Tag: patient medical data

Categories : Expert Opinion IT in HealthcareTags :

Datacentres Form Part of Healthcare Critical Systems – Carrying the Load and so Much More

On By ModernMedia
Photo by Christina Morillo

By Ben Selier, Vice President: Secure Power, Anglophone Africa at Schneider Electric

The adage, knowledge is king couldn’t be more applicable when it comes to the collection and utilisation of data.  And at the heart of this knowledge and resultant information lies the datacentre. Businesses and users count on datacentres, and more so in critical services such as healthcare.

Many hospitals today rely heavily on electronic health records (EHR), and this information resides and is backed up in on-premises datacentres or in the cloud. Datacentres are therefore a major contributor to effective and modernised healthcare.

There are several considerations when designing datacentres for healthcare. For one, hospitals operate within stringent legislation when it comes to the protection of patient information.  The National Health Act (No. 61 of 2003), for example, stipulates that information must not be given to others unless the patient consents or the healthcare practitioner can justify the disclosure.

Datacentres form part of critical systems

To add an extra layer of complexity, in South Africa, datacentres should feature built-in continuous uptime and energy backup due to the country’s unstable power supply.  Hospitals must therefore be designed to be autonomous from the grid, especially when they provide emergency and critical care.

Typically, datacentres are classified in tiers, with the Uptime Institute citing that a Tier-4 datacentre provides 99.995% availability, annual downtime of 0.4 hours, full redundancy, and power outage protection of 96 hours.

In healthcare and when one considers human lives, downtime is simply not an option. And whilst certain healthcare systems and its resultant availability are comparable to a typical Tier-3 or Tier-4 scenario, critical systems in hospitals carry a higher design consideration and must run 24/7 with immediate availability.

In healthcare, the critical infrastructure of a hospital enjoys priority.  What this means is the datacentre is there to protect the IT system which in turn ensures the smooth running of these critical systems and equipment.  There is therefore a delicate balance between the critical systems and infrastructure, and the datacentre, one can’t exist without the other.

Design considerations

To realise the above, hospitals must feature a strong mix of alternative energy resources such as backup generators, uninterrupted power supply (UPS) and renewables such as rooftop solar.

Additionally, like most organisations, storage volume and type and cloud systems will also vary from hospital to hospital. To this end, datacentre design for hospitals is anything but cookie cutter; teams need to work closely with the hospital whilst meeting industry standards for healthcare.

When designing healthcare facilities system infrastructure, the following should also be considered:

  • Software like Building Management Systems (BMS) are not just about building efficiency but also offer benefits such as monitoring and adjusting indoor conditions like temperature control, humidity, and air quality.

The BMS contributes to health and safety and critical operations in hospitals whilst also enabling patient comfort.

  • Maintenance – both building and systems maintenance transcend operational necessity and become a matter of life or death.
  • As mentioned, generators are essential when delivering continuous power which means enough fuel must be stored to run it. Here, hospitals must store fuel safely and in compliance with stringent regulations. In South Africa, proactively managing the refuelling timelines is also critical.  The response times of refuelling these (fuel) bunkers can be severely hindered by issues such as traffic congestion as a result of outages and lights now working.

Selecting the right equipment for hospitals is therefore a delicate balance between technological advancement and safety. For instance, while lithium batteries offer many benefits, when used in hospitals, it is paramount that it is also stored in dry, cool and safe location.

Here, implementing an extinguishing system is a must to alleviate any potential damage from fire or explosions.  That said, lithium batteries are generally considered safe to use but it’s important to be cognisant of its potential safety hazards.

Ultimately, hospitals carry the added weight of human lives which means the design of critical systems require meticulously planning and executed.

Categories : Medical Research & TechnologyTags :

Patients Could Control their Personal Health Information with NFTs

On By ModernMedia
Image by Webstacks on Unsplash

In a new publication in the journal Science, researchers propose that NFTs, or nonfungible tokens, could help patients assert better control over their personal health information.

NFTs, or nonfungible tokens, created using blockchain technology, have been a big sensation in the art world as they serve as a platform to buy and sell digital art backed by a digital contract. Now, an international multidisciplinary team of scholars in ethics, law and informatics led by bioethicists have written one of the first commentaries on how this new emerging technology could be repurposed for the healthcare industry. NFT digital contracts could provide an opportunity for patients to specify who can access their personal health information and to track how it is shared.

“Our personal health information is completely outside of our control in terms of what happens to it once it is digitised into an electronic health record and how it gets commercialised and exchanged from there,” said Dr Kristin Kostick-Quenet, first author of the paper. “NFTs could be used to democratise health data and help individuals regain control and participate more in decisions about who can see and use their health information.”

“In the era of big data, health information is its own currency; it has become commodified and profitable,” said Dr Amy McGuire, senior author of the paper and Leon Jaworski Professor of Biomedical Ethics and director of the Center for Medical Ethics and Health Policy at Baylor. “Using NFTs for health data is the perfect storm between a huge market place that’s evolving and the popularity of cryptocurrency, but there are also many ethical, legal and social implications to consider.”

Presently, NFTs are still vulnerable to data security flaws, privacy issues, and disputes over intellectual property rights, the researchers noted. The complexity of NFTs may also prevent the average person from properly making use of them. The researchers believe it is important to consider potential benefits and challenges as NFTs emerge as a potential avenue to transform the world of health data.

Source: Baylor College of Medicine