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HIS

HIPA, Strengthening The Foundation of The Privacy Law

Most of us would have heard about PHIPA, the Personal Health Information Protection Act and QCIPA, the Quality of Care Information Protection Act. The foundation laws that are aimed to protect your Personal Health Information from those hackers and crooks who would love to get their hands on your personal information. Even with the establishment of these laws we have seen many breaches, some of which really shot to the limelight in the past recent years.

However, the word in town is that a new Bill had recently passed the third reading. The Bill 119 or the Health Information Protection Act is all set to make amendments to the PHIPA AND QCIPA. Amendments range from the mandatory reporting of privacy breaches to doubling the existing fines for offenders.  According to Dr. Eric Hoskins, the Minister of Health and Long-Term Care “This legislation gives our health care system the necessary tools to protect the private health information of patients in Ontario…” and hopefully it does.

The advancement in health information technology has ushered a new era in providing quality care for people but at a very expensive price, privacy of one’s personal information. Systems should be designed, developed and deployed keeping in mind that security of the personal health information is kept a key criteria. Workflows should be redesigned in healthcare institutions and other organizations to include a culture of reporting privacy breaches and to study such situations to avoid the breaches in the future. Laws and regulations can play only so much to enforce protection, it is the duty of the people involved to follow and practice the law.

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HIS

A Quick Intro To Interoperability

Interoperability is one of the highest trending words that one might hear if they are stepping into the wonderful world of EHealth. It has become so necessary that one would probably have a chapter or two on it in every health informatics degree.

Interoperability in simple terms is the way in which one system communicates with another to help ease the decision making process and thus aide in improving the care process. Imagine one day Ms. Jane Doe is scheduled for an MRI by Hospital A. Now in the absence of an interoperable environment the radiology facility would have to either physically transport the scans through a person, fax or courier. However, imagine if there was a situation where the radiology facility could update the hospital A of the status of the MRI scan as well as send the scans directly to the medical record associated with Ms. Jane. Such a situation would save Hospital A a lot of money, time and help improve the quality and time of the decision making process. This situation shows one of the benefits of implementing an interoperable system and there are many more !

However, there are some tricky areas one needs to eliminate (which is quite hard) to achieve the true benefit of having an integrated health information system. Prominent being that of privacy and security. An advance in technology also means an advance in techniques for hacking. There is always a threat lurking to steal one’s personal health information to earn some big bucks or use it for some other illegal purpose especially in developing countries where there aren’t as stringent privacy laws to protect health information.

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