tullaya.sita

It is a nice idea to have telehealth for the diseases that patients can monitor themselves and send the data via an application to health care providers. Health care providers can make a decision in real-time for any extreme glucose level and patients might reduce the frequency of their hospital visits if they can control their glucose level. It…[Read more]

I like your last word. The future of health is in patients’ hands.
I’m surely that this project will improve the current health practices. As all of us know, the EMR in Thailand usually scattering and can not be connected online. If the patients can access their health information and current health status 24 hr. IT will help the physician to…[Read more]

Aj Saranath, I still wonder about the definition of big data. Is it a definition for defined the volume of data or it defined for the application or system that can catch all data and process it? As you mentioned for EMR as a big data, but EMR itself didn’t have all other Vs characteristic unless we doing something with that data.

I agree that EMR is BIG data by means of volume. However, by EMR itself is not really matched with big data definition ( by xV criteria). We need to add some features like machine learning, data visualization to process data in EMR to get the new outcome or process activity.

The supervision by the IT team of the hospital or other consultants during the upgrade program by third-party vendors should also be implemented and will help in reducing this error.
The third party vendors need to understand the data privacy rule by HIPAA.

I agree with Thanachol, during the update process the data should be encrypted and also there should be a crosscheck for data leakage during the updated software process. Furthermore, the selection of third-party vendors should be seriously check for their previous project outcome and reputation, also the hospital policy should be emphasized on…[Read more]

Human error is hard to manage. In this case, I’m not sure whether it is intentionally or not to publish private information online. If it unintentionally, the systems should have an alert for private data before they go online or use double authorization to recheck for the private data that will go online. However, if this event occurred…[Read more]

In this case, the data breach occurred due to a misconfigured radiology interface. It was a human error. The preventive measure to avoid this attack is the test run of the program and also the independently double-checking process to minimized human error.

As a clinician, I totally agree with these findings. In the old days, clinician writes down what they want to describe for each patient freely in the blank paper including the provisional diagnosis which may be not categorized into the diagnosis code. Writing down in the paper doesn’t take a lot of time and it can be finished at the worksite.…[Read more]

I totally agree with you Dr Saranart. As I mentioned in my response, the first HIS project in my hospital still use only some part. However, originally they want to launch HIS project in OPD setting after IPD setting. After a lot of resistant occured, the HIS project for OPD is withdrawn and we use only a paper-based scanning and storage system.

The wearable medical devices sound good, It should help carer a lot about alarm for harmful event. As you mentioned Thailand is in Aging society and our populations are reduced. This device will have a lot of impact in the near future. The precision is the heart of the devices, user don’t need too much false alarm neither high threshold to alarm…[Read more]

In my opinion, initially eHealth may comes from electronic health because it is the emerging field that health services and information technology, via electronic devices, are intersection.
Nowadays the definition of ehealth is much more boarden, basically , eHealth is still the way to incooperate into health care to promote health and well…[Read more]

Can you give an example of data that you think it could be considered as “Big Data”?

I think the data that could be considered as big data, for an example, is data frrom facebook

What are the characteristics of the data that fit into 5Vs, or 7Vs, or 10Vs of Big data characteristics?
For the facebook it fits to be a big data with
1. Volume: the…[Read more]

1. Have you ever observed a health informatics project in your (other) organization? Please provide a brief introduction.
In our hospital we try to integrated health informatics to improve our service. The big project of our hospital is e-his, it was an integrated health information system that connected the physician’s record, nurse record, p…[Read more]

As I mention in my assignment, the best prevention for this type of data breach attack is to immerse a privacy
culture into health care personal and also update the organization policy and regulations about privacy safeguards

-software testing before first launch is very important to detect the mistake, bug, or malfunction of the software. This process should be test simultaneously both software developers and program owners to identify the weak point or malfunction of the new software.

– increase the safeguard measure of security of important data such as medical record and individual health information.
– if possible, besides increase users awareness of cyber attack, the system that contains important data should be limit their connection to outside network such as the internet.

– increase awareness of employee about cyber security including the phishing email
– scan the mobile storage devices with the up to date virus database program regularly before connect to the computer in the systems

I think in this situation, the authority to access and/or upload the sensitive data such as patient information should be limit to people who get involved and should be access in one-by-one not one-to-all fashion. In order to upload the file, the system should have an alert box to confirm the upload with the preview of data that want to be…[Read more]

– Promote cyber security including knowledge about phishing email to prevent entry of ransomeware
-Important data in the computer should be back up regularly