A Security Framework for Nationwide Health Information Exchange based on Telehealth Strategy

Abstract

This study focuses on the situation of health information exchange (HIE) in the context of a nationwide network. It aims to create a security framework that can be implemented to ensure the safe transmission of health information across the boundaries of care providers in Malaysia and other countries. First, a critique of the major elements of nationwide health information networks is presented from the perspective of security, along with such topics as the importance of HIE, issues, and main approaches. Second, a systematic evaluation is conducted on the security solutions that can be utilized in the proposed nationwide network. Finally, a secure framework for health information transmission is proposed within a central cloud-based model, which is compatible with the Malaysian telehealth strategy. The outcome of this analysis indicates that a complete security framework for a global structure of HIE is yet to be defined and implemented. Our proposed framework represents such an endeavor and suggests specific techniques to achieve this goal.

Malaysia Health Information Exchange: A systematic review

“…Time spent by the hospital staff in verifying information could be reduced, which includes that of medical tests, results and diagnoses of patients (Blaya et al, 2010;Payne et al, 2011;Zaidan et al, 2015;Williams et al, 2016). Zaidan et al (2015) also found that the costs could be reduced by using HIE; for example, reducing the duplication of tests and results as well as less usage of paper in hospitals (Yaraghi, 2015;Zaidan et al, 2015;Bailey et al, 2013;Miller & Tucker, 2014).…”

“…According to Zaidan et al (2015), healthcare is safer by using HIE. This is because security errors of patients could be reduced by using HIE as declared by Kaelber & Bates (2007 ).…”

“…A total of 18% and 70% of adverse drug events could be eliminated by using HIE (Kaelber & Bates, 2007). Furthermore, medication errors also could be reduced (Zaidan et al, 2015;Hypponen et al, 2014;Thorn et al, 2014).…”

“…Timeliness is one of the benefits of using the HIE (Zaidan, 2015). Time spent by the hospital staff in verifying information could be reduced, which includes that of medical tests, results and diagnoses of patients (Blaya et al, 2010;Payne et al, 2011;Zaidan et al, 2015;Williams et al, 2016).…”

“…Accuracy of patient information is important, and this is achieved through regular updating of the information by the system (Zaidan et al, 2015;Vest & Gamm, 2010;Adler-Milstein et al, 2011;Parker & AdlerMilstein, 2016).…”