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New Access Models for Healthcare Tyrone Grandison, PhD Program Manager, Core Healthcare Services, IBM Services Research Keynote – June 9 th , 2010.  15th ACM Symposium on Access Control Models and Technologies (SACMAT) 2010. Pittsburgh, USA.
Disclaimer ,[object Object]
Why Am I Here? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Topics To Be Covered ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Worldwide Health IT Investment North America US ARRA  – $20.4B Canada –$3.1B CDN (InfoWay)  Asia China  – $4.2B Singapore – $1.1B SIN  Europe UK – ₤20.4B  Middle East Saudi Arabia  – $14B Worldwide EMR  – $10B in 2010    $30B in 2019 * EMR Adoption US – 10%   AUS – 25%  UK – 59% CAN – 14%   NZ – 52% Additional Opportunities Clinical Decision Intelligence: $75M (2010), $3.1B (2019) Health Analytics: Health analytics: $2.3B, $3.29B (2014) Cloud Computing for HCLS: $1.04B (2010), $6.2B (2014) Source: IBM Global Technology Outlook (Feb 2010) Impact: Healthcare-specific research is on rise
Prime Directive ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Impact: Security controls in Healthcare IT systems are routinely circumvented Grandison, T., Davis, J.  "The Impact of Industry Constraints on Model-Driven Data Disclosure Controls" . The Proceedings of the 1st International Workshop on Model-Based Trustworthy Health Information Systems (MOTHIS). Nashville, Tennessee. Sept 2007. * Source:
Patient Empowerment and Buy-In ,[object Object],[object Object],[object Object],[object Object],Impact: Privacy is complex, interesting, of some concern. ,[object Object],[object Object],[object Object],* Solove, D.  “Understanding Privacy" . Harvard University Press. 2009. + Prost, R. C.  “Three Concepts of Privacy” , 89 Georgetown Law Journal 2087,2087 (2001). - Westin, A.  “Privacy and Freedom” . New York: Atheneum. 1967. ^ Franzen, J.  “How to be Alone” . Picador. 2003. # Gotlieb, C. C.  “Privacy: A Concept Whose Time Has Come and Gone” .  Computers, Surveillance and Privacy , 156. 1996 Sources:
Patient Empowerment and Buy-In & Technology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Impact: Access Control technology currently ineffective for Patient empowerment and Buy-In.
Patient Empowerment and Buy-In & Healthcare Trends ,[object Object],Observation 1: For the most part, Privacy Incidents seem to be on an upward trajectory. Observation 2: (Technical) Access Control issues have consistently been the top 3 issues. Health Information Privacy Resolutions Source: US Department of Health and Human Services http://www.hhs.gov/ocr/privacy/hipaa/enforcement/data/index.html
What does this all mean? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Security Researchers need to step it up and to Proceed with Caution.
Where Not To Go ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Gartner’s Hype Cycle ,[object Object],[object Object]
How to Proceed? ,[object Object],[object Object],[object Object],[object Object],This talk will not present all these concerns in detail. Remember: PROVOKE and PROMOTE THOUGHT Here, I provide clarity on how we got here and present a set of initial gaps.
The Healthcare Operating Environment  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],This Operating Environment is not specific to only the Healthcare market. It applies to other industries too As researchers, Technology and Social are the most immediate areas of contribution.
Healthcare Technology Cycle (Of Olde) ,[object Object],[object Object],[object Object],[object Object],Has an idea on how to use technology to “improve healthcare” and develops a prototype Hobbyist Research Development Healthcare Company Patient Further refines Productizes Commercializes Sells to Resells to Sells to
So, What’s The Big Problem? And Why Do I Care Again? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],The Real World The Matrix
Access Control Beliefs in Healthcare ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Access Control in Healthcare Realities ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Initial Hard Access Control Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Insert Solution Here
CONCLUSION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CALL TO ACTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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New Access Models for Healthcare

  • 1. New Access Models for Healthcare Tyrone Grandison, PhD Program Manager, Core Healthcare Services, IBM Services Research Keynote – June 9 th , 2010. 15th ACM Symposium on Access Control Models and Technologies (SACMAT) 2010. Pittsburgh, USA.
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  • 5. Worldwide Health IT Investment North America US ARRA – $20.4B Canada –$3.1B CDN (InfoWay) Asia China – $4.2B Singapore – $1.1B SIN Europe UK – ₤20.4B Middle East Saudi Arabia – $14B Worldwide EMR – $10B in 2010  $30B in 2019 * EMR Adoption US – 10% AUS – 25% UK – 59% CAN – 14% NZ – 52% Additional Opportunities Clinical Decision Intelligence: $75M (2010), $3.1B (2019) Health Analytics: Health analytics: $2.3B, $3.29B (2014) Cloud Computing for HCLS: $1.04B (2010), $6.2B (2014) Source: IBM Global Technology Outlook (Feb 2010) Impact: Healthcare-specific research is on rise
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Editor's Notes

  1. Add non-AC beliefs - HIT will lead to reduced cost, improved QOS - Accountability