I have long believed that social networking concepts, mobile devices, analytics, and cloud are key tactics for the success of any IT organization. We’re in an era as significant as the mainframe to PC revolution in which BYOD devices and apps are becoming the platform of choice. Given the regulatory/compliance mandates for security, the need for auditability, and the need for provenance (can we trust the data?), implementing a mobile strategy in a healthcare environment can be tricky business.
Here’s an update on two projects we’re working on now that attempt to balance functionality with security.
We’ve written an iOS app that enables patients to connect their home devices with BIDMC clinical systems using HealthKit as middleware.
Below is a screen shots of the application in use. My staff have been testing it with electronic scales that report weight to HealthKit.
Here’s how the data appears in the BIDMC systems. Each transaction is logged with a universal ID, date/time and provenance ensuring data integrity and traceability of each data element.
One of the downsides of BYOD is that smartphone photography can lead to privacy issues such as revealing clinical information inappropriately, should the photograph become available on a social network or publicly available website. BIDMC is piloting a new camera created by Ricoh that uploads photos to the electronic health record and deletes them from the camera immediately, enabling photographs to be curated via the all the usual policy and technology controls surrounding the electronic health record.
If the pilot is successful, we can then change policy at BIDMC, requiring that purpose built, EHR connected, secure cameras be used for all clinical photography. The combination of technology and policy should reduce risk.
We continue to explore options to make our workforce more mobile, procuring services that enhance productivity and usability while protecting security and safety. More to come!
Wednesday, February 18, 2015
Mobile Applications Update
Posted by John Halamka at 3:00 AM
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Thank you very much for sharing with us. Would you be so kind as to tell us the model of the Ricoh camera you are using and will it be compatible with Epic?
I added a link to the brochure into the blog post. The camera supports Ensemble (integration engine), sFTP, and other protocols, so should work with Epic.
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