skip to main content
10.1145/2492517.2500329acmconferencesArticle/Chapter ViewAbstractPublication PageskddConference Proceedingsconference-collections
research-article

The forecast for electronic health record access: partly cloudy

Published:25 August 2013Publication History

ABSTRACT

The mounting pressure to enable widespread access to electronic health record systems is being felt by healthcare providers. The federal government's Meaningful Use incentives are reason alone for providers to address this significant usability issue. As the healthcare industry considers solutions, attention should be given to the Cloud and the considerable investment that has been made related to the establishment of digital identities and making them interoperable across heterogeneous systems. This research considered how the Cloud could be leveraged by healthcare providers to not only provide patients with a familiar way of accessing electronic resources but also creating a significant cost savings for providers. An examination was performed of similar work being done in other industries as well as the standards laid out by the federal government for EHRs and digital identities. This research lays out a comprehensive framework for healthcare providers to easily follow to integrate with the Cloud for identity validation, while meeting compliance guidelines for security and privacy. To demonstrate the viability of this research, a number of pilots and proof of concept projects have already been implemented at a large regional hospital and have produced immediate and tangible improvements.

References

  1. Blumenthal, D., & Tavenner, M. (2010). The "Meaningful Use" Regulation for Electronic Health Records. New England Journal of Medicine, 363, 501--504. doi:10.1056/NEJMp1006114.Google ScholarGoogle ScholarCross RefCross Ref
  2. United States. Department of Health and Human Services. CMS. (2012). "CMS EHR Meaningful Use Overview," retrieved June 2012, https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Meaningful_Use.html.Google ScholarGoogle Scholar
  3. United States. Department of Commerce. National Institute of Standards and Technology. (2011). "Electronic Authentication Guide (rev 1)," retrieved December 2011, http://csrc.nist.gov/publications/nistpubs/800-63-1/SP-800-63-1.pdf. Google ScholarGoogle ScholarDigital LibraryDigital Library
  4. United States. General Services Administration. Office of Government-wide Policy. (2012). "Federal Identity, Credential, and Access Management," retrieved November 2012, http://www.idmanagement.gov/pages.cfm/page/ICAM.Google ScholarGoogle Scholar
  5. United States. Department of Health and Human Services. Centers for Medicare & Medicaid Services. (2011). "CMS System Security and e-Authentication Assurance Levels by Information Type," retrieved November 2012, http://www.cms.gov/Research-Statistics-Data-and-Systems/CMS-Information-Technology/InformationSecurity/Downloads/System-Security-Levels-by-Information-Type.pdf.Google ScholarGoogle Scholar
  6. OpenID Foundation. (2012). "What is OpenID?" retrieved November 2012, http://openid.net/get-an-openid/what-is-openid/.Google ScholarGoogle Scholar
  7. United States. General Services Administration. Office of Government-wide Policy. (2009). "OpenID 2.0 Profile," retrieved November 2012, http://www.idmanagement.gov/documents/ICAM_OpenID20Profile.pdf.Google ScholarGoogle Scholar
  8. Internet2. InCommon. (2012). "What is the Assurance Program?" retrieved November 2012, http://www.incommon.org/assurance/.Google ScholarGoogle Scholar
  9. Open Identity Exchange. (2012). "About Open Identity Exchange," retrieved November 2012, http://openidentityexchange.org/about.Google ScholarGoogle Scholar
  10. United States. General Services Administration. Office of Government-wide Policy. (2013). "Approved Identity Providers, " retrieved May 2013, http://www.idmanagement.gov/approved-identity-providers.Google ScholarGoogle Scholar
  11. Jasig. (2012). "CAS," retrieved December 2012, http://www.jasig.org/cas.Google ScholarGoogle Scholar
  12. Microsoft. (2012). "Windows Server: Active Directory Federation Services," retrieved December 2012, http://technet.microsoft.com/en-us/windowsserver/dd448613.Google ScholarGoogle Scholar
  13. Internet2. (2012). "Social and Organizational Identities Discussion Space," retrieved December 2012, https://spaces.internet2.edu/display/socialid/Home.Google ScholarGoogle Scholar
  14. United States. Department of Commerce. National Institute of Standards and Technology. (2012). "About NSTIC," last accessed November 2012, http://www.nist.gov/nstic/aboutnstic.html.Google ScholarGoogle Scholar

Index Terms

  1. The forecast for electronic health record access: partly cloudy

        Recommendations

        Comments

        Login options

        Check if you have access through your login credentials or your institution to get full access on this article.

        Sign in
        • Published in

          cover image ACM Conferences
          ASONAM '13: Proceedings of the 2013 IEEE/ACM International Conference on Advances in Social Networks Analysis and Mining
          August 2013
          1558 pages
          ISBN:9781450322409
          DOI:10.1145/2492517

          Copyright © 2013 ACM

          Permission to make digital or hard copies of all or part of this work for personal or classroom use is granted without fee provided that copies are not made or distributed for profit or commercial advantage and that copies bear this notice and the full citation on the first page. Copyrights for components of this work owned by others than ACM must be honored. Abstracting with credit is permitted. To copy otherwise, or republish, to post on servers or to redistribute to lists, requires prior specific permission and/or a fee. Request permissions from [email protected]

          Publisher

          Association for Computing Machinery

          New York, NY, United States

          Publication History

          • Published: 25 August 2013

          Permissions

          Request permissions about this article.

          Request Permissions

          Check for updates

          Qualifiers

          • research-article

          Acceptance Rates

          Overall Acceptance Rate116of549submissions,21%

          Upcoming Conference

          KDD '24

        PDF Format

        View or Download as a PDF file.

        PDF

        eReader

        View online with eReader.

        eReader