehealth data. Hospital data are collected with the use of a modular service oriented data collection component by exposing web services described in WSDL that accept configurable XML data messages. ETL processes propagate the data, link, and load it on the OS-CAR data warehouse. Automated reporting is achieved using dash-boards that provide insight into the data stored in the data warehouse. Furthermore, the linked data is available for export to Philips Re-search in de-identified format

The Global academic research organization network: Data sharing to cure diseases and enable learning health systems.

Introduction:Global data sharing is essential. This is the premise of the Academic Research Organization (ARO) Council, which was initiated in Japan in 2013 and has since been expanding throughout Asia and into Europe and the United States. The volume of data is growing exponentially, providing not only challenges but also the clear opportunity to understand and treat diseases in ways not previously considered. Harnessing the knowledge within the data in a successful way can provide researchers and clinicians with new ideas for therapies while avoiding repeats of failed experiments. This knowledge transfer from research into clinical care is at the heart of a learning health system. Methods:The ARO Council wishes to form a worldwide complementary system for the benefit of all patients and investigators, catalyzing more efficient and innovative medical research processes. Thus, they have organized Global ARO Network Workshops to bring interested parties together, focusing on the aspects necessary to make such a global effort successful. One such workshop was held in Austin, Texas, in November 2017. Representatives from Japan, Taiwan, Singapore, Europe, and the United States reported on their efforts to encourage data sharing and to use research to inform care through learning health systems. Results:This experience report summarizes presentations and discussions at the Global ARO Network Workshop held in November 2017 in Austin, TX, with representatives from Japan, Korea, Singapore, Taiwan, Europe, and the United States. Themes and recommendations to progress their efforts are explored. Standardization and harmonization are at the heart of these discussions to enable data sharing. In addition, the transformation of clinical research processes through disruptive innovation, while ensuring integrity and ethics, will be key to achieving the ARO Council goal to overcome diseases such that people not only live longer but also are healthier and happier as they age. Conclusions:The achievement of global learning health systems will require further exploration, consensus-building, funding aligned with incentives for data sharing, standardization, harmonization, and actions that support global interests for the benefit of patients

CLINICAL DATA WAREHOUSE: A REVIEW

Clinical decisions are crucial because they are related to human lives. Thus, managers and decision makers inthe clinical environment seek new solutions that can support their decisions. A clinical data warehouse (CDW) is animportant solution that is used to achieve clinical stakeholders’ goals by merging heterogeneous data sources in a centralrepository and using this repository to find answers related to the strategic clinical domain, thereby supporting clinicaldecisions. CDW implementation faces numerous obstacles, starting with the data sources and ending with the tools thatview the clinical information. This paper presents a systematic overview of purpose of CDWs as well as the characteristics;requirements; data sources; extract, transform and load (ETL) process; security and privacy concerns; design approach;architecture; and challenges and difficulties related to implementing a successful CDW. PubMed and Google Scholarare used to find papers related to CDW. Among the total of 784 papers, only 42 are included in the literature review. Thesepapers are classified based on five perspectives, namely methodology, data, system, ETL tool and purpose, to findinsights related to aspects of CDW. This review can contribute answers to questions related to CDW and providerecommendations for implementing a successful CDW

Navigating Data Warehousing Implementation in Jordanian Healthcare Sector: Challenges and Opportunities

Introduction: The implementation of data warehouse systems offers great potential for improving patient care, operational efficiency, and strategic decision-making. This study explores the challenges and opportunities of implementing data storage solutions in the Jordanian healthcare industry. Objectives: To investigate current data management practices, perceptions of data warehouses, and factors influencing adoption readiness among IT professionals in Jordanian healthcare organizations. Methods: A survey was conducted involving 102 IT professionals from various healthcare organizations in Jordan. Participants responded to a structured questionnaire, providing insights into key benefits, expected challenges, technical requirements, and future prospects for data warehousing in their organizations. Results: The study demonstrated the critical role of data warehouses in enhancing decision-making, patient care coordination, and operational efficiency within the Jordanian healthcare system. However, significant challenges such as data integration, security concerns, and regulatory compliance were identified. Conclusions: The paper provides recommendations to address these challenges and maximize the benefits of healthcare data warehouses in Jordan. Key strategies include investing in technical expertise, ensuring compatibility with existing systems, and improving data management practices. This study enhances understanding of the complexities associated with implementing data warehousing in the Jordanian healthcare industry and offers valuable insights for future research and practice in this evolving field

An Ontology Approach for Knowledge Acquisition and Development of Health Information System (HIS)

This paper emphasizes various knowledge acquisition approaches in terms of tacit and explicit knowledge management that can be helpful to capture, codify and communicate within medical unit. The semantic-based knowledge management system (SKMS) supports knowledge acquisition and incorporates various approaches to provide systematic practical platform to knowledge practitioners and to identify various roles of healthcare professionals, tasks that can be performed according to personnel’s competencies, and activities that are carried out as a part of tasks to achieve defined goals of clinical process. This research outcome gives new vision to IT practitioners to manage the tacit and implicit knowledge in XML format which can be taken as foundation for the development of information systems (IS) so that domain end-users can receive timely healthcare related services according to their demands and needs