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Pioneers of Healthcare IT Continued from page 7

I am confi dent we will see a major focus on interoper- ability by all leading vendors and true compliance to the standards.

W. Ed Hammond

Director, Duke Center for Health Informatics W. Ed Hammond is director, Duke Center for Health Informatics. He is professor, Department of Com- munity and Family Medicine; professor, Department of Biomedical Engineering; and adjunct professor in the Fuqua School of Business at Duke University. He has served as president of the American Medical Informatics Association (AMIA), president of the American College of Medical Informatics, and as chair of the Computer-based Patient Record Institute. He has served three terms as chair, Health Level 7, chair of ISO TC 215 WG2, and chair of the Joint Initiative Council (ISO, CEN, HL7, CDISC, IHTSDO, and GS1). He was chair of the Data Standards Working Group of the Connecting for Health Public-Private Consortium. He was a member of the IOM Commit- tee on Patient Safety Data Standards. He was awarded the Paul Ellwood Lifetime Achievement Award in 2003 and the ACMI Morris F. Collen Award of Excel- lence in November 2003.

With the advent of meaningful use, this integration and interoperability will become much easier for both vendors and hospitals, resulting in decreased cost and increased quality of patient care.

What is the most diffi cult challenge of EMR implementation?

The EHR needs to become so valuable to the pro- vider that it no longer becomes a question of “should we?” First, we need a common set of data elements in which each term is unambiguously defi ned and understood. Data is aggregated across all sites of care, providing the confi dence of quality data and complete data. The EHR contains only what is needed in the patient’s care, now and in the future, but only that. Social, economic and environmental data are used to achieve accessible, timely and equitable healthcare. Knowledge is seamlessly integrated into content. The EHR is part of work fl ow, engaging the provider only when human input is necessary. The EHR be- comes the focus of patient care, research, public health and reimbursement. Global clinical data warehouses are the source of clinical trials with timely analyses of data, creating real-time, evidenced-based medicine with real-time use.

Lori Wright

Vice president and general manager, Symantec Health Lori A. Wright is the vice president and general manager of Symantec Health, a division of Symantec founded to develop technologies for the healthcare industry. As vice president and general manager, she is responsible for product development, sales, marketing and govern- ment policy functions. Prior to leading the Symantec Health Group, she served as chief of staff to the CEO. She joined Symantec through the VERITAS Software acquisition in 2005 and held roles at VERITAS in mergers and acquisitions, strategic operations, fi nance and marketing.

What is the most diffi cult challenge of implementing EHR security?

The biggest threat to EHR security is people. While you hear stories of unauthorized clinical personnel look- ing at the medical records of celebrities, cases like this are usually in the minority. It is more likely employees act with no ill intent. Some breaches may result from an employee’s careless behavior, such as leaving a

8 September 2010

company laptop in the trunk of their car where it can get stolen, or unknowingly giving out sensitive data, such as when a doctor sends patient data to another doctor who is working on a similar case but doesn’t take out patient identifying information. Security is only as good as the weakest link.

Through proper education these situations are eas- ily mitigated. Security training programs can teach healthcare providers, and all other organizations handling personal health data, that they should know where a patient’s data is at all times, since it is the organization’s responsibility to protect the patient’s health information. There are also solutions that can improve EHR security without negatively impacting employee productivity or patient care. Usually, when an organization implements new technology, security of the solution is not top of mind. However, when integrating EHRs into an organization, it’s essential to make security one of the top considerations in the implementation.


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