What concepts in the chapter are illustrated in this instance? Who are the stakeholders?
I think this instance illustrates really good the ethical and societal issues environing the information systems. It is about the answerability. liability and control of the moral dimensions of the information system. Just like a reversible blade. IS could better the quality of life while at the same clip endanger the wellbeing of the really same society who enjoy its benefits.
The stakeholders in this instance can be divided into three groups. The first is everyone in the society who straight uses or impacted by the system like the physicians. hospital disposals and other histrions in medical sectors. Besides it touches the patients and even their household who might portion the uncomfortableness from the irresponsible usage of the dossiers. The 2nd is the people whom the society entrusted the legal system on their responsible custodies. And the 3rd are those environing Google’s venture in the creative activity of medical recordkeeping system. This includes Google’s stockholders who risk the loss or net income from the system every bit good as Google’s employees who might hold the same destiny with Revolution Health Group LLC. In brief. the stakeholders are everyone.
What are the jobs with America’s current medical recordkeeping system? How would electronic medical records alleviate these jobs?
America is the world’s 3rd most populated state. With more than 300 million populations ( World Wide Web. Central Intelligence Agency. gouv ) . the paper-based medical dossiers become a major constriction that could downgrade the efficaciousness of the country’s overall medical system.
In the signifier of spots. the information would flux faster and necessitate less infinite to hive away than the paper-based dossiers. Additionally informations can hold the indexes and be extracted to fit merely the corresponding enquiry therefore allows accurate profiling. So information overload can be avoided and the otiose clip required to synthesise fractions of informations manually will go history.
What direction. organisation and engineering factors are most critical to the creative activity and development of electronic medical records?
All factors involved in the creative activity and development of electronic medical records are every bit of import. The direction side includes factors such as the regulative and legal systems. the work forces behind the guns along with its human resources debatable. security and logistics concerns of the system’s waiters. execution scheme. etc. The organisation factors include the planning and executing of the overall system care plan. the system’s decision makers and users’ hierarchal entree. etc. And from the engineering point of position there are substructures. package and user interfaces. future ascents. security from practical onslaughts or any other basic input- processing-output factors.
What pros and cons of electronic patient records? Do you believe the concerns over digitising our medical records are valid? Why or why non?
The electronic records would let patient profiling to fit available and suited medical intervention and installations. The ‘pros’ . among others: entree to dossier can be theoretically done in one chink from any point where cyberspace is available. less paperwork. limitless life clip. less storage. easy update. etc. The ‘cons’ . among others: presently uncertain or inaccessibility of house Torahs and ordinances. increasing concerns on the safety of the informations storage from hackers. the dependability of the system against human and proficient mistakes that could harm the quality of informations which in return endanger the patients. revelation of information to third parties and the effects of its irresponsible utilizations. etc.
Yes the concerns over digitising our medical records are valid since the substructures environing the system are arguably non yet ready ( legal system. information confidentiality. informations security. etc. ) .
Should people intrust Google with their electronic medical records? Why or why non?
My personal sentiment on this is ‘NO’ . The chief ground behind my base is that above all Google is a net income oriented company. financed by stockholders who are anticipating return on their investing. Without protection from clear jurisprudence and ordinance every bit good as house control and monitoring. who could vouch the responsible usage of the collected informations? Or whether Google will non roll up information about the patient more than it should. Remember about Google Wi-Spy and Buzz dirts?
In May 2010 Google admitted that its Street View mapping plan collected web surfing activities from public SSID. But subsequently on in December 2010 after the probes by several governmental watchdogs. it was found that Google was roll uping electronic mails and watchwords!
One twelvemonth subsequently. the European Union’s Justice Commissioner. Viviane Reding has complained that “Google fails to inform its users that the new privateness government is based on its ain concern jussive moods: to turn to competition from Facebook’ to turn its capacity to finely profile and mark through audience purchasing ; to roll up. integrate. and use a user’s information in order to spread out its societal media. societal hunt. and nomadic selling activities… and by and large to spread out its DoubleClick ( publicizing ) operations” . ( hypertext transfer protocol: //news. cnet. com/8301-13506_3-57388415-17/googles-new-privacy-policy-begins-does-it-break-the-law ) .
Probably the concluding blow in the narrative is the stepping-down of Google’s privateness manager Alma Whitten. as first revealed by Forbes magazine in April 2013. ( World Wide Web. forbes. com/sites/kashmirhill/2013/04/01/googles-privacy-director-is-stepping-down ) .
If you were in charge of planing an electronic medical recordkeeping system. what are some characteristics you would include? What are characteristics you would avoid?
I would include characteristics like:
– Notification via samarium or electronic mail to the proprietor of the medical dossier whenever the dossier is being consulted incorporating information such as by who or the IP reference from where the dossier was consulted. the exact time-date-and-duration of the audience.
– The history page to enter the dossier’s audiences. informations alterations and skips.
– Option for the proprietor to bespeak cancelation or remotions of the electronic dossier and to return back to the paper-based system.
I would avoid characteristics like:
– Option to let patient to redact and cancel one or some information except minor information such as allergic reactions.
– Information sing the employment position or the name of the company or establishments where the patient is really working if he is non unemployed.
– Information about the patient’s fiscal or bank information.
Businessweek. 13 March 2013. Doctors like electronic medical records every bit long as patients can’t touch them ( electronic version )
Businessweek. 06 May 2013. Google now. is it charming or merely kick creepy ( electronic version )
Science. slashdot. org. 19 January 2013. Patient entree to electronic medical records strengthened by new HHS regulations ( electronic version )