Cloud-Based Solutions for Healthcare IT

Contents......Page 10
Preface......Page 8
Section I: Introduction to Cloud-Based Systems......Page 13
1.1 The Traditional IT Paradigm......Page 15
1.2 Definition of Cloud Services......Page 19
1.3 Features of Cloud Services......Page 20
1.4 Types of Cloud Services......Page 23
1.5 Evolution of Cloud Services......Page 27
References......Page 33
2. Benefits and Drawbacks of Cloud Services......Page 35
2.1 Functionality and Ease of use......Page 36
2.2 Cost......Page 38
2.3 Security......Page 44
2.4 Anytime, Anywhere Access from any Device......Page 55
2.5 System Audits......Page 57
2.6 Business Model......Page 58
2.8 System Performance—Speed, Latency, Availability......Page 60
2.9 Vendor Lockin......Page 62
2.11 Collaboration Capability......Page 63
2.12 Cloud Service Provider Perspective......Page 64
2.13 Perceptions......Page 66
References......Page 67
3.1 Browser-based Applications......Page 69
3.2 Server Resource Optimization......Page 79
3.3 The Datacenter......Page 86
3.4 Private Clouds......Page 88
3.5 SaaS Model......Page 89
References......Page 91
Section II: Cloud Services for Healthcare IT......Page 93
4. Cloud-based Solutions for Healthcare IT......Page 95
4.1 Healthcare IT is Different from IT used in other Industries......Page 96
4.2 Cloud-based Systems for Healthcare IT......Page 98
4.3 Advantages of Cloud-based healthcare IT Systems......Page 114
4.4 ASP Models and Cloud-based Systems......Page 115
4.5 Summary......Page 116
References......Page 117
5.1 What is HIPAA......Page 119
5.2 The HITECH Act......Page 123
5.3 Definitions......Page 125
5.4 HIPAA Security Rule......Page 132
5.5 HIPAA Privacy Rule......Page 145
5.6 HIPAA Best Practices......Page 151
5.7 Breach Notifi cation......Page 160
5.8 EHR Regional Extension Centers......Page 161
5.9 Enforcement......Page 162
5.10 Meaningful Use Criteria......Page 163
References......Page 164
6. Adopting Cloud Services......Page 165
6.2 Getting Started with a Non-critical Cloud-based Service (Creating the Infrastructure)......Page 167
6.3 Vendor Selection......Page 171
6.4 Adopting a Cloud Service......Page 188
6.5 Post Installation......Page 193
References......Page 194
Section III: Topics in Healthcare IT......Page 195
7.1 Need for Interoperability......Page 197
7.2 What is Interoperability?......Page 200
7.3 Healthcare Information Exchanges and Regional Health Information Organizations......Page 202
7.4 An Example of Interoperability......Page 206
7.5 Interoperability Standard HL7......Page 208
7.6 Interoperability and Cloud-based Systems......Page 220
References......Page 221
8. Cloud-based Personal Health Records (PHR)......Page 223
8.1 Google Health......Page 228
8.2 Microsoft HealthVault......Page 230
8.3 Home Monitoring......Page 232
8.4 Web-Meetings for Healthcare or eVisits......Page 235
8.5 Mobile PHR Applications......Page 237
8.6 Getting Started with a PHR......Page 239
References......Page 242
9.1 Waiting Room Solutions Case Study......Page 243
9.2 Mitochon Systems Case Study......Page 256
Appendices......Page 261
Appendix A: HIPAA Security Checklist......Page 263
Appendix B: Sample Business Associate Contract......Page 271
Appendix C: Meaningful Use Guidelines and Certifi cation Criteria......Page 278
Appendix D: Sample-Interview and Document Request for HIPAA Security Onsite Investigations and Compliance Reviews......Page 291
Appendix E: Evolution of State Health Information Exchange......Page 295
Appendix F: SSL Handshake......Page 299