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PubMed1996

Information systems for integrated healthcare delivery.

Even without passage of Federal healthcare reform legislation, the healthcare market is responding to cost-control pressures by becoming more integrated and business-driven. As mergers and collaborations increase, automated system infrastructures must be developed to support the information needs of newly formed integrated healthcare delivery systems. Strategic plans must include provisions for creating new information systems or expanding existing systems so they can support seamless integration and access to patient data among varying providers.

Community Networks↗
PubMed1995

Integrated healthcare information systems.

When it comes to electronic data processing in healthcare, we offer a guarded, but hopeful, prognosis. To be sure, the age of electronic information processing has hit healthcare. Employers, insurance companies, hospitals, physicians and a host of ancillary service providers are all being ushered into a world of high speed, high tech electronic information. Some are even predicting that the health information business will grow from $20 billion to over $100 billion in a decade. Yet, out industry lags behind other industries in its overall movement to the paperless world. Selecting and installing the most advanced integrated information system isn't a simple task, as we've seen. As in life, compromises can produce less than optimal results. Nevertheless, integrated healthcare systems simply won't achieve their goals without systems designed to support the operation of a continuum of services. That's the reality! It is difficult to read about the wonderful advances in other sectors, while realizing that many trees still fall each year in the name of the health care industry. Yes, there are some outstanding examples of organizations pushing the envelop in a variety of areas. Yet from a very practical standpoint, many (like our physician's office) are still struggling or are on the sidelines wondering what to do. Given the competitive marketplace, organizations without effective systems may not have long to wonder and wait.

Community Networks↗
PubMedDate not supplied

How secure is the Internet for healthcare applications?

The Internet has grown faster than any other communications medium or consumer electronics technology--including the fax machine and personal computer. It offers new possibilities for providing economical and good quality patient care, but how secure is it? Is it prudent to communicate patient information over the Internet? For confidential patient information to be transmitted appropriately on the Internet, the originator must be clearly identified without any chance of impersonation; the information must be transmitted without any possibility of corruption or alteration; and the process must be secure. Many experts recognize the need to secure privacy of information, and there are some standards for electronic signatures and data encryption. However, no one has yet come up with a plan that offers a comprehensive solution. Appropriate confidentiality and security legislation has not yet been passed by the U.S. Congress. The following security technologies are currently available and are described in this article: cryptography, authentication devices, electronic signature systems, firewalls, secure hypertext transfer protocol and secure sockets layer protocol. Until proper standards are developed and accepted, providers should use available technologies to protect both patient records and themselves. The legal consequences of mishandling confidential patient information can be disastrous.

Computer Communication Networks↗
PubMed1995

Will CHINs hit the jackpot or break the bank?

Before providers, payers and others sign up to share data through community health information networks, they're asking for proof that savings will far exceed the cost. The fate of the CHIN movement may hinge on the evidence.

Community Networks↗
PubMedDate not supplied

Arkansas experience: between the government & the private sector.

Officials in many communities, states and regions are trying to establish networks to electronically exchange administrative and clinical data. Today, however, few examples of truly operational healthcare information networks (HINs) exist. Because of governance, control and cost, efforts toward integrating clinical information have not progressed. These issues are most apparent in the struggle to establish community health information networks (CHINs).

Arkansas↗
PubMed1996

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Computer Communication Networks↗