The document discusses the impacts of the 2011 Tohoku earthquake and tsunami on healthcare in Japan. It describes how healthcare providers like hospitals had critical systems damaged and lost connectivity, while empowered patients took to public cloud services and social media to communicate and get information. It argues that to improve disaster preparedness, healthcare IT systems need to be harmonized with cloud and consumer-based technologies using governance, risk and compliance frameworks.
This concept paper from the Ministry of Health proposes restructuring Malaysia's national health system to address future needs. Called 1Care, the restructured system aims to provide universal, quality healthcare coverage in line with the 1Malaysia model. Currently, Malaysia's public and private healthcare sectors are imbalanced, with the public sector handling more workload despite fewer resources. The paper seeks input on developing a detailed blueprint to address challenges like ensuring services meet needs, improving equity and quality, and optimizing limited resources through the proposed restructuring.
Healthy Healthcare IT2012 Predictions for Revitalization of Japan: Prepared for Healthcare IT Subcommittee and Tohoku Revitalization Task Force at ACCJ on February 17, 2012.
The document summarizes a presentation on comparing the US healthcare system to other countries. It begins with defining terms like OECD, healthcare systems, and analytic methods. It then discusses the evolution of healthcare systems in OECD countries after World War II, with European nations adopting universal coverage through national systems while the US relied on employer subsidies. The presentation outlines different healthcare models - National Health Service, National Health Insurance, and mixed private/public systems - and provides examples from countries like the UK, which has a National Health Service funded mainly through taxes.
China Healthcare Construction Market 2005david_singer
1. Around 80% of existing hospitals in China need to be rebuilt over the next 10 years due to outdated designs that lack safety considerations.
2. Virtually all 300 Centers for Disease Control in China above the prefecture level will need to be reconstructed in the next 3-5 years, as most are still using conventional office buildings not designed for healthcare.
3. China's healthcare construction market has grown rapidly over the past decade but challenges remain, including uneven resource distribution and high costs. The market is expected to continue strong growth as China works to improve its healthcare system.
This document introduces Intellect's campaign to increase the UK government's investment in healthcare IT to 4% of the NHS budget as recommended by the 2002 Wanless Report. The campaign aims to highlight how increased IT spending can benefit patients, the government, and industry. Specifically, IT can help manage an aging population and chronic diseases, improve patient care and safety, and reduce costly medical errors. The document argues sustained investment is needed to implement larger IT systems and realize these benefits over time through improved processes and access to records.
2,4 Dr. Soren Otieno LMGConference Resource Mobilization for Hospitals & Heal...HSM-Kenya
Dr. Soren Otieno provides background information on the National Spinal Injury Hospital (NSIH) in Kenya. The hospital was founded in 1944 and provides specialized healthcare to persons with spinal injuries, including rehabilitative, medical, nursing and surgical care. It also conducts preventative health education. NSIH faces challenges with limited government resources, the high cost of treating spinal injuries, and limited bed capacity. To address gaps, NSIH pursues public-private partnerships, generates additional revenue, and encourages spinal injury patients to enroll in health insurance. Recent achievements through partnerships include building and equipping various hospital departments. Moving forward, NSIH aims to build more spinal injury hospitals, conduct patient outreach
REALTIME NATIONAL HEALTH INSURANCE SCHEME (RNHIS): MEANS TO ACHIEVE HEALTH FO...IJCSEA Journal
This document discusses the benefits of implementing a Real-Time National Health Insurance Scheme (RNHIS) in Nigeria to improve access to healthcare. It analyzes data from two hospitals that found the current NHIS system is not fully computerized or networked. This limits access for people in rural areas or traveling. The document proposes a centralized online system to connect healthcare facilities, insurers, and patients in real-time. This would allow verification of insurance coverage anywhere, bridge the urban-rural divide, and help achieve health goals. It outlines requirements for reliable software and network infrastructure to support an integrated real-time system.
Indonesia Healthcare Landscape - An Overview, July 2014Praneet Mehrotra
A brief description of Indonesia's healthcare landscape and the challenges it faces. The country has no choice, but to attract greater investments (also importantly, foreign investments) in capacity creation.
This concept paper from the Ministry of Health proposes restructuring Malaysia's national health system to address future needs. Called 1Care, the restructured system aims to provide universal, quality healthcare coverage in line with the 1Malaysia model. Currently, Malaysia's public and private healthcare sectors are imbalanced, with the public sector handling more workload despite fewer resources. The paper seeks input on developing a detailed blueprint to address challenges like ensuring services meet needs, improving equity and quality, and optimizing limited resources through the proposed restructuring.
Healthy Healthcare IT2012 Predictions for Revitalization of Japan: Prepared for Healthcare IT Subcommittee and Tohoku Revitalization Task Force at ACCJ on February 17, 2012.
The document summarizes a presentation on comparing the US healthcare system to other countries. It begins with defining terms like OECD, healthcare systems, and analytic methods. It then discusses the evolution of healthcare systems in OECD countries after World War II, with European nations adopting universal coverage through national systems while the US relied on employer subsidies. The presentation outlines different healthcare models - National Health Service, National Health Insurance, and mixed private/public systems - and provides examples from countries like the UK, which has a National Health Service funded mainly through taxes.
China Healthcare Construction Market 2005david_singer
1. Around 80% of existing hospitals in China need to be rebuilt over the next 10 years due to outdated designs that lack safety considerations.
2. Virtually all 300 Centers for Disease Control in China above the prefecture level will need to be reconstructed in the next 3-5 years, as most are still using conventional office buildings not designed for healthcare.
3. China's healthcare construction market has grown rapidly over the past decade but challenges remain, including uneven resource distribution and high costs. The market is expected to continue strong growth as China works to improve its healthcare system.
This document introduces Intellect's campaign to increase the UK government's investment in healthcare IT to 4% of the NHS budget as recommended by the 2002 Wanless Report. The campaign aims to highlight how increased IT spending can benefit patients, the government, and industry. Specifically, IT can help manage an aging population and chronic diseases, improve patient care and safety, and reduce costly medical errors. The document argues sustained investment is needed to implement larger IT systems and realize these benefits over time through improved processes and access to records.
2,4 Dr. Soren Otieno LMGConference Resource Mobilization for Hospitals & Heal...HSM-Kenya
Dr. Soren Otieno provides background information on the National Spinal Injury Hospital (NSIH) in Kenya. The hospital was founded in 1944 and provides specialized healthcare to persons with spinal injuries, including rehabilitative, medical, nursing and surgical care. It also conducts preventative health education. NSIH faces challenges with limited government resources, the high cost of treating spinal injuries, and limited bed capacity. To address gaps, NSIH pursues public-private partnerships, generates additional revenue, and encourages spinal injury patients to enroll in health insurance. Recent achievements through partnerships include building and equipping various hospital departments. Moving forward, NSIH aims to build more spinal injury hospitals, conduct patient outreach
REALTIME NATIONAL HEALTH INSURANCE SCHEME (RNHIS): MEANS TO ACHIEVE HEALTH FO...IJCSEA Journal
This document discusses the benefits of implementing a Real-Time National Health Insurance Scheme (RNHIS) in Nigeria to improve access to healthcare. It analyzes data from two hospitals that found the current NHIS system is not fully computerized or networked. This limits access for people in rural areas or traveling. The document proposes a centralized online system to connect healthcare facilities, insurers, and patients in real-time. This would allow verification of insurance coverage anywhere, bridge the urban-rural divide, and help achieve health goals. It outlines requirements for reliable software and network infrastructure to support an integrated real-time system.
Indonesia Healthcare Landscape - An Overview, July 2014Praneet Mehrotra
A brief description of Indonesia's healthcare landscape and the challenges it faces. The country has no choice, but to attract greater investments (also importantly, foreign investments) in capacity creation.
This document discusses the impacts of the 2011 Tohoku earthquake and tsunami on healthcare systems in Ishinomaki City, Miyagi prefecture, Japan. It describes how the disaster damaged hospitals and clinics in the city, disrupting care, and cases of specific facilities like the Ishinomaki Municipal Hospital and Ishinomaki Red Cross Hospital. It also outlines recovery plans at the prefectural and city levels that allocate large budgets to reconstructing healthcare infrastructure and establishing telemedicine and home care services to better serve the region's aging and shrinking population in the future.
Liu faced with the great eastern japan eq disaster.what can the jarm do_crdr...gosneyjr
1) The Japanese Association of Rehabilitation Medicine (JARM) established an earthquake disaster relief headquarters shortly after the 2011 Tohoku earthquake and tsunami to coordinate the response.
2) JARM collaborated with other rehabilitation organizations and local/national governments to provide relief activities like transferring patients to facilities outside the disaster zone and operating a shelter with rehabilitation services.
3) Going forward, JARM aims to improve disaster preparedness through training and planning, strengthen information management and relief capabilities, and support rehabilitation in the recovery process.
This document announces an online symposium hosted by the Young Neurosurgeons Forum on providing neurosurgical services during disasters. The symposium will discuss concepts like telemedicine, telesurgery, and mobile emergency/neurosurgical units. Speakers will include leaders from the World Federation of Neurosurgical Societies on training neurosurgeons in developing areas and addressing public health issues. The document provides background on recent major earthquakes in Haiti and Chile to illustrate the need for rapid neurological response during disasters when infrastructure is damaged and communications fail.
Proposal for a sustainable community medical clinic at koindu 1Usman Daramy
The document proposes establishing a sustainable community medical clinic in Koindu, Sierra Leone to address health needs. The clinic would provide primary care, laboratory services, accommodations, and community education. It would be integrated into a larger community development platform including an agricultural food processing activity to promote sustainability. The clinic aims to improve health access for the marginalized region affected by civil conflict and Ebola, and would operate through generating revenues and community support after an initial two year subsidy period.
Journal of Sustainable Regional health systems issue Ruby Med Plus
Background: Creating a culture of safety has received great attention to ensure that patients receive the safest possible care. A key
precept of patient safety programs is the removal of the “culture of blame.” Patient safety has been and still is a priority in Italian
Hospitals. The aim of this study was to measure the safety culture in teaching and non-teaching hospitals of Italy.
Methods: Data were collected from 261 staffs working in the teaching and non-teaching hospitals by means of the Italian version
of the Safety Attitudes Questionnaire-Short form 2006.
Results: Mean response rate from returned valid questionnaires was 60%. Both hospitals did not differ significantly in SAQ
dimensions except unit management. Clinical departments differ with each SAQ dimension as indicated by Kruskal Wallis test.
Regression analysis showed positive trend between safety climate and other SAQ dimensions except for stress recognition dimension.
Physicians scored high in team climate, safety climate and job satisfaction and non-physicians scored high in stress recognition
and job satisfaction. Comparing the gender scores, stress recognition and job satisfaction dimensions scored high with females and
Males scored high in team climate and job satisfaction. Both at professional and gender level hospital management scores were
low.
Conclusion: This cross sectional survey provides benchmark data for both hospital safety cultures. Results point out critical
attention to patient safety at teaching and nonteaching hospitals. Further research is needed to check safety culture impact on
patient outcomes in both the hospitals.
Keywords: patient safety, safety culture and safety attitudes
Experiences From The Tohoku Disaster In Japan And Stakeholder Perceptions On ...Prabhakar SVRK
The presentation has two parts, the first part informs about the important lessons learned from the 2011 Tohoku disaster in Japan and the second part informs about the implications of loss and damage associated with climate change and adaptation in terms of the stakeholder perceptions and what they mean for knowledge networks.
https://www.researchgate.net/profile/Sv_R_K_Prabhakar/publication/264744472_Experiences_from_the_Tohoku_Disaster_in_Japan_and_Stakeholder_Perceptions_on_Loss_and_Damage_Associated_with_Climate_Change_and_Adaptation/links/53edc21b0cf26b9b7dc5fd93?origin=publication_detail
Prof Akiko Yamanaka, the Special Advisor to the President of ERIA, participated as one of the co-chairs of Task-Force 4 (TF4): Economic Effects of Infrastructure Investment and its Financing, one of the ten Task Forces at the Think20 (T20), the research and policy advice network for the G20 Summit 2019 that was held on 26-27 May 2019 in Tokyo, Japan.
During the panel session of TF4, Prof Yamanaka proposed ways to develop high-quality infrastructure investments that takes various challenges into account, namely financial, climate, and urban planning challenges. Prof Yamanaka spoke about three issues regarding people and infrastructure, which can contribute to disaster mitigation, such as enabling laws, raising awareness, and developing infrastructure.
Document originally published here: https://t20japan.org/wp-content/uploads/2019/04/t20-japan-tf4-8-disaster-mitigation-social-resilience-humans-infrastructure.pdf
This document discusses aging trends in Japan and proposals to promote healthy aging through information and communication technologies (ICT). It provides the following key points:
1) About 32% of Japan's population is elderly or disabled, and aging people account for half of healthcare costs and a growing percentage live alone.
2) Conferences were held to discuss ICT applications to support independent living and health for seniors, including expanding digital access and inclusion.
3) Proposals included establishing ICT-enabled health models using medical data to promote prevention, expanding medical data sharing infrastructure to improve care coordination, and creating "life support businesses" using technologies like sensors and robots.
this Rapid response brings relief to flood-liazurrahmanmd
“WHO will continue to support the health emergency response and remain vigilant for disease outbreaks that can easily spread if not quickly contained. We must be agile and ready to respon
The document discusses cloud adoption trends in APAC countries. It provides an example of how a Japanese hospital, Ishinomaki Municipal Hospital, was able to resume operations after the 2011 earthquake and tsunami by sharing electronic medical records with another hospital using cloud computing. It also discusses recent revisions by the Japanese government to reimbursement systems to promote telemedicine and online healthcare management using guidelines for online medical services. The document references projects in India from 2011 and 2017 that aim to develop integrated disease surveillance systems using cloud computing.
A business continuity plan (BCP) identifies critical business operations, potential impacts of disasters, and response and recovery measures to maintain operations during adverse conditions. The document provides examples of disasters in the Philippines that have caused loss of life and extensive damage, emphasizing the importance of BCPs, especially for small- and medium-sized enterprises. It then outlines key components of effective BCPs based on lessons from Japan, including identifying consequences rather than specific disasters, ensuring plans are updated based on changing risks, and addressing potential supply chain disruptions.
EcoMobility: the new urban transportation solutionNuno Quental
The document is a newsletter from CITYNET (Regional Network of Local Authorities for the Management of Human Settlements) focusing on disaster risk reduction and recovery efforts.
The main topics covered are:
1) Yokohama's response to the 2011 earthquake, including establishing a disaster headquarters, dispatching over 1,700 officials to assist with relief efforts, and coordinating with other cities.
2) An interview with Margareta Wahlström of UNISDR who discusses the importance of viewing disaster risk reduction holistically and focusing on prevention by making choices to build more resilient infrastructure and social systems.
3) CITYNET's role in advocating for safer cities through initiatives like the
The document summarizes the impact of an EF-5 tornado that struck Joplin, Missouri on May 22, 2011. It destroyed over 25% of the city and caused over $3 billion in property damage. 161 people lost their lives and over 2,500 were injured. Critical infrastructure like hospitals, schools, and communication towers were severely damaged. The tornado displaced over 12,000 residents and destroyed thousands of homes and businesses. It was one of the deadliest tornadoes in U.S. history.
Statement to the nation by Leader of the Opposition Hon Philip J. Pierre May ...slp communications
The opposition leader expresses concern over the government's handling of the healthcare crisis in Saint Lucia. He summarizes that the previous SLP government had plans to complete the St. Jude and OKEU hospitals but the current government has caused uncertainty and delay through contradictory statements. The opposition leader calls on the government to treat the healthcare situation as a priority and complete the hospital projects urgently to improve conditions and stop unnecessary deaths from occurring.
This document summarizes a research dissertation on local government and health service delivery in Uganda, specifically in Lira District. The study examines the accessibility and quality of health services provided by Adekokwok Sub-County and ways to improve delivery. Some key points:
1) Decentralization policy aims to provide services like health care locally but allegations of insufficient delivery due to poor management and lack of accountability remain.
2) Accessibility of health services in the sub-county is limited. Services in some rural areas are inaccessible or unequipped. Quality is also poor in many parts of the country.
3) Suggested ways to improve include increasing funding to local governments and ensuring proper accountability
The document summarizes the COVID-19 situation in Indonesia as of August 5th, 2020. It reports that there were over 116,000 confirmed cases, over 5,000 deaths, and over 73,000 recoveries across Indonesia. The highest numbers of cases have been in East Java and DKI Jakarta. Jakarta has extended social restrictions until August 13th due to increasing case numbers. There are concerns about the risks of increased travel during the Eid holiday period and high numbers of healthcare workers that have been infected or died from COVID-19.
Incoherent policies pachanee and wibulpolprasertNithimar Or
The Thai government has implemented two major health policies that have increased demand for health services: universal health insurance coverage since 2001 and promotion of international medical tourism since the early 2000s. These dual policies have led to staffing shortages as health personnel are attracted to higher paying private sector jobs. While expanding access to care, the imbalance of resources between public and private sectors threatens equitable access, particularly in rural areas. Additional supply- and demand-side interventions are needed to address inequities arising from the competing demands on Thailand's health system.
Scaling up ems under universal health insurance scheme in thailandThira Woratanarat
This document summarizes the scaling up of emergency medical services (EMS) in Thailand under the universal health insurance scheme. It describes how Thailand addressed obstacles to developing effective EMS through incremental initiatives focused on trauma care since the 1990s. Universal health insurance and health system reforms created opportunities to develop sustainable EMS. Key initiatives included establishing standardized EMS training programs, an emergency call number, and integrated trauma care systems in provinces like Khon Kaen that served as models for EMS development in Thailand.
The spread of Coronavirus around the world will contribute to significant changes in the near future and in the long term in health systems, in cities, in the world of work, in the education system, in public transport, in social relations, in tourism, in society, in the globalization process and the action of governments around the world. The world will no longer be the same. We need to prepare for the future to come. The 11 main changes that will impact the present and the future are presented in this article.
1. What Is “Metaverse”?
2. Use Cases of Metaverse in Healthcare: Robot-Assisted Surgery (RAS) Systems
3. What Is “Web3/NFTs”?
4. Use Cases of Web3/NFTs in Healthcare: Secure Health Information Exchange
5. Conclusion/Q&A
This document discusses the impacts of the 2011 Tohoku earthquake and tsunami on healthcare systems in Ishinomaki City, Miyagi prefecture, Japan. It describes how the disaster damaged hospitals and clinics in the city, disrupting care, and cases of specific facilities like the Ishinomaki Municipal Hospital and Ishinomaki Red Cross Hospital. It also outlines recovery plans at the prefectural and city levels that allocate large budgets to reconstructing healthcare infrastructure and establishing telemedicine and home care services to better serve the region's aging and shrinking population in the future.
Liu faced with the great eastern japan eq disaster.what can the jarm do_crdr...gosneyjr
1) The Japanese Association of Rehabilitation Medicine (JARM) established an earthquake disaster relief headquarters shortly after the 2011 Tohoku earthquake and tsunami to coordinate the response.
2) JARM collaborated with other rehabilitation organizations and local/national governments to provide relief activities like transferring patients to facilities outside the disaster zone and operating a shelter with rehabilitation services.
3) Going forward, JARM aims to improve disaster preparedness through training and planning, strengthen information management and relief capabilities, and support rehabilitation in the recovery process.
This document announces an online symposium hosted by the Young Neurosurgeons Forum on providing neurosurgical services during disasters. The symposium will discuss concepts like telemedicine, telesurgery, and mobile emergency/neurosurgical units. Speakers will include leaders from the World Federation of Neurosurgical Societies on training neurosurgeons in developing areas and addressing public health issues. The document provides background on recent major earthquakes in Haiti and Chile to illustrate the need for rapid neurological response during disasters when infrastructure is damaged and communications fail.
Proposal for a sustainable community medical clinic at koindu 1Usman Daramy
The document proposes establishing a sustainable community medical clinic in Koindu, Sierra Leone to address health needs. The clinic would provide primary care, laboratory services, accommodations, and community education. It would be integrated into a larger community development platform including an agricultural food processing activity to promote sustainability. The clinic aims to improve health access for the marginalized region affected by civil conflict and Ebola, and would operate through generating revenues and community support after an initial two year subsidy period.
Journal of Sustainable Regional health systems issue Ruby Med Plus
Background: Creating a culture of safety has received great attention to ensure that patients receive the safest possible care. A key
precept of patient safety programs is the removal of the “culture of blame.” Patient safety has been and still is a priority in Italian
Hospitals. The aim of this study was to measure the safety culture in teaching and non-teaching hospitals of Italy.
Methods: Data were collected from 261 staffs working in the teaching and non-teaching hospitals by means of the Italian version
of the Safety Attitudes Questionnaire-Short form 2006.
Results: Mean response rate from returned valid questionnaires was 60%. Both hospitals did not differ significantly in SAQ
dimensions except unit management. Clinical departments differ with each SAQ dimension as indicated by Kruskal Wallis test.
Regression analysis showed positive trend between safety climate and other SAQ dimensions except for stress recognition dimension.
Physicians scored high in team climate, safety climate and job satisfaction and non-physicians scored high in stress recognition
and job satisfaction. Comparing the gender scores, stress recognition and job satisfaction dimensions scored high with females and
Males scored high in team climate and job satisfaction. Both at professional and gender level hospital management scores were
low.
Conclusion: This cross sectional survey provides benchmark data for both hospital safety cultures. Results point out critical
attention to patient safety at teaching and nonteaching hospitals. Further research is needed to check safety culture impact on
patient outcomes in both the hospitals.
Keywords: patient safety, safety culture and safety attitudes
Experiences From The Tohoku Disaster In Japan And Stakeholder Perceptions On ...Prabhakar SVRK
The presentation has two parts, the first part informs about the important lessons learned from the 2011 Tohoku disaster in Japan and the second part informs about the implications of loss and damage associated with climate change and adaptation in terms of the stakeholder perceptions and what they mean for knowledge networks.
https://www.researchgate.net/profile/Sv_R_K_Prabhakar/publication/264744472_Experiences_from_the_Tohoku_Disaster_in_Japan_and_Stakeholder_Perceptions_on_Loss_and_Damage_Associated_with_Climate_Change_and_Adaptation/links/53edc21b0cf26b9b7dc5fd93?origin=publication_detail
Prof Akiko Yamanaka, the Special Advisor to the President of ERIA, participated as one of the co-chairs of Task-Force 4 (TF4): Economic Effects of Infrastructure Investment and its Financing, one of the ten Task Forces at the Think20 (T20), the research and policy advice network for the G20 Summit 2019 that was held on 26-27 May 2019 in Tokyo, Japan.
During the panel session of TF4, Prof Yamanaka proposed ways to develop high-quality infrastructure investments that takes various challenges into account, namely financial, climate, and urban planning challenges. Prof Yamanaka spoke about three issues regarding people and infrastructure, which can contribute to disaster mitigation, such as enabling laws, raising awareness, and developing infrastructure.
Document originally published here: https://t20japan.org/wp-content/uploads/2019/04/t20-japan-tf4-8-disaster-mitigation-social-resilience-humans-infrastructure.pdf
This document discusses aging trends in Japan and proposals to promote healthy aging through information and communication technologies (ICT). It provides the following key points:
1) About 32% of Japan's population is elderly or disabled, and aging people account for half of healthcare costs and a growing percentage live alone.
2) Conferences were held to discuss ICT applications to support independent living and health for seniors, including expanding digital access and inclusion.
3) Proposals included establishing ICT-enabled health models using medical data to promote prevention, expanding medical data sharing infrastructure to improve care coordination, and creating "life support businesses" using technologies like sensors and robots.
this Rapid response brings relief to flood-liazurrahmanmd
“WHO will continue to support the health emergency response and remain vigilant for disease outbreaks that can easily spread if not quickly contained. We must be agile and ready to respon
The document discusses cloud adoption trends in APAC countries. It provides an example of how a Japanese hospital, Ishinomaki Municipal Hospital, was able to resume operations after the 2011 earthquake and tsunami by sharing electronic medical records with another hospital using cloud computing. It also discusses recent revisions by the Japanese government to reimbursement systems to promote telemedicine and online healthcare management using guidelines for online medical services. The document references projects in India from 2011 and 2017 that aim to develop integrated disease surveillance systems using cloud computing.
A business continuity plan (BCP) identifies critical business operations, potential impacts of disasters, and response and recovery measures to maintain operations during adverse conditions. The document provides examples of disasters in the Philippines that have caused loss of life and extensive damage, emphasizing the importance of BCPs, especially for small- and medium-sized enterprises. It then outlines key components of effective BCPs based on lessons from Japan, including identifying consequences rather than specific disasters, ensuring plans are updated based on changing risks, and addressing potential supply chain disruptions.
EcoMobility: the new urban transportation solutionNuno Quental
The document is a newsletter from CITYNET (Regional Network of Local Authorities for the Management of Human Settlements) focusing on disaster risk reduction and recovery efforts.
The main topics covered are:
1) Yokohama's response to the 2011 earthquake, including establishing a disaster headquarters, dispatching over 1,700 officials to assist with relief efforts, and coordinating with other cities.
2) An interview with Margareta Wahlström of UNISDR who discusses the importance of viewing disaster risk reduction holistically and focusing on prevention by making choices to build more resilient infrastructure and social systems.
3) CITYNET's role in advocating for safer cities through initiatives like the
The document summarizes the impact of an EF-5 tornado that struck Joplin, Missouri on May 22, 2011. It destroyed over 25% of the city and caused over $3 billion in property damage. 161 people lost their lives and over 2,500 were injured. Critical infrastructure like hospitals, schools, and communication towers were severely damaged. The tornado displaced over 12,000 residents and destroyed thousands of homes and businesses. It was one of the deadliest tornadoes in U.S. history.
Statement to the nation by Leader of the Opposition Hon Philip J. Pierre May ...slp communications
The opposition leader expresses concern over the government's handling of the healthcare crisis in Saint Lucia. He summarizes that the previous SLP government had plans to complete the St. Jude and OKEU hospitals but the current government has caused uncertainty and delay through contradictory statements. The opposition leader calls on the government to treat the healthcare situation as a priority and complete the hospital projects urgently to improve conditions and stop unnecessary deaths from occurring.
This document summarizes a research dissertation on local government and health service delivery in Uganda, specifically in Lira District. The study examines the accessibility and quality of health services provided by Adekokwok Sub-County and ways to improve delivery. Some key points:
1) Decentralization policy aims to provide services like health care locally but allegations of insufficient delivery due to poor management and lack of accountability remain.
2) Accessibility of health services in the sub-county is limited. Services in some rural areas are inaccessible or unequipped. Quality is also poor in many parts of the country.
3) Suggested ways to improve include increasing funding to local governments and ensuring proper accountability
The document summarizes the COVID-19 situation in Indonesia as of August 5th, 2020. It reports that there were over 116,000 confirmed cases, over 5,000 deaths, and over 73,000 recoveries across Indonesia. The highest numbers of cases have been in East Java and DKI Jakarta. Jakarta has extended social restrictions until August 13th due to increasing case numbers. There are concerns about the risks of increased travel during the Eid holiday period and high numbers of healthcare workers that have been infected or died from COVID-19.
Incoherent policies pachanee and wibulpolprasertNithimar Or
The Thai government has implemented two major health policies that have increased demand for health services: universal health insurance coverage since 2001 and promotion of international medical tourism since the early 2000s. These dual policies have led to staffing shortages as health personnel are attracted to higher paying private sector jobs. While expanding access to care, the imbalance of resources between public and private sectors threatens equitable access, particularly in rural areas. Additional supply- and demand-side interventions are needed to address inequities arising from the competing demands on Thailand's health system.
Scaling up ems under universal health insurance scheme in thailandThira Woratanarat
This document summarizes the scaling up of emergency medical services (EMS) in Thailand under the universal health insurance scheme. It describes how Thailand addressed obstacles to developing effective EMS through incremental initiatives focused on trauma care since the 1990s. Universal health insurance and health system reforms created opportunities to develop sustainable EMS. Key initiatives included establishing standardized EMS training programs, an emergency call number, and integrated trauma care systems in provinces like Khon Kaen that served as models for EMS development in Thailand.
The spread of Coronavirus around the world will contribute to significant changes in the near future and in the long term in health systems, in cities, in the world of work, in the education system, in public transport, in social relations, in tourism, in society, in the globalization process and the action of governments around the world. The world will no longer be the same. We need to prepare for the future to come. The 11 main changes that will impact the present and the future are presented in this article.
Similar to Impacts of the East Japan Earthquake and Tsunami towards Governance, Risk and Compliance in Healthcare IT (20)
1. What Is “Metaverse”?
2. Use Cases of Metaverse in Healthcare: Robot-Assisted Surgery (RAS) Systems
3. What Is “Web3/NFTs”?
4. Use Cases of Web3/NFTs in Healthcare: Secure Health Information Exchange
5. Conclusion/Q&A
1. 米国立標準技術研究所(NIST) NIST SP 1800-30 遠隔医療の遠隔患者モニタリングエコシステムのセキュア化」草案第2版(2021年5月6日発行)
2. CSA Health Information Management WG 「クラウド上の遠隔医療データ」(2020年6月16日発行)
3. CSA Health Information Management WG 「遠隔医療のリスク管理」(2021年8月10日発行)
4. Q&A/ディスカッション
1. Use Case: Robot-Assisted Surgery (RAS) System on the Cloud
2. Worldwide IT Industry 2023 Predictions
3. Japan IT Spending Forecast by Region: 2021-2026
4. Japan Public Cloud Spending Forecast: 2021-2026
5. Japan Private Cloud Spending Forecast: 2021-2026
6. Japan Information Security Market Forecast: 2020-2026
7. Green Transformation (GX) in Healthcare
8. Conclusion/Q&A
1. Cybersecurity on Telehealth @NIST
2. Cybersecurity on Telehealth x Smart Home @NIST
3. Cloud-Native Privacy/Data Protection on Telehealth @CSA
4. Cloud-Native Security on Telehealth @CSA
5. Conclusions
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
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Impacts of the East Japan Earthquake and Tsunami towards Governance, Risk and Compliance in Healthcare IT
1. Section Four 65
Impacts of the East Japan Earthquake and Tsunami
towards Governance, Risk and Compliance in
Healthcare IT
Healthcare institutions are critical in time of large scale natural or man-made disasters
and therefore they must include disaster recovery planning within communities. The East
Japan Earthquake and Tsunami on 11 March 2011 crippled the communication and critical information systems
of most hospitals and clinics in Tohoku. Fortunately some empowered healthcare consumers managed to switch
to using public cloud services, including Social Media and Mobile, as alternate means for ad hoc information and
services. In order to establish stakeholder-based healthcare emergency preparedness and response coalition, it is
essential to develop a common rule to harmonise on-premise-based healthcare IT and cloud-based consumer IT
from the viewpoints of governance, risk and compliance (GRC) value chains.
Dr Eiji Sasahara
Board Member, Cloud Security Alliance Japan Chapter
vyt04351@nifty.com
1 INTRODUCTION
Healthcare institutions are recognised as critical infrastructure for disaster recovery planning within
communities worldwide. In order to improve IT-related Governance, Risk and Compliance (GRC) for healthcare
providers in Japan, in February 2010, the Ministry of Health, Labour and Welfare (MHLW) issued the “Security
Guidelines for Health Information Systems (Version 4.1)” incorporating high-level security management, even
in disaster emergency response.
However, the East Japan Earthquake and Tsunami on 11 March 2011 caused severe damage to region-
wide telecommunication networks and critical information systems of the healthcare providers in Tohoku,
which proved surprisingly vulnerable. With limited knowledge and resources, many empowered healthcare
consumers managed to switch quickly to using public cloud services, including social media and mobile
telecommunications, as emergency communications tools for contacts and online services.
2. 66 Section Four
In order to clarify the various impacts of the earthquake and the ensuing tsunami towards the supply side
(e.g. Healthcare providers) and demand side (e.g. Healthcare consumers) of the healthcare value chains, face-
to-face and online interviews with key persons dedicated to the relief and revitalisation activities for Tohoku
have been conducted, and information from secondary resources, including central and local governments,
industry associations and non-profit organisations have been gathered. In this paper, we would like to present
real cases of healthcare providers and healthcare consumers, and discuss the impact of widespread disaster
towards total healthcare value chain from the perspectives of IT-related GRC.
2 IMPACT OF EARTHQUAKE AND TSUNAMI TOWARDS HEALTHCARE PROVIDERS: CASES OF ISHINOMAKI
Ishinomaki is a coastal city near the peninsula in the northeastern part of Miyagi Prefecture. Table 1 shows
the population trends of Ishinomaki City by age group in 2005-2010. While the younger age (0-14 years)
and working-age (15-64 years) populations had decreased, the elderly age population (65 years or older) had
increased year by year. After the earthquake, the total population decreased to 154,306 (as of July 2011). The
shrinking and ageing population caused concern as there was negative impact on the proposed revitalisation
plans, including healthcare delivery networks at Ishinomaki.
Year Total population Age 0-14 Age 15-64 Age 65- Ratio of Age 65-
2005 170,630 23,131 106,904 40,595 23.8%
2006 169,147 22,564 105,217 41,366 24.5%
2007 167,474 22,002 103,203 42,269 25.2%
2008 165,894 21,538 101,401 42,955 25.9%
2009 164,433 21,025 99,756 43,652 26.5%
2010 163,216 20,459 98,902 43,855 26.9%
Table 1: Population of Ishinomaki City by Age Group: 2005-2010
The tsunami inundated 46% of the city, having smashed and swept away large sections of coastal and
central downtown areas, and destroyed or disabled operations of many hospitals, clinics, nursing homes and
community health centres.
In the region, there have been two major healthcare institutions: Ishinomaki Red Cross Hospital and
Ishinomaki Municipal Hospital.
2.1 Case of Ishinomaki Red Cross Hospital in Highland Area
The 402-bed Ishinomaki Red Cross Hospital has been located in the newly developed highland area of Ishinomaki
since 2006. The distance between the Red Cross Hospital and the sea is about 6 kilometres. On 11 March 2011,
the hospital did not receive severe impacts from the tsunami directly. However, power outages hit wide areas
around Tohoku region, and the hospital had to continue operations with emergency electricity generators.
While local area networks (LANs) were available, external telecommunication networks were not available
due to electricity blackout and off-duty staff. Outpatients and patients’ families could not communicate with
3. Section Four 67
the hospital online. The Red Cross Hospital informed the local governments of its status via wireless disaster
prevention communication network. Regarding external communications with patients and families online,
the Red Cross Hospital posted information on their website (www.ishinomaki.jrc.or.jp/), even in emergencies.
However, the hospital does not have any official account in the social media.
Before the disaster, the Red Cross Hospital had voluntarily developed “Ishinomaki Regional Network Council
of Disaster Medicine Professionals” jointly with other healthcare institutions, regional medical associations,
disaster prevention authorities and local governments. These activities, including Business Continuity Planning
(BCP) and Disaster Recovery Planning (DRP), enabled the Red Cross Hospital to play a key role as a regional
healthcare emergency response centre in the Ishinomaki area. Before the disaster, the hospital usually
treated about 60 patients a day, 1,800 patients a month. But post-disaster, this had increased to 99 accepted
emergency patients on March 11, 779 on March 12, and 1,251 on March 13. Even under an ad hoc system and
hostile user environment with limited electricity and other resources, it was essential for the IT Department to
maintain operations of its healthcare information systems. Regarding healthcare IT, no severe problems were
reported at the Red Cross Hospital after the disaster.
2.2 Case of Ishinomaki Municipal Hospital in Coast Area
On the other hand, the 206-bed Ishinomaki Municipal Hospital has been located in central downtown area
near the sea since 1996. The distance between the Municipal Hospital and the sea is about 0.3 kilometres. The
hospital was severely damaged by the tsunami, with water reaching a maximum height of 5 metres. Figure 1
shows the landscape of the hospital building after the tsunami. Other buildings and houses in the central
downtown area were swept away by the tsunami.
Figure 1: Ishinomaki Municipal Hospital after the East Japan earthquake and tsunami
After the disaster, about 500 people were isolated on the 4th floor of the hospital building. The tsunami
destroyed the server room on the 1st floor where the hospital’s information systems were and the emergency
electricity generators in the basement. Both intra-hospital and external communications networks were
not available due to electricity blackout, and the hospital could not inform the emergency authorities about
the status of its facilities, staff or patients. On March 13, the hospital staff had to walk about 3 kilometres
through water in order to reach the City of Ishinomaki Office. On March 14, the Miyagi Disaster Medical
4. 68 Section Four
Assistance Team (DMAT) dispatched rescue staff from the Ishinomaki Red Cross Hospital to rescue about 170
patients from the Municipal Hospital.
Regarding external communications with patients and families online, the website of the Municipal Hospital
(http://i-aru.jp/) was shut down as well, due to damage by the tsunami, and the hospital does not have any
official account in social media.
Old paper-based medical records in the warehouse were swept out by the tsunami, and it was impossible to
recover the lost documents. However, in February 2011, the Ishinomaki Municipal Hospital started to share
the electronic medical records (EMR) with Yamagata City Hospital SAISEIKAN in Yamagata Prefecture (next to
Miyagi Prefecture) for backup purposes. EMR data recovery works were conducted in Yamagata, and on April 7,
the tsunami-hit Ishinomaki Municipal Hospital was able to open temporary clinic facilities at the former City
of Ishinomaki building in a safe area and to resume daily operations for outpatients.
When the City of Ishinomaki started to discuss its revitalisation plan, and the plan to redevelop the Municipal
Hospital to revive the central downtown area, they were faced with the ongoing problem of a shrinking and
aging population.
3 IMPACTS OF EARTHQUAKE AND TSUNAMI TO HEALTHCARE CONSUMERS
Since Mississippi and New Orleans in the U.S. were hit by hurricane Katrina in 2005, social media has played
the role as the go-to medium in times of crisis for victims, news and relief aid. It proved to be an essential
tool during natural disasters in Iceland, Haiti and New Zealand.
In Japan, the Ministry of Health, Labour and Welfare (MHLW) started the official YouTube channel (www.
youtube.com/MHLWchannel) in February 2009 and responded to concerns over the spread of the H1N1
swine flu virus after April 2009, and also initiated an official Twitter account (http://twitter.com/MHLWitter)
for immediate information sharing in September 2010. The goal of the MHLW has been to efficiently
communicate critical information to the public, and create new channels of communication by leveraging on
social media technologies.
Some of the local governments in Tohoku have also officially adopted social media. For example, the Public
Relations Department at Iwate Prefecture Government started to use Twitter (http://twitter.com/pref_iwate)
as an external communication tool in April 2010, and set up an official page in Facebook (www.facebook.
com/pref.iwate) in February 2011. In Miyagi Prefecture, the Risk Management Department at the City of
Kesennuma started delivering information on disaster prevention, including public health issues, to local
communities via Twitter (http://twitter.com/bosai_kesennuma) in July 2010.
However, most of healthcare providers hesitated to implement social media technologies for public use,
worrying about the IT management challenges, such as the development of social media policies and cloud
security management.
5. Section Four 69
3.1 Case of Miyako Disaster FM Radio Station in Iwate
In the immediate aftermath of the 9.0-magnitude earthquake and tsunami in Japan, the telephone and
cellular networks were not available either because they were down or overwhelmed with traffic. While
Tokyo’s fixed and mobile telecommunication services were subsequently restored, it was only with limited
capacity, and unfortunately much of the Tohoku region continued to be cut off from the telephone, mobile
and the Internet communication in the early stage of the disaster emergency response phases.
In the Tokyo metropolitan area, consumers turned to the Internet to track down friends and family and
connect with those who directly experienced the disaster. Commuters wanted to know if the trains were
running, and whether their neighbourhoods were affected by electricity blackouts due to the damage to the
nuclear and traditional electric power plants. Millions of consumers flocked to sites like the Twitter following
the news on the earthquake and tsunami, and video streaming/sharing platform providers such as YouTube,
USTREAM and Nico. Nico Douga saw a steep viewership climb.
In the coastal areas of Tohoku, the tsunami knocked out roads, railways and electricity cables. The main
methods of public communications then were paper-based documents posted on the walls of evacuation
shelters, or the use of outdoor loudspeakers or sirens for emergency alerts, or to send local information via
community radio stations.
For example, in Iwate Prefecture, a group of residents obtained permission from the City of Miyako to create a
small, emergency radio station called Miyako Disaster FM during the week of the disaster. As Internet service
was partially restored in the coastal city, the Miyako Disaster FM used services like Twitter (http://twitter.com/
mcbs_staff), Facebook (www.facebook.com/miyakofm) and Ustream (www.ustream.tv/channel/miyakofm774)
to spread the word about the broadcasts. Public health centres, community hospitals, clinics, pharmacies
and health-related non-profit organisations had to depend heavily on the radio stations to provide updated
information to a wide range of residents. Figure 2 shows the top pages of the Miyako Disaster FM on
USTREAM and Facebook. Those services are also available through smart phones.
USTREAM Facebok
(www.ustream.tv/channel/miyakofm774) (www.facebook.com/miyakofm)
Figure 2. Social media mix of Miyako Disaster FM in Iwate Prefecture
6. 70 Section Four
On April 5, the Cabinet Secretariat, the Ministry of Internal Affairs and Communications (MIC) and the
Ministry of Economy, Trade and Industry (METI) jointly issued the “Guidance of Information Disclosure Using
Privately-held Social Media for Central and Local Governments” to standardise the social media policies
among the government sectors.
During the recovery phases of telecommunication networks after the disaster, the number of public bodies
implementing social media increased significantly nationwide. However, among the healthcare providers, the
adoption of social media is not widespread.
3.2 Case of Digitised Parents Facing with Radiation Risks of Children in East Japan
Social media technologies have heightened the Japanese consumer’s awareness and led to more participation
in active decision making about their own health and the health of their families. Among the healthcare
consumers, the early adopters of social media were cancer patient support organisations. An example is
Cancernet Japan (www.cancernet.jp/), a non-profit organisation which focuses on cancer medicine, and has
developed an integrated social media communications utilising Blog (http://ameblo.jp/cancernetjapan/),
Twitter (http://twitter.com/CancerNetJapan) and USTREAM (www.ustream.tv/channel/cancernetjapan).
After the earthquake, tsunami and the ensuing nuclear accidents in Fukushima, and parents and children
facing the risks of radiation exposure, a new movement of digitised healthcare consumers emerged. The
American Academy of Pediatrics’ general policy statement on radiation disasters and children states that
kids do have a greater risk of harm after radiation exposure compared with adults. However, the Japanese
government updated the guidelines allowing schoolchildren to be exposed to radiation doses that are more
than 20 times the previously permissible levels. So parents in Fukushima and other areas in East Japan bought
personal dosimeters and shared information about radiation levels utilising high-speed Internet, mobile
phones and social media, such as Mixi, Twitter, USTREAM and YouTube.
Slow action by the central and local governments has made parents worried. On May 23, a group of mobile-
generation parents from Fukushima rallied outside the Ministry of Education, Culture, Sports, Science and
Technology (MEXT) in Tokyo, protesting the government’s updated guidelines and bearing signs reading
“Save our Children”. In response to the parents’ concerns, on May 27, the Education Minister said that the
government would seek to reduce the radiation levels in the guidelines and the Ministry showed readiness to
distribute dosimeters to teachers at schools in Fukushima Prefecture.
The same kind of activities has expanded to areas outside Fukushima. For example, active mothers in Kashiwa
City, the suburbs of Tokyo metropolitan area, circulated an online petition and garnered 10,000 signatures,
requesting the local government to take more action to save the children from risks of radiation exposure.
Those mothers connect with each other via social media on PCs and mobile phones.
With regard to the public use of social media, the Education Ministry opened official Twitter accounts (http://
twitter.com/mextjapan) on 24 February 2011. However, the officials were not prepared to conduct real-time
dialogue with citizens online, and communication was limited to monologue even after the disaster. In
addition, the Fukushima Prefectural Board of Education, the local organisation responsible for student safety
7. Section Four 71
and health at public schools, and the Fukushima Medical University Hospital, the key institution related to
health care for the radiation-exposed patients in the region, still do not have any official account in social
media, and have difficulties letting parents know what they will or will not able to do with it online.
While few healthcare institutions use social media to conduct dialogues with patients and families online,
academic societies in the medical sciences are gradually accepting social media technologies. For example,
the Japanese Society of Medical Oncology (http://jsmo.umin.jp/) has invited cancer patient organisations to
their annual face-to-face meetings and online dialogue sessions utilising Twitter, Facebook, and USTREAM.
While the Medical Oncology Society can listen more closely to the healthcare consumers as stakeholders,
participating patients and families can access reliable evidence-based health information on radiation
exposure and the risks of cancer and blood diseases.
4 DISCUSSION
First of all, healthcare is one of the strictly regulated industries with high-level requirements for Governance,
Risk and Compliance (GRC). Licensed healthcare professionals (e.g. physician, pharmacist and nurse) have
strict duty of confidentiality regarding patients’ information. The Japanese law also requires healthcare
providers to comply with the Medical Care Act, the Health Insurance Act, the Personal Information Protection
Act and other related regulations. As a result, the Japanese healthcare institutions tend to keep patient-
centric data and information on non-standardised or customised information systems in-house, and usually
hesitate to adopt a shared or public cloud services provided by external service providers.
However, the East Japan Earthquake and Tsunami dramatically changed this traditional mindset about
internal-focused healthcare IT. The cases of the Ishinomaki Red Cross Hospital and the Ishinomaki Municipal
Hospital demonstrated the limitations of on-premise healthcare information systems in Business Continuity
Planning (BCP) and Disaster Recovery (DR). This highlighted the role of external-focused development of
human and information networks in disaster-preventive healthcare IT as an essential part of the social
infrastructure. Following the disaster, more healthcare institutions are now considering cloud computing as
an alternative.
With regards to security requirements for healthcare providers, the MHLW issued a “Security Guidelines for
Health Information Systems (Version 4.1)” on February 2010. The guidance document presented two expected
fields in Disaster Emergency Response: fields in unsteady system and user environment; and a field in system
error or shutdown. The Ishinomaki Red Cross Hospital case is linked with IT operations under unstable system
and hostile user environment with highly changeable demands, and the Ishinomaki Municipal Hospital case
was linked to emergency response during the period when the system was shut down.
The MHLW’s guidance is based on traditional (on-premise) physical security, BCP and DR. The “Security
Guidance for Critical Areas of Focus in Cloud Computing Version 2.1”, issued by the Cloud Security Alliance,
points out the challenge of cloud computing adoption “to collaborate on risk identification, recognise
interdependencies, integrate, and leverage resources in a dynamic and forceful way”. So the next step is to
develop common security rules to harmonise on-premise-based IT and cloud-based IT for GRC optimisation in
regional healthcare value chain.
8. 72 Section Four
Secondly, healthcare consumers are the key stakeholders in the total healthcare value chain, eagerly seeking
information about health promotion, disease prevention, treatment of specific conditions, and management
of various health conditions and chronic diseases. After the earthquake, tsunami and nuclear accidents, the
stakeholders are adopting and utilising social media, based on public cloud services, through both fixed and
mobile broadband networks.
However, currently, most of the healthcare providers do not have official accounts in Mixi, Twitter, Facebook,
YouTube or USTREAM. From the viewpoints of stakeholder engagement in the management processes of GRC,
lack of a communication gateway between healthcare providers and healthcare consumers online means gaps
in stakeholder communications. In addition, the number of healthcare consumers with a good understanding
of the potential risks in social media, such as security and privacy, is still small. As social media is a public
communication tool and users need to understand their social responsibilities, it is essential to minimise the
consumers’ security and privacy risks by utilising standardised social media technologies.
In addition, information disclosure to stakeholders is one of the important processes in GRC management. It
is also essential to focus on the development of better communication channels between on-premise-based
healthcare providers and cloud-based healthcare consumers by leveraging on social media technologies.
5 CONCLUSION
The East Japan Earthquake and Tsunami is the starting point of developing a “new normal” healthcare IT with
stakeholder engagement in Governance, Risk and Control (GRC) processes. In order to establish a reliable
stakeholder-based healthcare emergency preparedness and response coalition, it is essential to develop
common rules and standardised technologies to harmonise on-premise-based healthcare IT and cloud-based
consumer IT through total healthcare value chains.
6 ACKNOWLEDGEMENTS
My appreciation to Mr Katsuhide Abe, Chief Executive Officer of the Healthcare Cloud Initiative, a registered
non-profit organisation based in Tokyo, for his leadership and contribution to field work in this area.
7 REFERENCES
[1] Martin Fackler. “Quake Area Residents Turn to Old Means of Communication to Keen Informed.” The
New York Times 27 March 2011.
[2] Hiroko Tabuchi. “Angry Parents in Japan Confront Government Over Radiation Levels.” The New York
Times 25 May 2011.
[3] Mariko Sanchanta and Mitsuru Obe. “Moms Turn Activists in Japanese Crisis.” The Wall Street Journal
17 June 2011.
9. Section Four 73
[4] The Cabinet Secretariat, the Ministry of Internal Affairs and communications (MIC) and the Ministry of
Economy, Trade and Industry (METI). “Guidance of Information Disclosure Using Privately-held Social
Media for Central and Local Governments” April 2011.
[5] The Ministry of Health, Labour and Welfare. “Security Guidelines for Health Information Systems
(Version 4.1)” February 2010.
[6] Cloud Security Alliance. “Security Guidance for Critical Areas of Focus in Cloud Computing (Version
2.1)” December 2009.
10. 74 Section Four
BIOGRAPHY OF AUTHOR
Dr Eiji Sasahara
Board Member, Cloud Security Alliance Japan Chapter
vyt04351@nifty.com
Dr Eiji Sasahara is a Board Member of Cloud Security Alliance Japan Chapter, and, on a volunteer basis, promotes
the utilisation of information and communication technologies for quality assurance in care delivery, and provides
education on the uses of Healthcare IT to help patient-centred and evidence-based medicine. He has provided
research and consulting services to global ICT vendors and start-up ventures on interactive brand management and
channel marketing development. He also works with non-Japanese media industry such as The Wall Street Journal
Asia and the Japanese public sector including the Ministry of Labour (currently the Ministry of Health, Labour and
Welfare).
Dr Sasahara holds a B.A. in human sciences from Keio University, Japan, an MBA from Boston University Graduate
School of Management, the U.S., and a Ph.D. in Medical and Pharmaceutical Sciences from Chiba University
Graduate School of Medical and Pharmaceutical Sciences, Japan.