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USMAN MAARUF YAKUBU
MIDDLESEX UNIVERSITY DUBAI
um088@live.mdx.ac.uk
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

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

Introduction
Aim and Objectives
Literature
Research Methodology
Results .
Conclusion.
Many countries are working towards the adoption of electronic medical
records for improving healthcare (Terry, 2012).

Healthcare is plagued with stretched budgets (Vmware, 2013).

Global GDP spending on healthcare close to 8% in some countries in the
last decade (OECD, 2011).

mHealth predicted to be worth $26 billion by 2017 with healthcare
providers and patients embracing mobile devices (Jahns, 2013).
Evolution

Patients
mHealth

Medical
Devices

HIS/EMR

Telemedicine

Staff
The aim of the research is to critically evaluate the challenges to cloud
computing and BYOD in the U.A.E healthcare industry and propose
solutions to these challenges. The objectives of the research include:
1. How can cloud computing and BYOD benefit healthcare.
2. Investigate the challenges raised by new technologies of BYOD and
cloud computing.
3. Propose solutions to identified challenges based on the research and
literature.
CLOUD
Business
agility

Green
Computing

CAPEX
AND OPEX
savings

Lowering
the cost for
EMR

Secure
storage &
sharing
Convenience
Flexibility

Improve
efficiency

Quick access

BYOD

CAPEX &
OPEX
savings
Cloud computing
challenges
Security & privacy concerns
Regulation

Lack of awareness
Migration and interoperability
Bandwidth demands
Data lock in
BYOD Challenges
Security risks

Data theft
Malware infection
Lack of awareness


The research gathered qualitative data with
interviews from professionals in healthcare Industry
to capture the benefits, challenges and proposed
solutions.
Participants from
Healthcare Authorities
Healthcare Equipment vendor
Healthcare Network Designer



Data from the research was validated against
current literature.
Analysis for trends, similarities and differences
were made.
Discussion and conclusion were made from the
data.




S/n

Institution

Benefits of cloud computing
A

B

C

D

E

1

Speed of deployment and access to information

X

X

X

X

2

Secure and Reliable with Redundancy and Multiple Paths

X

X

X

X

X

3

CAPEX and OPEX savings

X

X

X

X

4

Flexibility to scale up of down

5

Changes are easier to implement

X

X

6

Creation of new business models and workflows

X

X

7

Real time analytics and reporting at data centers.

X

X
S/n

Institution

Challenge of cloud computing
A
Security and Privacy Concerns and Issues

2

Regulation

3

Connectivity
Migration between cloud providers

X

5

Multi Country Jurisdiction

X

E

X

X

X

X

X

4

D

X

X

C

X

1

B

X
X

X

X
S/
n

Institution

Proposed Solutions to Cloud Computing
A

1

Creation of local clouds or industry community
cloud

2

New regulations (Cloud Vendors and Regulators)

4

Regulations for interoperability and protection of

X

X

Closer relationship with telecoms service providers

3

B

subscribers

C

D

E

X

X

X
X
X
INSTITUTION
BENEFIT

1

Savings on CAPEX, OPEX

2

Flexible, convenient and user friendly

4

B

X

X

Increase productivity.

3

A

Time savings from accessing information faster and

X
X

X

Monitoring of systems can be done remotely
increasing control over the infrastructure

X

X

making decisions fasters

5

C D E

X
Challenges of Bring Your Own Device (BYOD)

INSTITUTION
A

B C D

E

X

X

1

Risk of malware infections

X

2

Conflict between policies and device owner

X

3

Issue of browser security

4

Data theft

X

5

Unperformed upgrades and maintenance on devices

X

6

Complicates network management

X

7

Violations that may lead to fines

X

X
X
Proposed solutions for Bring Your Own Device

INSTITUTION

(BYOD)
A B C D E
1

Develop policy for BYOD usage

X X X

2

Employee Education and communication

X X

3

Develop solutions that give limited access to mobile

X

devices
4

Logs can be made to keep track of what content is

X

downloaded.
5

List of recommended devices

X
The main challenges of management in healthcare are:

Costs, security, integration, diversity of applications and complexity.


Cloud computing can help address the cost issue but suffers from
security concerns, lack of regulations, awareness and standardization.



BYOD needs more awareness and also very much hindered by
security concerns and additional costs of support for security software.

Greater collaboration between the stakeholders in the industry can go a
long way in helping reduce challenges especially with cloud computing.
Limitations:

Recent implementation of EMR/HIS


The research also limited to the UAE



Research outcomes may be biased towards developed countries.



Laws preventing use of certain technologies

Future Guidelines:
Future research for investigation of sources of breaches for healthcare
networks in order to help mitigate risks.
um088@live.mdx.ac.uk
Clemm, A. 2007. Network management fundamentals. Indianapolis, IN: Cisco Press. p.10, 21
Dwivedi, A. et al., 2003. Towards a practical healthcare information security model for
healthcare institutions. 4th International IEEE EMBS Special Topic Conference on Information
Technology Applications in Biomedicine p.114-117
Jahns, R. (2013). “The market for mHealth app services will reach $26 billion by 2017”.
[Accessed 17th March 17, 2013] Available: http://www.research2guidance.com/the-marketfor-mhealth-app-services-will-reach-26-billion-by-2017/
OECD, 2011, Health expenditure, in OECD Factbook 2011-2012: Economic, Environmental and
Social Statistics, OECD Publishing. Available: http://dx.doi.org/10.1787/factbook-2011-112-en
Terry, K. (2012). EHR Adoption: U.S. Remains The Slow Poke, Information Week. Available:
http://www.informationweek.com/healthcare/electronic-medical-records/ehr-adoption-usremains-the-slow-poke/240142152. [Accessed 18th March 2013].
Vmware. 2013. Your cloud in Healthcare.Industry brief white paper. [ONLINE] Available
at:http://www.govhealthit.com/sites/govhealthit.com/files/resource-media/pdf/VMwareYour-Cloud-in-Healthcare-Industry-Brief.pdf. [Accessed 08 July 13].

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CLOUD COMPUTING AND BYOD: BENEFITS AND CHALLENGES IN MODERN HEALTHCARE

  • 1. USMAN MAARUF YAKUBU MIDDLESEX UNIVERSITY DUBAI um088@live.mdx.ac.uk
  • 3. Many countries are working towards the adoption of electronic medical records for improving healthcare (Terry, 2012). Healthcare is plagued with stretched budgets (Vmware, 2013). Global GDP spending on healthcare close to 8% in some countries in the last decade (OECD, 2011). mHealth predicted to be worth $26 billion by 2017 with healthcare providers and patients embracing mobile devices (Jahns, 2013).
  • 5. The aim of the research is to critically evaluate the challenges to cloud computing and BYOD in the U.A.E healthcare industry and propose solutions to these challenges. The objectives of the research include: 1. How can cloud computing and BYOD benefit healthcare. 2. Investigate the challenges raised by new technologies of BYOD and cloud computing. 3. Propose solutions to identified challenges based on the research and literature.
  • 8. Cloud computing challenges Security & privacy concerns Regulation Lack of awareness Migration and interoperability Bandwidth demands Data lock in
  • 9. BYOD Challenges Security risks Data theft Malware infection Lack of awareness
  • 10.  The research gathered qualitative data with interviews from professionals in healthcare Industry to capture the benefits, challenges and proposed solutions. Participants from Healthcare Authorities Healthcare Equipment vendor Healthcare Network Designer  Data from the research was validated against current literature. Analysis for trends, similarities and differences were made. Discussion and conclusion were made from the data.  
  • 11. S/n Institution Benefits of cloud computing A B C D E 1 Speed of deployment and access to information X X X X 2 Secure and Reliable with Redundancy and Multiple Paths X X X X X 3 CAPEX and OPEX savings X X X X 4 Flexibility to scale up of down 5 Changes are easier to implement X X 6 Creation of new business models and workflows X X 7 Real time analytics and reporting at data centers. X X
  • 12. S/n Institution Challenge of cloud computing A Security and Privacy Concerns and Issues 2 Regulation 3 Connectivity Migration between cloud providers X 5 Multi Country Jurisdiction X E X X X X X 4 D X X C X 1 B X X X X
  • 13. S/ n Institution Proposed Solutions to Cloud Computing A 1 Creation of local clouds or industry community cloud 2 New regulations (Cloud Vendors and Regulators) 4 Regulations for interoperability and protection of X X Closer relationship with telecoms service providers 3 B subscribers C D E X X X X X
  • 14. INSTITUTION BENEFIT 1 Savings on CAPEX, OPEX 2 Flexible, convenient and user friendly 4 B X X Increase productivity. 3 A Time savings from accessing information faster and X X X Monitoring of systems can be done remotely increasing control over the infrastructure X X making decisions fasters 5 C D E X
  • 15. Challenges of Bring Your Own Device (BYOD) INSTITUTION A B C D E X X 1 Risk of malware infections X 2 Conflict between policies and device owner X 3 Issue of browser security 4 Data theft X 5 Unperformed upgrades and maintenance on devices X 6 Complicates network management X 7 Violations that may lead to fines X X X
  • 16. Proposed solutions for Bring Your Own Device INSTITUTION (BYOD) A B C D E 1 Develop policy for BYOD usage X X X 2 Employee Education and communication X X 3 Develop solutions that give limited access to mobile X devices 4 Logs can be made to keep track of what content is X downloaded. 5 List of recommended devices X
  • 17. The main challenges of management in healthcare are:  Costs, security, integration, diversity of applications and complexity.  Cloud computing can help address the cost issue but suffers from security concerns, lack of regulations, awareness and standardization.  BYOD needs more awareness and also very much hindered by security concerns and additional costs of support for security software. Greater collaboration between the stakeholders in the industry can go a long way in helping reduce challenges especially with cloud computing.
  • 18. Limitations:  Recent implementation of EMR/HIS  The research also limited to the UAE  Research outcomes may be biased towards developed countries.  Laws preventing use of certain technologies Future Guidelines: Future research for investigation of sources of breaches for healthcare networks in order to help mitigate risks.
  • 20. Clemm, A. 2007. Network management fundamentals. Indianapolis, IN: Cisco Press. p.10, 21 Dwivedi, A. et al., 2003. Towards a practical healthcare information security model for healthcare institutions. 4th International IEEE EMBS Special Topic Conference on Information Technology Applications in Biomedicine p.114-117 Jahns, R. (2013). “The market for mHealth app services will reach $26 billion by 2017”. [Accessed 17th March 17, 2013] Available: http://www.research2guidance.com/the-marketfor-mhealth-app-services-will-reach-26-billion-by-2017/ OECD, 2011, Health expenditure, in OECD Factbook 2011-2012: Economic, Environmental and Social Statistics, OECD Publishing. Available: http://dx.doi.org/10.1787/factbook-2011-112-en Terry, K. (2012). EHR Adoption: U.S. Remains The Slow Poke, Information Week. Available: http://www.informationweek.com/healthcare/electronic-medical-records/ehr-adoption-usremains-the-slow-poke/240142152. [Accessed 18th March 2013]. Vmware. 2013. Your cloud in Healthcare.Industry brief white paper. [ONLINE] Available at:http://www.govhealthit.com/sites/govhealthit.com/files/resource-media/pdf/VMwareYour-Cloud-in-Healthcare-Industry-Brief.pdf. [Accessed 08 July 13].