As I have written previously, CIOs across the US have been pointing out to me that both opportunities and expectations for medical records storage, access, and delivery - particularly with regards to cloud storage - are at an all-time high. More electronic health records (EHRs) must be stored and delivered faster and with greater stability and usability (and they'd love it if it could be done cheaper too).Just recently, a number of clinicians told me that they were dissatisfied with the results of an EHR rollout project. I asked them what their criteria was to determine success. Their answer was that they had hoped to earn more money, get home an hour earlier, and be less stressed. This sounds good - but..
The Cloud does not solve every problem, whether related to healthcare information technology or otherwise, but it does significantly improve access to medical records, reduce CAPEX (capital expenditures), and enable health data management support (e.g. IT) to focus more on optimization than procurement.
One of my main tasks is to oversee several hundred physical servers in data centers across the US. They are operated by BIDMC and other hospitals. The lease on the building that houses our primary data center and all the H/W there, expires in a couple of years. I'm pretty optimistic, that by the time that happens, and we need to move out, we will not need to rebuild or operate our own data center elsewhere. By then, we'll have already embraced the public Cloud.
Between Embracing the Cloud and Being Embraced by It
Many companies talk about moving their healthcare information management system to the public Cloud. An attorney acquaintance, however, recently asked me if people are actually reading the fine print? To securely and efficiently upgrade and transfer a legacy healthcare data storage system from the data center to the Cloud requires meticulous planning.
Let me break down some of the key critical issues that need to be dealt with.
Technical and Logistic Concerns
At the technical level, you need to understand what exactly it is that you are buying, and how that supports and advances your healthcare information systems needs.
Here are some types of Cloud offerings that I've organized for you:
Each of these approaches requires the following from the Cloud hosting vendor:
Security Concerns
Network security concerns are a major headache to avoid. You'll want to assess the Cloud hosting vendor's security levels, strategies and survivability, in case of a major malicious attack or other system breakdown. This can be carried out by an independent audit of the Cloud hosting vendor.
Some things to consider and perform background checks on, are:
Legal Concerns
These types of concerns include compensation for monetary outlays that are associated with a breach, and just as importantly: business associate agreements, and a clear and detailed definition of the roles and responsibilities of every entity involved in offering and supporting the Cloud service. In this way, if something should go south, it will be clear what is to be done, and by whom, and who covers the financial aspects.
Making It All Work Legally - For Your Benefit
Of the many issues discussed above, the legal concerns are the most difficult to resolve. Many customers will ask Cloud vendors for an indemnification (i.e. compensation) clause without a cap, where the vendor must cover all costs associated with a breach, including third-party lawsuits.
As a rule, no Cloud vendor will sign an agreement without a cap. In fact, the Cloud Council presented a white paper which suggested that a cap of 12 months of fees is considered acceptable.
Protect Your Interests: Some Points to Put to Your Cloud Host Vendor
The Cloud Migration Effort - Worth It in the Long Run
Here's something to consider: Health information management is not an easy task. Big data in healthcare or healthcare data analytics is generally less time-critical or -real-time- sensitive as compared to the equivalent for an atomic plant. However, having the best pipeline for accessing patient and healthcare data is vital and very often life-critical.
Medical records management of healthcare data over the Cloud is seen - across the board - as so essential in today's society, that government regulations regarding HIPAA compliant cloud ensure that healthcare technology providers and users carry out their tasks responsibly.
Moving up to the Cloud requires a clear well-planned strategy, and we at SolidSupport can provide you with proven solutions for your healthcare data management needs. Call us, and we'll get you up to the Cloud safe and sound.
In our latest Case study, find out how Washington Heights Imaging reduced their operational costs by 50% after migrating their PACS.