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I think the integrity you are taking about is reliability. In that scenario, definitely healthcare database can be very much reliable and IT will be very effective to protect it, only the kind of people who are managing will be in question with regard to the protecting the integrity of healthcare database. if you are taking about that sense, it is a subjective, particular to individual.
Otherwise, healthcare database is very useful for patient historical illness information to diagnose the problem in a right manner and some scenario's where patient is not in position to communicate or any other guardian's are not available or escorted, if suppose the data of the particular person is somehow available or within the reach to the diagnosing person, then definitely it will be very useful to diagnose it in a right manner. one specific example I spoke here, cause it is possible in developed countries as there is a unique ID they manage to have it for every individual residing there.
Health Care database has to stored in secured way with restricitions for access... As any data tamoering can affect the history and will provide wrong information. To maintain its integrity it has to be protected and only limited access for authorised personnel..
The two key aspects of IT integrity are data accuracy and the secutiry of that data. Get either of those wrong, and integrity is lost.
Not too much. If you enter garbage in, you get garbage out.
The best way is to make your HMIS (Healthcre Management Information Syste) very strict and standard. Then monitor and evaluate data using Master Data Management techniques.
Healthcare organizations produce large volumes of data, on everything from patient admissions to insurance reimbursements. This data can be invaluable. It can show executives and decision makers how to best allocate their organization’s resources to serve the needs of their communities and patients. It may also be used by clinicians to arrive at important conclusions about population health and related trends. Crucially, this information is only useful as long as it remains accurate and uncompromised; data of dubious quality simply has no utility to healthcare decision makers.
In thinking about the quality and consistency of data, healthcare information technology (IT) professionals and analysts are fundamentally concerned with data integrity. Formalized programs and protocols to ensure data integrity help healthcare organizations use their aggregated information confidently and strategically.
In any given healthcare organization, there are countless examples of important records and data sets that are crucial for delivering optimal patient outcomes, as well as enabling organizational efficiency. For any of these records or data sets to be useful, however, their integrity must be assured.
If any of Confidentiality, Integrity and Availability is missing we say information security is compromised.
Information Technology can effectively protect the integrity of any database by establishing and implementing reslient IT systems with proper access controls.
Strong encryption techniques can be used to protect the integrity of databases.
It should ensure that the helathcare databases are encrytped using strong technology and cannot be directly read. All the PI data (personal information) should be 100% encrypted like DOB, health history etc. Any data transmited to & from the database should be through standard encryption protocols like AES256 etc and using token mechanisms between the server and client. Always keep approval notifications and triggers for any changes in the databse and it should trigger an email notification approval. We should never allow any direct integration with external systems and it should always be through a proprietary middleware like oracle SOA, TIBCO, IIB, BizTalk etc and better to have them on premise instead of cloud. We should keep audit logging for any incoming & outgoing data , changes done, login access etc
Through IT You can give a very interesting health care service, there is a Remote Consultancy, Now a day US base compnay provide Medical devicecs which remotely connected with your system you can directly diagonse you patiant disease. like Ultrsonogrphy can mange it, heart beat, fetus heart
The difficulty is ownership of the data. Is the data owned by the patient, doctor, or in some cases, the country. Most countries have different rules when it comes to governance and compliance, and depending on the country, healthcare information may differ from country to country.
IT as custodian must take into account factors that govern patient data and build and secure accordingly. This will include who has access to the information, where and to whom the information can be shared with, as well as cross-border data sharing.
Ensuring that the above is taken into account, IT has evolved to a level that all data can be secured and protected with sufficient checks and balances to make sure that patient information is not at risk.
IT is a backgone of any industry now. It will provide quick support to healthcare facilities in terms of providing quick response to the customers, charging them with right medical bills and saving time.
