J Biomed Inform - Learning relational policies from electronic health record access logs.

Tópicos

{ health(3367) inform(1360) care(1135) }
{ system(1050) medic(1026) inform(1018) }
{ data(1737) use(1416) pattern(1282) }
{ ehr(2073) health(1662) electron(1139) }
{ method(1219) similar(1157) match(930) }
{ record(1888) medic(1808) patient(1693) }
{ bind(1733) structur(1185) ligand(1036) }
{ problem(2511) optim(1539) algorithm(950) }
{ algorithm(1844) comput(1787) effici(935) }
{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
{ system(1976) rule(880) can(841) }
{ control(1307) perform(991) simul(935) }
{ blood(1257) pressur(1144) flow(957) }
{ spatial(1525) area(1432) region(1030) }
{ can(981) present(881) function(850) }
{ health(1844) social(1437) communiti(874) }
{ process(1125) use(805) approach(778) }
{ assess(1506) score(1403) qualiti(1306) }
{ surgeri(1148) surgic(1085) robot(1054) }
{ clinic(1479) use(1117) guidelin(835) }
{ extract(1171) text(1153) clinic(932) }
{ design(1359) user(1324) use(1319) }
{ care(1570) inform(1187) nurs(1089) }
{ model(3480) simul(1196) paramet(876) }
{ group(2977) signific(1463) compar(1072) }
{ activ(1452) weight(1219) physic(1104) }
{ model(3404) distribut(989) bayesian(671) }
{ imag(1947) propos(1133) code(1026) }
{ imag(1057) registr(996) error(939) }
{ sequenc(1873) structur(1644) protein(1328) }
{ featur(3375) classif(2383) classifi(1994) }
{ network(2748) neural(1063) input(814) }
{ chang(1828) time(1643) increas(1301) }
{ data(1714) softwar(1251) tool(1186) }
{ featur(1941) imag(1645) propos(1176) }
{ studi(1410) differ(1259) use(1210) }
{ visual(1396) interact(850) tool(830) }
{ studi(1119) effect(1106) posit(819) }
{ state(1844) use(1261) util(961) }
{ signal(2180) analysi(812) frequenc(800) }
{ sampl(1606) size(1419) use(1276) }
{ data(3008) multipl(1320) sourc(1022) }
{ first(2504) two(1366) second(1323) }
{ intervent(3218) particip(2042) group(1664) }
{ patient(1821) servic(1111) care(1106) }
{ drug(1928) target(777) effect(648) }
{ estim(2440) model(1874) function(577) }
{ method(1969) cluster(1462) data(1082) }
{ can(774) often(719) complex(702) }
{ inform(2794) health(2639) internet(1427) }
{ measur(2081) correl(1212) valu(896) }
{ imag(2830) propos(1344) filter(1198) }
{ imag(2675) segment(2577) method(1081) }
{ patient(2315) diseas(1263) diabet(1191) }
{ take(945) account(800) differ(722) }
{ studi(2440) review(1878) systemat(933) }
{ motion(1329) object(1292) video(1091) }
{ treatment(1704) effect(941) patient(846) }
{ framework(1458) process(801) describ(734) }
{ error(1145) method(1030) estim(1020) }
{ learn(2355) train(1041) set(1003) }
{ concept(1167) ontolog(924) domain(897) }
{ method(1557) propos(1049) approach(1037) }
{ model(2220) cell(1177) simul(1124) }
{ general(901) number(790) one(736) }
{ method(984) reconstruct(947) comput(926) }
{ search(2224) databas(1162) retriev(909) }
{ case(1353) use(1143) diagnosi(1136) }
{ howev(809) still(633) remain(590) }
{ data(3963) clinic(1234) research(1004) }
{ risk(3053) factor(974) diseas(938) }
{ perform(999) metric(946) measur(919) }
{ research(1085) discuss(1038) issu(1018) }
{ import(1318) role(1303) understand(862) }
{ model(2341) predict(2261) use(1141) }
{ compound(1573) activ(1297) structur(1058) }
{ perform(1367) use(1326) method(1137) }
{ monitor(1329) mobil(1314) devic(1160) }
{ model(2656) set(1616) predict(1553) }
{ data(2317) use(1299) case(1017) }
{ age(1611) year(1155) adult(843) }
{ medic(1828) order(1363) alert(1069) }
{ cost(1906) reduc(1198) effect(832) }
{ gene(2352) biolog(1181) express(1162) }
{ activ(1138) subject(705) human(624) }
{ time(1939) patient(1703) rate(768) }
{ use(2086) technolog(871) perceiv(783) }
{ analysi(2126) use(1163) compon(1037) }
{ structur(1116) can(940) graph(676) }
{ high(1669) rate(1365) level(1280) }
{ cancer(2502) breast(956) screen(824) }
{ use(976) code(926) identifi(902) }
{ use(1733) differ(960) four(931) }
{ result(1111) use(1088) new(759) }
{ implement(1333) system(1263) develop(1122) }
{ survey(1388) particip(1329) question(1065) }
{ decis(3086) make(1611) patient(1517) }
{ method(2212) result(1239) propos(1039) }
{ detect(2391) sensit(1101) algorithm(908) }

Resumo

Modern healthcare organizations (HCOs) are composed of complex dynamic teams to ensure clinical operations are executed in a quick and competent manner. At the same time, the fluid nature of such environments hinders administrators' efforts to define access control policies that appropriately balance patient privacy and healthcare functions. Manual efforts to define these policies are labor-intensive and error-prone, often resulting in systems that endow certain care providers with overly broad access to patients' medical records while restricting other providers from legitimate and timely use. In this work, we propose an alternative method to generate these policies by automatically mining usage patterns from electronic health record (EHR) systems. EHR systems are increasingly being integrated into clinical environments and our approach is designed to be generalizable across HCOs, thus assisting in the design and evaluation of local access control policies. Our technique, which is grounded in data mining and social network analysis theory, extracts a statistical model of the organization from the access logs of its EHRs. In doing so, our approach enables the review of predefined policies, as well as the discovery of unknown behaviors. We evaluate our approach with 5 months of access logs from the Vanderbilt University Medical Center and confirm the existence of stable social structures and intuitive business operations. Additionally, we demonstrate that there is significant turnover in the interactions between users in the HCO and that policies learned at the department-level afford greater stability over time.

Resumo Limpo

modern healthcar organ hcos compos complex dynam team ensur clinic oper execut quick compet manner time fluid natur environ hinder administr effort defin access control polici appropri balanc patient privaci healthcar function manual effort defin polici laborintens errorpron often result system endow certain care provid over broad access patient medic record restrict provid legitim time use work propos altern method generat polici automat mine usag pattern electron health record ehr system ehr system increas integr clinic environ approach design generaliz across hcos thus assist design evalu local access control polici techniqu ground data mine social network analysi theori extract statist model organ access log ehr approach enabl review predefin polici well discoveri unknown behavior evalu approach month access log vanderbilt univers medic center confirm exist stabl social structur intuit busi oper addit demonstr signific turnov interact user hco polici learn departmentlevel afford greater stabil time

Resumos Similares

J Med Syst - A secure EHR system based on hybrid clouds. ( 0,707163009553827 )
Int J Med Inform - A methodology for the pseudonymization of medical data. ( 0,707160388572266 )
Perspect Health Inf Manag - Evaluating the usability of a free electronic health record for training. ( 0,690129839271346 )
Methods Inf Med - The lower saxony bank of health. rationale, principles, services, organization and architectural framework. ( 0,689495565210501 )
J Med Syst - Cloud-based hospital information system as a service for grassroots healthcare institutions. ( 0,68392249279353 )
AMIA Annu Symp Proc - Toward a Virtual Lifetime Electronic Record: the Department of Veterans Affairs experience with the Nationwide Health Information Network. ( 0,665488138110989 )
J Med Syst - Cloud based emergency health care information service in India. ( 0,660375396491441 )
Inform Health Soc Care - Identifying health facilities outside the enterprise: challenges and strategies for supporting health reform and meaningful use. ( 0,660056280659772 )
Int J Med Inform - Trustworthy reuse of health data: a transnational perspective. ( 0,652769790335518 )
Perspect Health Inf Manag - Health information exchange between jails and their communities: a bridge that is needed under healthcare reform. ( 0,649436490781591 )
J Med Syst - Analysis of the EHR systems in Spanish Primary Public Health System: the lack of interoperability. ( 0,649022115440692 )
J. Med. Internet Res. - A multidimensional view of personal health systems for underserved populations. ( 0,644846280314082 )
J Am Med Inform Assoc - Don't take your EHR to heaven, donate it to science: legal and research policies for EHR post mortem. ( 0,636931100864991 )
Int J Med Inform - The essential role of reconfiguration capabilities in the implementation of HIV-related health information exchanges. ( 0,635709612278697 )
J Am Med Inform Assoc - Agreement of Medicaid claims and electronic health records for assessing preventive care quality among adults. ( 0,632815788988527 )
Health Informatics J - Electronic patient information systems and care pathways: the organisational challenges of implementation and integration. ( 0,631398841976123 )
Telemed J E Health - Content-based management service for medical videos. ( 0,630739793814413 )
J Am Med Inform Assoc - Lessons from the Canadian national health information technology plan for the United States: opinions of key Canadian experts. ( 0,628002190488816 )
J Med Syst - Energy-efficient key distribution using electrocardiograph biometric set for secure communications in wireless body healthcare networks. ( 0,627466084554499 )
BMC Med Inform Decis Mak - Designing a patient-centered personal health record to promote preventive care. ( 0,626671349822099 )
Health Info Libr J - Health information support provided by professional associations in Canada. ( 0,623017167934668 )
J Med Syst - Unified performance evaluation of health centers with integrated model of data envelopment analysis and bargaining game. ( 0,621564805931295 )
J. Med. Internet Res. - Open source, open standards, and health care information systems. ( 0,620451616594657 )
J Am Med Inform Assoc - A personally controlled electronic health record for Australia. ( 0,616143288297683 )
AMIA Annu Symp Proc - Applications of health information exchange information to public health practice. ( 0,61607623800305 )
Geospat Health - Using geographical information systems for defining the accessibility to health care facilities in Jeddah City, Saudi Arabia. ( 0,61434001938717 )
J. Med. Internet Res. - Analysis of the definition and utility of personal health records using Q methodology. ( 0,614125750920077 )
J. Med. Internet Res. - Facilitating out-of-home caregiving through health information technology: survey of informal caregivers' current practices, interests, and perceived barriers. ( 0,613916152496013 )
J Med Syst - Design and implementation of a telecare information platform. ( 0,611024420535137 )
Perspect Health Inf Manag - Innovation in Indian healthcare: using health information technology to achieve health equity for American Indian and Alaska Native populations. ( 0,60988176307388 )
Med Decis Making - STAR--people-powered prioritization: a 21st-century solution to allocation headaches. ( 0,609113358240952 )
Int J Med Inform - Policy initiatives for health information technology: a qualitative study of U.S. expectations and Canada's experience. ( 0,609084049888776 )
J Med Syst - Integration of footprints information systems in palliative care: the case of Medical Center of Central Georgia. ( 0,608340022826374 )
Int J Med Inform - Determining the privacy policy deficiencies of health ICT applications through semi-formal modelling. ( 0,607750568231588 )
Methods Inf Med - Outcomes assessment of the regional health information exchange: a five-year follow-up study. ( 0,6058051447166 )
Healthc (Amst) - Geographic variation in health IT and health care outcomes: A snapshot before the meaningful use incentive program began. ( 0,60568630697075 )
J. Med. Internet Res. - Analysis of the security and privacy requirements of cloud-based electronic health records systems. ( 0,605605286441785 )
J Am Med Inform Assoc - Sociotechnical challenges to developing technologies for patient access to health information exchange data. ( 0,600987802992262 )
Methods Inf Med - Mining health care administrative data with temporal association rules on hybrid events. ( 0,600283280388109 )
J Am Med Inform Assoc - A risk-based regulatory framework for health IT: recommendations of the FDASIA working group. ( 0,598462141637256 )
BMC Med Inform Decis Mak - A comparison of electronic health records at two major Peking University Hospitals in China to United States meaningful use objectives. ( 0,597977758223734 )
J Am Med Inform Assoc - Why common carrier and network neutrality principles apply to the Nationwide Health Information Network (NWHIN). ( 0,597313361624567 )
J. Med. Internet Res. - Opportunities and challenges of cloud computing to improve health care services. ( 0,597038975462682 )
J Am Med Inform Assoc - Modeling shared care plans using CONTsys and openEHR to support shared homecare of the elderly. ( 0,596157607999007 )
Int J Med Inform - Introducing a nationally shared electronic patient record: case study comparison of Scotland, England, Wales and Northern Ireland. ( 0,595475143602463 )
J Am Med Inform Assoc - Strategies for maintaining patient privacy in i2b2. ( 0,594965357038359 )
J Med Syst - Meeting US health reform mandates with computerized health services utilization matching and optimization. ( 0,594525131038728 )
AMIA Annu Symp Proc - Auditing medical records accesses via healthcare interaction networks. ( 0,592740300597012 )
J Am Med Inform Assoc - Tracking the delivery of prevention-oriented care among primary care providers who have adopted electronic health records. ( 0,592351993792922 )
J Am Med Inform Assoc - Data governance requirements for distributed clinical research networks: triangulating perspectives of diverse stakeholders. ( 0,59174031608799 )
Perspect Health Inf Manag - Justice-involved health information: policy and practice advances in Connecticut. ( 0,591646143992442 )
J Med Syst - Technologies to better serve the millions of diabetic patients: a holistic, interactive and persuasive ICT model to facilitate self care, in extremely poor rural zones of Central America. ( 0,591364915743111 )
Spat Spatiotemporal Epidemiol - The role of public health and how boundary analysis can provide a tool for public health investigations: the public health perspective. ( 0,589901019034366 )
J. Med. Internet Res. - Are personal health records safe? A review of free web-accessible personal health record privacy policies. ( 0,589713066417839 )
BMC Med Inform Decis Mak - A national survey of health service infrastructure and policy impacts on access to computerised CBT in Scotland. ( 0,588431252972936 )
Telemed J E Health - E-health-oriented community health information system in china: our challenges, solution, and experience. ( 0,587764115391907 )
J Med Syst - Organizational challenges in developing one of the Nationwide Health Information Network trial implementation awardees. ( 0,58748832581937 )
Telemed J E Health - e-Health policy and deployment activities in Europe. ( 0,587167073176232 )
Int J Med Inform - Comparing New Zealand's 'Middle Out' health information technology strategy with other OECD nations. ( 0,584351592512031 )
BMC Med Inform Decis Mak - The human resource information system: a rapid appraisal of Pakistan's capacity to employ the tool. ( 0,584333584481317 )
J Biomed Inform - A data recipient centered de-identification method to retain statistical attributes. ( 0,583272758512262 )
Perspect Health Inf Manag - Navigating regulatory change: preliminary lessons learned during the healthcare provider transition to ICD-10-CM/PCS. ( 0,581647112651975 )
J Am Med Inform Assoc - Improving the quality of cancer care in America through health information technology. ( 0,580762356465009 )
J Med Syst - Fuzzy assessment of health information system users' security awareness. ( 0,580207529646984 )
Appl Clin Inform - How could health information exchange better meet the needs of care practitioners? ( 0,580189039670325 )
BMC Med Inform Decis Mak - Medical record: systematic centralization versus secure on demand aggregation. ( 0,57882259982773 )
J Am Med Inform Assoc - MyHealthAtVanderbilt: policies and procedures governing patient portal functionality. ( 0,578773069172596 )
J Am Med Inform Assoc - Electronic medical records and the transgender patient: recommendations from the World Professional Association for Transgender Health EMR Working Group. ( 0,578257739381221 )
Int J Med Inform - Conceptualising and creating a global learning health system. ( 0,577489317956299 )
BMC Med Inform Decis Mak - A scenario analysis of the future residential requirements for people with mental health problems in Eindhoven. ( 0,575519779297389 )
J. Med. Internet Res. - Hospital website rankings in the United States: expanding benchmarks and standards for effective consumer engagement. ( 0,573335868515081 )
Comput Methods Programs Biomed - Cloud based intelligent system for delivering health care as a service. ( 0,573178561654004 )
AMIA Annu Symp Proc - Implementation of interinstitutional and transnational remote terminology services. ( 0,572961950402673 )
Appl Clin Inform - Health information technology knowledge and skills needed by HIT employers. ( 0,572893894199306 )
AMIA Annu Symp Proc - Comprehensive yet scalable health information systems for low resource settings: a collaborative effort in sierra leone. ( 0,572431748878663 )
Health Info Libr J - Information needs of public health students. ( 0,572307169292462 )
Spat Spatiotemporal Epidemiol - Investigating impacts of positional error on potential health care accessibility. ( 0,572174476242302 )
Int J Med Inform - Choosing the right amount of healthcare information technologies investments. ( 0,572103475519313 )
J. Med. Internet Res. - Health domains for sale: the need for global health Internet governance. ( 0,571498329305764 )
AMIA Annu Symp Proc - Multi-National, Multi-Institutional Analysis of Clinical Decision Support Data Needs to Inform Development of the HL7 Virtual Medical Record Standard. ( 0,570990193408411 )
Telemed J E Health - Telemental health: responding to mandates for reform in primary healthcare. ( 0,570630207169399 )
J Am Med Inform Assoc - The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. ( 0,570386504212153 )
Health Info Libr J - Monitoring or avoiding health information--the relation to inner inclination and health status. ( 0,569537717055612 )
Int J Med Inform - Examining the evidence of the impact of health information technology in primary care: an argument for participatory research with health professionals and patients. ( 0,568777511691576 )
Int J Med Inform - A Public Health Grid (PHGrid): Architecture and value proposition for 21st century public health. ( 0,568311405275186 )
Methods Inf Med - A pictorial schema for a comprehensive user-oriented identification of medical Apps. ( 0,568311336629004 )
Int J Med Inform - Physician and patient willingness to pay for electronic cardiovascular disease management. ( 0,567967860933972 )
J Am Med Inform Assoc - The double-edged sword of electronic health records: implications for patient disclosure. ( 0,567627371181538 )
J. Med. Internet Res. - Storing and using health data in a virtual private cloud. ( 0,567116904464616 )
Int J Med Inform - Transforming healthcare with information technology in Japan: a review of policy, people, and progress. ( 0,566783888128276 )
J. Med. Internet Res. - Examining the differences in format and characteristics of zoonotic virus surveillance data on state agency websites. ( 0,566015775569781 )
Telemed J E Health - Patient-centeredness and e-health among Italian hospitals: results of a cross-sectional web-based survey. ( 0,565787189723577 )
Health Info Libr J - If you cannot beat them, join them! Using Health 2.0 and popular Internet applications to improve information literacy. ( 0,565471017073298 )
Int J Health Geogr - Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility. ( 0,565286369909493 )
J Biomed Inform - Scenario-based design: a method for connecting information system design with public health operations and emergency management. ( 0,564977301215375 )
Med Decis Making - Health technology assessment: an evidence-based medicine perspective. ( 0,563725870310542 )
J Am Med Inform Assoc - Facility characteristics associated with the use of electronic health records in residential care facilities. ( 0,563524399065199 )
AMIA Annu Symp Proc - Exploring local public health workflow in the context of automated translation technologies. ( 0,563474913687045 )
J Am Med Inform Assoc - Privacy policies for health social networking sites. ( 0,563438897006349 )
J Am Med Inform Assoc - The Regional Healthcare Ecosystem Analyst (RHEA): a simulation modeling tool to assist infectious disease control in a health system. ( 0,563334601893992 )