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I think the obvious solution would be to invest in a new open-source end-to-end infrastructure that could be thoroughly audited then implemented by hospitals ev
by thomastjeffery 6y ago
I think the obvious solution would be to invest in a new open-source end-to-end infrastructure that could be thoroughly audited then implemented by hospitals everywhere.
Of course, that would need a sizeable investment of both money and time, but it would almost definitely be more efficient than updating one component at a time.
- peterlk 6y agoMy armchair analysis of the obvious solution is to airgap all these systems. Perhaps this would require some new infrastructure in hospitals, but it would add a very difficult-to-penetrate layer.
- coldpie 6y agoYes, but now consider how important remote doctor visits are right now... it's a really hard problem.
- Cytobit 6y agoAre remote doctor visits anything more than a video call? I'm not sure why that would make it difficult.
- coldpie 6y agoYes, they are lots more. The doctor needs read and write to access patient records and also log stuff for insurance info, that kind of thing.
- yabones 6y agoThat's one part of it, but the real innovation in remote care is RPM devices (Remote Patient Monitoring). These can be anything from blood-glucose sensors, dialysis machines, blood pressure sensors, etc, that have an internet connection and send data live to a physician or nurse. The struggle with these devices is that they're often cheap embedded systems that never receive firmware updates, so they do present a security concern. However, they're also immensely useful and have without a doubt saved lives.
- closeparen 6y agoHospitals are porous, almost public places. You need EMR terminals in rooms where patients are left alone with the door closed overnight.
- shigawire 6y agoI think people who don't work in healthcare don't realize the complexity of this proposal.
- delfinom 6y agoYea so that won't happen. Hospitals don't audit anything for real. The hospital admin just hires their buddy to rubber stamp junk and gets a kickback. The actual software and hardware solutions too are based on who gives the best kickbacks to hospital admins and doctors. Thats it. That's the American healthcare field and why its a complete shitshow. IT staff is made to deal with decisions they have no say or power in and turnover is quite high.