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Your case study is interesting and discussion points are clear. I think it will be the common accidents for many organizations, Ama Wah Wah.
I would like to discuss some points from my point of view.
YNHHS faced network hacking, so they should consider their cloud service model and types to prevent the attack.
EMRs and payment system are not affected so their topology is great and should update not to affect the confidential data server.
Regular accessing of staff’s compliance on the data security practice. -
Nowadays, people have habit to post the personal matters on social media platforms. So, the attackers use those information to attack.
E.g., phishing mails use the specific personal information (Name, their jobs. their publications etc) to make the people believe that they are real.
The attackers may act as the service providers and they ask information illegally and use it for their profit.
E.g. they offer online payment for internet and give application to install. After installing, the application set OTP to use. When the user give OTP to the attackers, they have fully authorization to use the user’s money wallet and steal money. The attacker used the weak security of banking system and lack of awareness of user security.
If the attackers want to attack the system, they can use the insider to add bugs via memory stick to the main server. They add trojan softwares and remote control softwares like ANYDESK to user’s computer or mobile devices, then steal the information, access control and money from mobile banks.
In our country, many people are being attacked by Zhà pià n gangs in various forms, attracting the users about investments via Viber and Messenger applications. It is because of lack of awareness and praactice of data security. -
– Why would you choose cloud server, rather than physical server?
Cloud computing is a model for enabling ubiquitous to share among users at anytime, anywhere. If my hospital uses hybrid cloud and web-based application for patient appointments, the first will be cost saving, having mobility, easy to give support and maintenance. The most important reason is using cloud server will ensure the data security as we have to collect the biometric and personal information from the patients. Moreover, we can make EMR for each patient and store at cloud server.– What kind of cloud computing service model would be most appropriate (SaaS, PaaS, IaaS)? Why?
As my hospital is initiating to transform from stand alone computer to cloud computing having insufficient infrastructure (server) and IT staff, I would like to choose SaaS server model. SaaS not need variety of costs or efforts to start. It can provide the users with remote access through a web browser which our hospital intended to deploy for patients’ appointment. The different sites of hospital can communicate with each other directly through a link in SaaS model because it uses Bus Topology. And hospital only has to pay for use of the application: gigabyte model. The developer provides SaaS and the users do not need to download., is reliable and simple to use. -
Due to increased travelling, climate change and antimicrobial resistance, the remerging and emerging of diseases and microorganism, the world population is frequently faced from the pandemic and epidemic outbreak of the diseases. Paralleling, the information technology is developing in every sector and become vital in such outbreak management. So, health sector adapts the IT into public health and many health professionals use health informatics to collect the data via systematically application of IT for public health intervention. According to current conflicts in our country, the health sector in some regions is not function its routine preventive and curative services. Due to economic restriction, the community cannot fully focus on their health status, not give attention to health education and easily acquire the communicable diseases. Therefore, we submit the proposals to donor for diseases monitoring and timely response to prevent the mass causalities.
The nature of outbreak is fast and highly contagious among the people, so the real time data is crucial to manage them. Currently, our organization is implementing the early warning, alert and response system to monitor the outbreak of communicable diseases in the project coverage area. By using the health and management competency from health informatics, the health staff in field level used case definitions and alert threshold to monitor the potential of outbreak. They always send the real time data to regional HIS team to track the trend of the disease. The HIS team include public health officer, technical manager and HIS officer to get the complete analysis and report of monitored diseases. We trained them to use offline data reporting with mobile application to us; this is the application of computing science from health informatics. When the data reach server, we directly view and analyze whether it needs case investigation and follow up interventions or not. From this system, the errors in data reports become decreased and the field team can understand the real time data is very efficient for outbreak control and get better case management. After that we share this data among the project team, field team and external professional to get comprehensive management. I think this will be interoperability between teams and use the data efficiently without data redundancy.
For example, we got one signal (They have a suspected measles case) through KOBO application report from our field team last year. We did case investigation using online call, directly see the patient, confirmed case diagnosis and instruct the treatment and preventive measures to field team. That patient recovered from the illness without suffering from measles complication and no other children from that community got infected. Although there are many requirements in our system, we initiated the first step of outbreak control with some knowledge of health informatics. We can create the better one if we use enterprise architecture in our organization, we will have consistent vision with compact blueprint to develop the health system in our coverage area. -
To be a professional in public health or health informatic, I would need to gain the following knowledge and skills from this program.
(1) Health and Biological sciences
I have finished my bechelor degree in medicine and studied the public health for a period of time. And I am currently working in public health field and I am confident that I can learn the public health knowlege from this course and will get the professional skills
(2) Computational and mathematical science
As I am not familiar to computer science and information technology, I must focus on these topics to study and understand the concept and skills. As I have experience as a volunteer in statistics class and enthusiatics to learn the statistics, this will help to study the statistical course in this progrm.
(3) Management and social science
Currently, I am taking as a team lead in my organization and practically manage the staff. But I have a few experience in business administration and political science. So I think I will need more skill and knowledge in this competency when compared to others. -
Yes, I will plan to move the hospital’s information system to cloud computing if I were a director or executive of a hospital.
I will choose hybrid cloud deployment for convenience of use among hospital staff and reducing the security risks.
By using this cloud, the hospital administration can take more control and respond to the emergency alert without prolong waiting time to give decision for management.
Maintainance of data will be more convenient and data extraction will be faster to manage the patient and other administration purpose.
By using the cloud, the EMRs of patient and doctor’s notes can be accessible at anytime and it will reduce the communication problem between patients and hospital in accused of duplicatio of results, prolong waiting time and complaint of mistreatment.
If all hospital staff use cloud computing, the reliance on IT will reduce and less paper work on them. The hospital can raise the volume of scalability when there is compiled of data.
All departments of hospital will not have communication gap in patient management and can share the results in time.
The most important one to be careful is not to violate or lost the patients’ data. The security and priavcy protocol must be strict to all the staff who are handling the data.
Furthermore, by using the cloud data, the clinicians can do research and cliical trials for innovation of managemet or drug trials without breaching the ethics. -
Has your computer or a computer in your workplace ever been attacked by a cyber threat?
How did it happen?
What was the cause?
How was your computer or data affected?
What can you do to prevent it from happening again in the future?Last year, I received the mail to attend the research conference at Thailand. They describe the detail conference plan and also mention my research paper in that mail . Firstly, I thought that it was an excellent invitation. All fly tickets and accomodatio fees are free of charge but they asked my personal information and registration fees for the conference. So, I called them via phone and a woman explained how to do register and push me to transfer registration fees as soon as possible because of deadline.
After several consideration, I informed my professor and he said that must be forgery mail to collect personal information and money. So, I checked their maid address and it was misspelled. The address of conference and the title were wrong.
So, I block that user and update my mail password and security setting to add those mail itno spam folder directly.
After that, I have a habit to check the web and mail address and not click on the link in mails. -
If I were to build a medical app for patients and doctors, I would like to do changes for medical logistics management system.
According to the collegues’s discussion, the importance of data clearnace and visualization is important between patients and doctors to prevent miscommunication.
In my current setting, we cannot carefully manage the medical supplies. As our services are at grass root level and far from cities, the transportation takes too long between central store and field level.
So I would luke to develop mobile application to monitor and track the medical logistics supply. Mobile app is user friendly and our healthcare staff can use it well after proper training. And they can enter the data into app and send when there is internet. The central team also can monitor as live version for supporting the medical supplies.
By using this mobile app, the medical supplies shortage at field levels will be prevented and the patients can access the health services with full medicine at any time. This will helpful for all especially trauma cases and chronic patient with non-communicable diseases. -
In my current workplace, the first step I have to do is advocating the stakeholders about the effectiveness of information system (People factor).
After their understanding of IS, the next step is to strengthen the data collection and management skill of front line staff (Data factor). When they clearly fill the correct data in their primary data source, the information we get will be valuable.
We have enough hardware resources but need software supports. To get this, we will start with free trial and invest in reliable one to use.
The current process is hybrid in nature and gradually to change into networking.
The main problematic points are the lack of internet accessibility and instability of electricity at field levels.
So, we will consider the offline software to involve in system and support the other sectors to get the information to central level. -
Dear Ajarns and collegues,My name is Hteik Htar Tin and you can call me “Hteik Htar” or my nickname, Juno. I finished my bachelor degree at University of Medicine, Magway. I am currently working in EHO and take a lead role for health technical team. Biostatistics is my favorite one when I worked as an assistant teacher for my Professor, it makes me interested in the data managment. Then I got an opportunity to apply the BHI program and believe this will upgrade my academic and professional career. I would like to initiate the digital health system by using the knowledges and practices from this program. Let’s create a happy and amazing academic journey.
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Yes, I agree with you on the challenges to implement the information system. In my context, the staff are not aware about the use of information to smooth and upgrade their workflow. They think that is the duty of IT staff and not related to them. That’s people factor to hinder the IS. And we also need the capacity to write the software in accordance with our needs. The methods you are mentioning are insightful and eed to advocate the stakeholders in my context.
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