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If I am a director of a hospital, I would have a plan to move the hospital’s information system to cloud computing, but the cloud computing system must have maximum security. The reason I would move to cloud computing is that it is easy to access from anywhere, which is mandatory in the current situation. For instance, in an outbreak of COVID-19, we need to establish a field hospital to handle the patients. The field hospital must be monitored remotely. Many data and software (e.g. Electronic medical records, PACs, medicine prescription systems) must be shared with the hospital. Consultation with experts would be easier without the experts going to the field hospital onsite.
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Let me share my experience, my organization decided to migrate entire production system to the cloud. For a number of reasons, for example: 1) we wanted to reduce our hardware and server maintenance budget; 2) we had few IT staffs to take care of the hardware infrastructure including server rooms and security systems. So we looked for cloud providers that have security standards such as ISO 27001 with a good and reliable backup systems in place. Today my organization uses both IaaS to host many production applications and SaaS like Office 365 etc.
Thank you,
Pongthep
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I would move my hospital’s information system to cloud computing.
There are many advantage of changing HIS from on-prem into on-cloud including
1. by using on-cloud service from decent vender, it might be better security than just run security by a few hospital IT officers.
2. Nowadays, venders providing HIS services tend to develop HIS system on-cloud and using web-based application that provide more flexibility than traditional application. This make us work anywhere and anytime, hence we can work more effective.
3. We can got maintenance from vender more effectively with cloud service.
4. It might be easier to integrate multiple application from multiple company to work together by using cloud services.Although there are many benefits by moving HIS to cloud, the most challenging thing might be about vender selection and data privacy. We have to choose vender carefully because moving to cloud means vender will be like hospital’s partner to run the business.
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I agree, no matter where the system works, data security must be a first consideration.
Even though, your production systems are hosting on cloud, you still need to have a good plan for many things such as performance monitoring and tuning, backup policy, and contingency plan.Nice post.
Thank you,
Pongthep
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I would highly recommend the use of cloud computing for HIS, as the transformation would bring a lot of benefits such as accessibility to the patients’ information from inside/ outside the premises as required, traceability in disease history across multiple health facilities if the system is shared, and also because of its low initial investment cost.
Although security risks such as cyber attack is one of the concerns, the benefits outweigh the disadvantages if the service provider is properly selected. -
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If I am a director of a public hospital. I still use the local server for operating day-to-day healthcare work and PAC due to the high cost of corporate cloud computing. By transforming health data from the manual/electronic to the digital system to reduce file size and increase usability. Strengthen security protocol for employers at every level. Creating barriers between the internet and intranet. But employers still export/import data from the intranet websites.
I will use cloud computing for non-medical data such as administrative work.-
In my opinion, transforming health data from manual/paper base to digital data is one of the hardest process, especially for the hospital that has just started. We have to transform large amount of previous stored data and change the system, and that leads to changing the process of how workers do in daily routine.
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I would like to move the hospital information system’s to cloud computing. It gives many benefits to health practitioners. For example in the administrative part, we can simplify the patient records in the cloud instead of storing paper that can pile up and taking a lot of space. It will also can help if one day you want to use patient data for analysis, you can generate it relatively quickly from the database. Of course, for all of this you need carefully consider the service models, whether to use private, hybrid, or public cloud models.
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If I were a director of the hospital, I would plan to move the Facility’s Information system to cloud computing. There are different cloud computing services models like IaaS, PaaS, and SaaS . As Each service model has its pros and cons, we need to consider the facility’s resources, staff, and infrastructure.
When the hospital’s information is connected with the cloud, it saves money, time and data is easily accessible when in need. -
If I am an executive of a hospital, I would surely move the hospital’s information system to the cloud computing even though there are many challenges that should be concerned such as privacy, security and workflow. Cloud computing will improve the personalization care and develop the healthcare service system effectively. They can reduce the resource and time of each working process. Cloud computing can provide the access remotely and they can share the data between healthcare provider which can be advantageous to faster clinical treatment. Data sharing must base on the same standard and understanding. Privacy and security of the system should be the highest concerned.
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According to the lesson, I think move the hospital’s information system to cloud computing will improve the accessibilities of hospital’s information to all health expert from everywhere and every devices. And also saving cost for purchase or upgrade a new data storage for the system and it can make sure that the information will not disappear and have secure with the cloud. I would love to should infrastructure as a cloud or Iaas, hybrid type to be a model for store hospital’s information because it share the information between branch of hospital and also patient or costumer can access the data (ex. look up for the history of medication and appointment date).
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If I were a director of the hospital, I would change HIS to cloud, Using HIS on cloud computing can reduce costs for investment and maintenance, IT staff, and areas for computer servers and document storage. We can easily access HIS wherever and whenever we want. Backup of data in the cloud is another advantage because it automatically updates data to the time we set. Cloud computing also provides standard data privacy and security.
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For my opinion, I would like to transform hospital service system to cloud computing because it’s save the cost of the operation, decrease processing time and human errors in some point. As well as, these system will make operator access the data easier than conventional system. However, these idea is based on high confidentiality cloud computing system due to data security and privacy aspect.
Taksin U.
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If I were the director, I would like to move the hospital’s information to cloud computing for many reasons, such as low cost on data storage, especially if dealing with imaging data that need an extensive storage system. Moreover, accessibility might be another significant advantage for cloud computing systems because you can access and share data effectively.
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If I were a hospital’s top leader, I would pay investment of the hospital’s information system to cloud service as it provides leverages to manage, store, and process data online through the general internet.
Hospitals, both primary and referral hospitals may have a complex organizational structure, and communication across clinicians is highly required. Storing alone on the hospital data infrastructure makes patients’ information not centrally located, but cloud computing allows the hospital to work in a collaborative way. The presence of cloud technology would be effective to run the HIS which can be used by multiple departments to access patients’ data remotely and on-demand through their own devices.
In my preference, the private cloud delivery model is suitable for healthcare setting as a hospital contains confidential patient data; therefore, this deployment model only allows my hospital organization to use this cloud service. In my opinion, a hospital director should aware of the security of sensitive patient data and supposed not to deny the risk of phishing attacks when implementing the public cloud option. In a referral hospital that manages a big amount of clinical data, the director should consider to build data center within the organization network, hire cloud administrators, procure and purchase all physical servers, as well as conduct the installation on which the cloud is built.
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I can perform risk assessment first to determine if there is a need to transition to cloud computing or retain for a couple of years.
As mentioned in the lecture, transitioning to cloud computing can be costly upfront. Can the resources of the hospital afford this transition? Will the users be amenable to this change? Is there a need to transition to cloud computing if the current system is working well? How will this transition affect the current operations? Are there vendors in the market who are reputable in handling health data? These are some of the questions that need to be answered first before considering the adoption of cloud computing in the hospital system.
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Absolutely, you need to have a good plan for the transition. Apart of cost, one thing that very important to take into consideration is about standard of cloud providers. From my experience, the cloud providers should have certification of at least ISO 27001, ISO 27799, and CSA STAR. Also, they should guarantee Service Level Agreement (SLA) Internet Connectivity Uptime 99.xx% and IDC Infrastructure Uptime 99.xx%
Pongthep
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If I were the director of a private 120-beds hospital with the existing system as an on-premise EHR system, I would have to consider the profit of the hospital a significant part.
In the assumption that the function of the cloud EHR system is equal to the on-premise EHR system. I’d be calculating the total cost of acquisition adding the total system maintenance cost and data breach insurance cost compared to maintaining the old system cost adding opportunity cost. Which one is cheaper I would choose that one and if I had to guess I think the old system cost cheaper. I believe that because the hospital has already paid the upfront cost and small hospitals can’t have economies of scale.
On the other hand, if I’m going to build another new hospital that will have 300 beds and the system can be interhospital connected, I think the cloud EHR system would be a more cost-effective option.
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It is important to consider the cost of where to host the system. I agree with you to choose the one which is cheaper. In fact, hosting the on-premise system, where are many costs we have to consider such as software licensing, server and network equipments. Also, there might be more expenses on IT personnel like network engineers, system administrators, as well as the cost of electricity and cooling system.
I’d like to share my experience. The system I am currently using has both on-premise and on-cloud solution, both of which are related each other. I have been gradually migrating from on-premise to on-cloud until today.
Currently, I would say my systems are a point called “hybrid’ that the two systems could work together. Data can be sent/received between each other, however my plan is to transfer everything to the entire on-cloud. To be honest, it would take a long time.Pongthep
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As a hospital directory, I would suggest to implement cloud technology for healthcare organizations. I consider scalability and chances to share information when there is large data and data that needs to be connected in between departments or with national data center. Moreover, Paperwork reduction and remote facilities might help to improve quality of life in both patient and healthcare worker.
I would recommend Hybrid model of cloud which could combine two or more clouds together. Public, Private and On-premises systems could be connected and are available to use with different purposes.
Hybrid cloud is suitable for slow adoption because of the large amount of data and limitation of staff’s skills. Gradually data migration could be used. Some systems could still run via On-premises while some systems have started migrating into clouds.
Moreover, Flexibility between security, confidentiality and data sharing could be adapted by hybrid cloud. Important or personal data can be privately kept in the organization server while some data could be backed up via public cloud in case of incident or disaster. Apart from that, the level of confidentiality possibly could be adjusted via patient’s preference. Some patients might agree with sharing their data on public server in case of emergency or changing healthcare units while some patients might want to keep their data private at hospital.
However, there is some burden of using cloud in healthcare organizations. Comparing the cost of newly built cloud to on-premises system: Transactions-based provision from cloud provider might be cheaper than cost of hardware storage but the upfront cost of adopting new cloud and maintenance might increase total cost. Comparing total expenditure to the current system, organization incentive and return benefit have to be involved.
Moreover, connecting data to the cloud provider could be a risk in many aspects. Well known providers with data management standards have to be selected and contracts for ensuring the performance and responsibility of the cloud provider have to be managed. For example, if there are data leakages or downtime due to redundancy access, cloud providers have to take responsibility based from the contract which was made previous.-
Today, my information system is hosting on a hybrid cloud too, which has both on-premise and on-cloud systems, connected to each other. Before migrating to the cloud, the reliability of the cloud provider was my first consideration. They must have several standards such as ISO 27001 and CSA STAR which is Cloud Security Certification.
Thanks,
Pongthep -
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If I were a director of a hospital, I would move the hospital’s information system to cloud computing. It has the benefit of cost-cutting of investment in hardware, software, network backup storage, and disaster recovery systems. For clinical use, cloud computing will allow healthcare providers to access data remotely, especially working during pandemics. The maintenance and support from the cloud service provider are other advantages. However, information security and privacy are challenging issues in the healthcare system, so in my opinion, I would invest in the hybrid cloud delivery model.
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Hybrid cloud is a good choice for an organization that having on-premise system and have a plan to migrate to the cloud system. Absolutely, you can save cost by hosting a sytem on cloud, for example, you can save cost of hardware maintenance, IT network engineers, etc. Also, most cloud service providers also provide many important services with no charge such as full backup service and restoration in different data center locations.
Thanks,
Pongthep -
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If I were the director of a hospital, I may move the information system of my hospital to the cloud system. The biggest barrier to move the system to the cloud is the concern about privacy of our patients that information about their illness would not leak to unauthorized users. Therefore, if I were asked to move the hospital to cloud-base system, I would like to implement the system on hybrid cloud deployment because I can keep the sensitive information of patients at hospital private cloud. The other information will be kept on public cloud to minimize risk of data collapse or lost and reduce hospital budget that needs to invest on private cloud model.
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If I were the executive of hospital, I would suggest moving the information system to cloud computing to support field personal HCP during work.
Moreover, I’m aware that most of industries, including hospital try to lean the organization and control the fixed cost. Moving hospital information system to cloud service would reduce cost of IT personals, hospital server maintenance cost and on-premises server security cost.
Moreover, moving to cloud service would leverage the service level in many perspectives including service availability, security. The vendor provided this service would be responsible for this burden instead of hospital. They may could do better than the hospital staff like Dr. Anawat mentioned.
In the view of user, cloud computing would allow user to access the HIS from everywhere supporting the nature of healthcare professions. For example, the physician could promptly review the newly issued laboratory report and decided to have urgent operation to save patient life.
Moreover, the scalability of cloud computing is very suitable for healthcare system since we have many information both in structure, semi-structure, or non-structure format. We could preliminarily subscript for the small plan just to try the service and see the challenges.
In case that it all goes well, we may also move other data into the cloud system. -
Believe it or not, this issue has been an unresolved issue for years at my hospital where I currently work at. Self-maintaining servers and managing resources are indeed very exhausting and require much effort, skills and of course — money. Moving all that to the cloud is very challenging but worth the effort as we do not have to do the maintenance work all by ourselves and it is also very cost effective. The only problem we are all concerned is about privacy and the government policy. One of the directors said the government prohibits any of their data to be stored in the cloud (I do not know if that’s true or not, but it also makes sense)
Once we uploaded our data in the cloud, the data is actually in someone else’s hand. We can’t know for sure if our data is being kept securely or even tampered with! That’s the only reason I don’t trust cloud service providers. So to answer the question, if I were a hospital director, I really need to weigh the risk and decide on WHICH SPECIFIC part of data can be stored in the cloud and ensure that it is tightly secured and properly encrypted. -
If I were a director or an executive of a hospital, I would agree to move the hospital’s information system to cloud computing. This is because I think accessibility is a significant reason, we can get access to the data wherever we want. For example, when doctor is out of hospital, the doctor can get access to patient’s information from else where. Not only physicians focus but also employees can get access to the information when they work from home too.
However, security is an important factor for cloud computing to prevent bleach and harm to patient’s confidential information. My personal opinion is the system should have a two factor authentication prior to access into the cloud. For specific or secured data, we should better limit users access into that specific data.
Most importantly, the hospital must have an IT profession who could manage the upfront situation and maintain the cloud computing system. Yet, they can be costly for the IT infrastructure. -
If I am a director of a hospital, I would move the hospital’s information system to a cloud computing, as the cloud technology can save cost, be easy to access, provide maintenance/support by vendor, better security and back-up/disaster recovery.
However, data privacy and security are mainly concerns. I am going to perform an evaluation of cloud providers. The cloud provider should be certified and guarantee data security. Unless, I will deploy the hybrid cloud model due to security concerns for privacy and confidentiality of the patient. A hybrid cloud deployment will share technology but information and applications will be kept apart. Nevertheless, this should be weighed out again for cost-effectiveness.
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I think storing information in cloud computing is the one choice for the era that has a huge of information. Two main advantages of cloud computing that I considered include the flexibility of storage and remoting. We can adjust storage based on information and share information with others in the same organization. It can reduce the complexity of workflow since we can easily access information. Moreover, we can monitor the processes that have been done to tack back or optimize workflow.
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