How to balance the mobility and safety of medical equipment

Mobile devices have not only changed our way of life, but also brought new ways for the healthcare industry to provide services. From patients to medical staff, they are getting health care, treatment and disease management in a new and unprecedented way. Patients can use various mobile devices such as laptops, tablets, and smartphones to consult medical staff without geographical restrictions. At the same time, professional medical staff can also fully extend their work desktop, even when traveling, they can always track the patient's health and respond in a timely manner. For medical staff, it becomes possible to participate in various training activities anytime, anywhere. Mobile devices are popular because they help provide better healthcare services.

The tasks assigned to these devices will vary in scope and degree of danger. In July 2007, the doctor successfully implanted a precision pacemaker and defibrillator in the body of former US Vice President Dick Cheney, thus saving his life. The implanted defibrillator can sense abnormal heart activity, and then quickly produce an electric current to stimulate the heart to restore it to normal healthy pulsation. When it is necessary to change its function or review the previous heart rhythm, the implanted defibrillator will contact the cardiologist's workstation. Some mobile tools, such as implanted defibrillators and intelligent infusion pumps, are life support devices, while other tools, such as iPad tablets, are used as diagnostic tools or communication devices. These tools include built-in intelligence and communication functions, so you can implement protection and secure access management for stored personal information.

Healthcare is transitioning from paper physical medical records accumulated in the medical record room to electronically stored paperless medical records (EMR). This is a major change. The premise of this change is that you must have a security plan to protect information . While mobile devices show their obvious advantages, the communication between EMR and the rest of the system (including medical devices) is a new challenge. This challenge must be well managed to ensure the safety and efficiency of applications. These health care system networks are composed of mobile devices, medical devices, and storage media such as EMR, and have two particularities. First, the data they store and transmit is extremely sensitive, so they are subject to strict, industry-specific privacy regulations, such as the U.S. Health Insurance Portability and Accountability Act (HIPAA). Second, compared to a "typical" wired network consisting of desktop and laptop computers, connected healthcare equipment poses a greater range of security and privacy risks to the healthcare network.

The international standard IEC 80001-1 on "Risk Management Applications of IT Networks Including Medical Devices" approved in November 2010 describes the application of risk management processes in the design, deployment and subsequent management of IT networks connected to medical devices. It is essential for medical and health care institutions and their partners to use safe, reliable and efficient networks. In addition, the draft technical report titled "Chapter 80001-2-x: Wireless Network Guide" uses the same concept of risk management role positioning, responsibilities and activities to maintain data confidentiality and prevent possible damage to system integrity or damage This is necessary for malicious attacks on the availability of trusted data. A survey conducted by the School of Health Information Management Executives (CHIME) in September 2010 entitled "Networked Medical Devices-Security and Privacy Threats: Medical and Health IT Construction at the Crossroads" showed that this aspect of risk management The demand for the solution is mainly due to the increase in the number, severity and attention of malware, which also increases the possibility and degree of malware attacks and data damage.

In addition, according to the February 2011 manuscript of the Wi-Fi Alliance titled "Wi-Fi Applications in Health: Solutions to Meet Growing Hospital Communication Demands", US healthcare organizations deployed more than 5 in 2010 Ten thousand Wi-Fi infrastructure terminals have increased by 50% compared with 2009. It is expected that in 2014, global sales of Wi-Fi technology in the healthcare market will reach $ 4.9 billion. Due to the increasing number of uses and threats, the IEC-80001 standard is in a key position, and this standard provides the required methods and regulatory structures to ensure the safety and reliability of medical systems using these mobile devices. The standard specifically enumerates a set of control functions aimed at improving data and system protection, and pays special attention to the protection of personal data and the health-related data it contains. The combination of the IEC-80001 standard and the proposed technical report determines the structures and processes that can be implemented by responsible institutions and their vendors, complements existing or new end-to-end security network risk management solutions, and makes the mobility of medical equipment And security can coexist.

Mobile devices have not only changed our way of life, but also brought new ways for the healthcare industry to provide services. From patients to medical staff, they are getting health care, treatment and disease management in a new and unprecedented way. Patients can use various mobile devices such as laptops, tablets, and smartphones to consult medical staff without geographical restrictions. At the same time, professional medical staff can also fully extend their work desktop, even when traveling, they can always track the patient's health and respond in a timely manner. For medical staff, it becomes possible to participate in various training activities anytime, anywhere. Mobile devices are popular because they help provide better healthcare services.

The tasks assigned to these devices will vary in scope and degree of danger. In July 2007, the doctor successfully implanted a precision pacemaker and defibrillator in the body of former US Vice President Dick Cheney, thus saving his life. The implanted defibrillator can sense abnormal heart activity, and then quickly produce an electric current to stimulate the heart to restore it to normal healthy pulsation. When it is necessary to change its function or review the previous heart rhythm, the implanted defibrillator will contact the cardiologist's workstation. Some mobile tools, such as implanted defibrillators and intelligent infusion pumps, are life support devices, while other tools, such as iPad tablets, are used as diagnostic tools or communication devices. These tools include built-in intelligence and communication functions, so you can implement protection and secure access management for stored personal information.

Healthcare is transitioning from paper physical medical records accumulated in the medical record room to electronically stored paperless medical records (EMR). This is a major change. The premise of this change is that you must have a security plan to protect information . While mobile devices show their obvious advantages, the communication between EMR and the rest of the system (including medical devices) is a new challenge. This challenge must be well managed to ensure the safety and efficiency of applications. These health care system networks are composed of mobile devices, medical devices, and storage media such as EMR, and have two particularities. First, the data they store and transmit is extremely sensitive, so they are subject to strict, industry-specific privacy regulations, such as the U.S. Health Insurance Portability and Accountability Act (HIPAA). Second, compared to a "typical" wired network consisting of desktop and laptop computers, connected healthcare equipment poses a greater range of security and privacy risks to the healthcare network.

The international standard IEC 80001-1 on "Risk Management Applications of IT Networks Including Medical Devices" approved in November 2010 describes the application of risk management processes in the design, deployment and subsequent management of IT networks connected to medical devices. It is essential for medical and health care institutions and their partners to use safe, reliable and efficient networks. In addition, the draft technical report titled "Chapter 80001-2-x: Wireless Network Guide" uses the same concept of risk management role positioning, responsibilities and activities to maintain data confidentiality and prevent possible damage to system integrity or damage This is necessary for malicious attacks on the availability of trusted data. A survey conducted by the School of Health Information Management Executives (CHIME) in September 2010 entitled "Networked Medical Devices-Security and Privacy Threats: Medical and Health IT Construction at the Crossroads" showed that this aspect of risk management The demand for the solution is mainly due to the increase in the number, severity and attention of malware, which also increases the possibility and degree of malware attacks and data damage.

In addition, according to the February 2011 manuscript of the Wi-Fi Alliance titled "Wi-Fi Applications in Health: Solutions to Meet Growing Hospital Communication Demands", US healthcare organizations deployed more than 5 in 2010 Ten thousand Wi-Fi infrastructure terminals have increased by 50% compared with 2009. It is expected that in 2014, global sales of Wi-Fi technology in the healthcare market will reach $ 4.9 billion. Due to the increasing number of uses and threats, the IEC-80001 standard is in a key position, and this standard provides the required methods and regulatory structures to ensure the safety and reliability of medical systems using these mobile devices. The standard specifically enumerates a set of control functions aimed at improving data and system protection, and pays special attention to the protection of personal data and the health-related data it contains. The combination of the IEC-80001 standard and the proposed technical report determines the structures and processes that can be implemented by responsible institutions and their vendors, complements existing or new end-to-end security network risk management solutions, and makes the mobility of medical equipment And security can coexist.

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