Presented at the Hospital IT Quality Development to level 4, 5, 6 Workshop, Thai Medical Informatics Association, Bangkok, Thailand on January 24, 2020
Presented at The New Generation IT Doctor for Hospital Development Training Program, Thai Medical Informatics Association, Nonthaburi, Thailand on August 26, 2019
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on August 10, 2016
Presented at the BDMS Golden Jubilee Scientific Conference 2022 "BDMS Beyond 50 years: Looking towards the centennial," Bangkok Dusit Medical Services Public Company Limited (BDMS), Bangkok, Thailand on October 19, 2022
Telemedicine provides healthcare at a distance using telecommunications technology. It has grown from focusing on increasing access to now emphasizing convenience and cost reduction. Store-and-forward and home-based telemedicine have evidence for treating chronic diseases, while office/hospital telemedicine is effective for verbal interactions in specialties like neurology and psychiatry. Current trends include expanding telemedicine to more chronic conditions and migrating services from clinical settings to homes and mobile devices. However, reimbursement remains limited and fragmented while quality of remote care compared to in-person visits requires more evidence. Proper guidelines, standards, training and balancing innovation with risk-based regulation can maximize telemedicine's benefits while minimizing harms.
This document discusses digital health transformation and the role of health information technology. It begins by exploring concepts like artificial intelligence, blockchain, cloud computing and big data. It then examines the potential for "smart" machines in healthcare while acknowledging the complexities of digitizing such a system. The document emphasizes that clinical judgment is still necessary given variations in patients. It outlines components of healthcare systems and forms of health IT both within and beyond hospitals. Finally, it discusses using health IT to support clinical decision making and reduce errors.
Presented at The Thai Medical Informatics Association Annual Conference and The National Conference on Medical Informatics (TMI-NCMedInfo) 2021, Bangkok, Thailand on November 26, 2021
The document discusses the field of health informatics and provides definitions and examples. It defines health informatics as the application of information science to healthcare and biomedical research. It describes the relationships between health informatics and other fields like computer science, engineering, and the medical sciences. The document also discusses different areas of health informatics like clinical informatics, public health informatics, and consumer health informatics. It provides examples of common health information technologies used in healthcare settings like electronic health records, computerized physician order entry, and picture archiving systems.
This document provides an introduction to research ethics and ethics for health informaticians. It begins with definitions of ethics, morals, and norms. It then discusses the role of law, professional codes of conduct, and ethics in establishing standards of acceptable behavior. Key topics in research ethics are introduced through discussions of historic cases like the Nazi human experiments, Beecher's research ethics violations, and the Tuskegee Syphilis Study. The document outlines the Belmont Report's three ethical principles of respect for persons, beneficence, and justice. Ethical issues in health informatics like alerts fatigue from clinical decision support systems and unintended consequences of health IT are also discussed.
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
23. 23
หลักจริยธรรมที่เกี่ยวกับ Privacy
• Autonomy (หลักเอกสิทธิ์/ความเป็นอิสระของผู้ป่วย)
• Beneficence (หลักการรักษาประโยชน์สูงสุดของผู้ป่วย)
• Non-maleficence (หลักการไม่ทาอันตรายต่อผู้ป่วย)
“First, Do No Harm.”
24. 24
Hippocratic Oath
...
What I may see or hear in the course of
treatment or even outside of the treatment
in regard to the life of men, which on no
account one must spread abroad, I will keep
myself holding such things shameful to be
spoken about.
...
http://en.wikipedia.org/wiki/Hippocratic_Oath
34. ▪ Attack
▪ An attempt to breach system security
▪ Threat
▪ A scenario that can harm a system
▪ Vulnerability
▪ The “hole” that is used in the attack
Common Security Terms
35. ▪ Identify some possible means an
attacker could use to conduct a
security attack
Class Exercise
37. Alice
Simplified Attack Scenarios
Server Bob
- Physical access to client computer
- Electronic access (password)
- Tricking user into doing something
(malware, phishing & social
engineering)
Eve/Mallory
38. Alice
Simplified Attack Scenarios
Server Bob
- Intercepting (eavesdropping or
“sniffing”) data in transit
- Modifying data (“Man-in-the-middle”
attacks)
- “Replay” attacks
Eve/Mallory
39. Alice
Simplified Attack Scenarios
Server Bob
- Unauthorized access to servers through
- Physical means
- User accounts & privileges
- Attacks through software vulnerabilities
- Attacks using protocol weaknesses
- DoS / DDoS attacks Eve/Mallory
41. Alice
Safeguarding Against Attacks
Server Bob
Administrative Security
- Security & privacy policy
- Governance of security risk management & response
- Uniform enforcement of policy & monitoring
- Disaster recovery planning (DRP) & Business continuity
planning/management (BCP/BCM)
- Legal obligations, requirements & disclaimers
42. Alice
Safeguarding Against Attacks
Server Bob
Physical Security
- Protecting physical access of clients & servers
- Locks & chains, locked rooms, security cameras
- Mobile device security
- Secure storage & secure disposition of storage devices
43. Alice
Safeguarding Against Attacks
Server Bob
User Security
- User account management
- Strong p/w policy (length, complexity, expiry, no meaning)
- Principle of Least Privilege
- “Clear desk, clear screen policy”
- Audit trails
- Education, awareness building & policy enforcement
- Alerts & education about phishing & social engineering
44. Alice
Safeguarding Against Attacks
Server Bob
System Security
- Antivirus, antispyware, personal firewall, intrusion
detection/prevention system (IDS/IPS), log files, monitoring
- Updates, patches, fixes of operating system vulnerabilities &
application vulnerabilities
- Redundancy (avoid “Single Point of Failure”)
- Honeypots
45. Alice
Safeguarding Against Attacks
Server Bob
Software Security
- Software (clients & servers) that is secure by design
- Software testing against failures, bugs, invalid inputs,
performance issues & attacks
- Updates to patch vulnerabilities
46. Alice
Safeguarding Against Attacks
Server Bob
Network Security
- Access control (physical & electronic) to network devices
- Use of secure network protocols if possible
- Data encryption during transit if possible
- Bandwidth monitoring & control
47. Alice
Safeguarding Against Attacks
Server Bob
Database Security
- Access control to databases & storage devices
- Encryption of data stored in databases if necessary
- Secure destruction of data after use
- Access control to queries/reports
- Security features of database management systems (DBMS)
48. 48
User Account Security
So, two informaticians
walk into a bar...
The bouncer says,
"What's the password."
One says, "Password?"
The bouncer lets them
in.
Credits: @RossMartin & AMIA (2012)
71. • Common and accessible language
• Adaptable to many technologies, lifecycle
phases, sectors and uses
• Risk-based
• Based on international standards
• Living document
• Guided by many perspectives – private
sector, academia, public sector
Key Framework Attributes
Principles of Current and Future Versions of the Framework
72. The Framework Core
Establishes a Common Language
• Describes desired outcomes
• Understandable by everyone
• Applies to any type of risk
management
• Defines the entire breadth of
cybersecurity
• Spans both prevention and reaction
Function
Identify
Protect
Detect
Respond
Recover
73. An Excerpt from the Framework Core
The Connected Path of Framework Outcomes
5 Functions 23 Categories 108 Subcategories 6 Informative References
74. Implementation Tiers
The Cybersecurity Framework Version 1.1
1 2 3 4
Partial Risk Informed Repeatable Adaptive
Risk
Management
Process
The functionality and repeatability of cybersecurity
risk management
Integrated Risk
Management
Program
The extent to which cybersecurity is considered in
broader risk management decisions
External
Participation
The degree to which the organization:
• monitors and manages supply chain risk1.1
• benefits my sharing or receiving information from
outside parties