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Initiatives Addressing Confidentiality in Electronic Health Records Architectural Consideration and Patient Engagement in Healthcare IT

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Digital Technology and Organizational Change

Part of the book series: Lecture Notes in Information Systems and Organisation ((LNISO,volume 23))

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Abstract

This paper reviews the literature on electronic health records and summarizes a few persistent challenges that electronic medical record (EMR) systems must address relating to security and safety of patients. A discussion on patient engagement and its connection with confidentiality in Health IT is followed by examples with an emphasis on the personal health record portal implementation at Kaiser Permanente. Next, through review of practitioner and architectural guideline documentation, a summary of concepts for electronic health records architectural considerations for privacy with the implementation of technologies such as access controls, encryption and data handling best practices. In this position paper, two major initiatives are revealed: (1) The premise of patient engagement and (2) the guidelines for a “Robust Health Data Infrastructure Architecture” platform for Health IT.

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Notes

  1. 1.

    http://www.himssanalytics.org/stagesGraph.asp.

  2. 2.

    http://www.himss.org/.

  3. 3.

    http://www.himss.org/library/patient-engagement-toolkit.

  4. 4.

    http://www.himss.org/library.

  5. 5.

    http://mobihealthnews.com/29985/in-depth-a-brief-history-of-digital-patient-engagement-tools.

  6. 6.

    https://store.healthleadersmedia.com/patient-engagement-for-population-health-the-kaiser-permanente-msha-models-1

  7. 7.

    http://www.healthleadersmedia.com/content/MAG-88640/Behind-the-Wires.

  8. 8.

    JASON is an independent group of scientists who advise the United States government on matters of science and technology whose efforts are facilitated by the MITRE Corporation.

  9. 9.

    JASON. “A Robust Health Data Infrastructure,” prepared for the Agency for Health Care Research and Quality, AHRQ publication number 14-0041-EF, Rockville, MD, 2014.

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Authors and Affiliations

  1. Grenoble Graduate School of Business, Grenoble, France

    Nabil Georges Badr

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  1. Nabil Georges Badr
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Correspondence to Nabil Georges Badr .

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Editors and Affiliations

  1. Department of Business Administration, University of Verona, Verona, Italy

    Cecilia Rossignoli

  2. Department of Economics and Management, University of Sassari, Sassari, Italy

    Francesco Virili

  3. Department of Business and Management, LUISS University, Rome, Italy

    Stefano Za

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Badr, N.G. (2018). Initiatives Addressing Confidentiality in Electronic Health Records Architectural Consideration and Patient Engagement in Healthcare IT. In: Rossignoli, C., Virili, F., Za, S. (eds) Digital Technology and Organizational Change. Lecture Notes in Information Systems and Organisation, vol 23. Springer, Cham. https://doi.org/10.1007/978-3-319-62051-0_21

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