Дисертації з теми "Heath security"

There is a growing interest within organisations today to focus on the core processes, i.e. the processes that create value for the intended customer, in order to stay compatible within the ever-fiercer competition. To have full control of the key processes may be a great step forward towards a more lean and effective organisation, not only for profit seeking companies but also for public welfare institutions like health care. Software aimed at supporting a process focus is continuously being developed and one such family of programs is commonly referred to as process managers.

A process manager lets the people in an organisation who have complete knowledge of the processes model these without requiring them to have expert knowledge of computers and programming. Once a process has been defined graphically according to a predefined modelling language, it can be deployed and monitored. The process manager software takes care of the routing of messages between actors, both human as well as non-human (e.g. other applications), and it drives the individual errand forward according to how the process flow has been defined in the model. However, applying a process manager approach in health care processes requires a certain amount of caution. Messages sent between actors in health care organisations are often of a delicate nature since they may contain sensitive information, such as illness, mental state, family situation and similar, that is related to an identifiable individual. There are also other aspects of security that need to be addressed besides the confidentiality aspect. For example, it must be guaranteed that the information is correct and not altered during transfer, the information must be available when needed and it should be possible to trace a message to its sender, among other things.

This work identifies a set of security requirements from the literature that need to be fulfilled in health care organisations when applying a process manager approach. With these requirements as a basis, a process manager system is evaluated with regards to security and the conclusion is that future versions need improvement on some points. Future work is also suggested that could help to explore the area further.

Ända sen lagstiftarna i 1944, 1962 och 1974 års brandlagsstiftning samt 1986 års räddningstjänstlag har det funnits en strävan att öka kommunernas ansvar för brandsläckning, räddningstjänst och förebyggande brandskydd. I Lagen om skydd mot olyckor (2003:778) ska de olika aktörernas ansvar gällande brandsäkerhet tydliggöras, vilket kan ses som en naturlig utveckling av samhällets strävan mot en bättre brandsäkerhet. För att tillgodose kraven som Lagen om skydd mot olyckor ställer på ägare och nyttjanderättshavare så bör ett s.k. Systematiskt Brandskyddsarbete (SBA) bedrivas under hela byggnadens/anläggningens tid för användning och skall omfatta såväl verksamhet som organisation.

Landstinget är en aktör som berörs av Lagen om skydd mot olyckor eftersom en brand i ett sjukhus eller vårdinrättning kan, av lätt förståeliga skäl, få katastrofala följder. Landstinget i Värmland har de senaste åren genomfört en koncernövergripande översyn av sitt totala säkerhetsarbete. Landstinget i Värmland har en handlingsplan för att förebygga brand. Både utbildning och övning är viktiga delar i brandskyddet och all personal skall vara delaktiga.

Eftersom både utbildning och övning är viktiga delar i brandskyddet vid sjukhus så är det värdefullt med någon form av uppföljning/utvärdering. Uppföljningen bör vara relaterad till målen för utbildningen. Under och efter lärprocessen går det att fastställa i vilken grad utbildningsmålen har uppnåtts, dvs. har den studerande lärt sig det som avsågs? Syftet med uppsatsen är att utvärdera hur väl personalen på två avdelningar vid Centralsjukhuset i Karlstad anser sig ha tillräckliga kunskaper angående brandsäkerhet. Uppsatsen har genomförts som en pilotstudie på uppdrag av säkerhetsansvarig vid Landstinget i Värmland.

Första delen av utvärderingen är allmän och tar upp frågor som berör individens upplevda kompetens samt individens syn på organisationen vid brand. Nästa del i utvärderingen består av frågor kring landstingets mål med brandutbildning och omfattar de olika moment som utbildningsplanen tar upp. Den sista delen i undersökningen handlar om frågor som endast besvaras av personal som genomgått samverkansövning med Räddningstjänsten. Svarsalternativen är utformade för att ge respondenterna en möjlighet att uttrycka ett kvalitativt ställningstagande till frågorna i utvärderingen.

Positiva slutsatser är att stora delar av respondenterna anser sig ha tillräckliga kunskaper i brandsäkerhet. Respondenterna anser sig även ha tillräckliga kunskaper utifrån Landstinget i Värmlands mål med brandutbildningen för personal. De respondenter som genomgått samverkansövning med Räddningstjänsten verkar överlag anse sin egen och avdelningens kompetens tillräcklig för att fungera i samarbete med Räddningstjänsten. Respondenterna anser att både brandutbildning och brandövning har ökat deras handlingsförmåga vid brand i positiv utsträckning. En negativ slutsats är att det finns en tendens att respondenterna förlitar sig mer på avdelningen än sin egen förmåga att fungera i samarbete med Räddningstjänsten.

Slutligen ett förslag på fortsatt arbete inom området brandsäkerhet. Genom att använda sig av en följdfråga till varje enkätfråga kan man identifiera både styrkor och svagheter, vilket kan användas för att öka personalens upplevelse av en tryggare arbetsmiljö utifrån brandsäkerhetsperspektiv.

Since 1944, 1962 and 1974 years' fire legislation and 1986 years' rescue service law there has been an ongoing ambition to increase the municipalities' responsibilities for fireextinction, rescue service and preventive fire protection. In the Law about protections against accidents (2003:778) will the different operators' responsibilities current fire security be clarified, which can be seen as a natural development of the society's endeavor against a better fire security. In order to meet the requirements as the Laws about protections against accidents sets on owners and users there should be a Systematic Fire Prevention be carried out during the whole building's/plant's time for use and will cover as well activity as organisation.

Landstinget is an operator that is affected by the Law about protections against accidents, since a fire in a hospital or care institution can cause catastrophical consequences. Landstinget in the county of Värmland has over the last years implemented a concern overall review of its total security work. Landstinget in the county of Värmland has an action plan in order to prevent fire. Both education and exercise are important parts in the fire protection and all personnel will be participating.

Since both education and exercise are important parts in the fire protection at hospitals it is valuable with some kind of follow-up/evaluation. The evaluation should be related to the objectives for the education. During and after the education process it is possible to establish in which degree the education objectives have been achieved, which means, has the student learnt what was intended? The purpose of this essay is to evaluate how well the personnel on two departments at the Central hospital in Karlstad considers itself to have sufficient knowledge concerning fire security. This essay has been carried out as a pilot study on commission of the Manager of Security at Landstinget in the county of Värmland.

The first part of the evaluation is general and the questions concerns the individual's experienced competence and the individual's sights on how the organisation handle a fire. The second part of the evaluation discusses Landstinget in the county of Värmland’s objectives with fire education and covers those different aspects as the education plan covers. The last part of the survey deals with questions that only concerns the personnel that have undergone the collaboration exercise with Rescue Service. The reply alternatives are formulated in order to give the Respondents a possibility to give a qualitative stand-point to the questions in the evaluation.

A positive conclusion are that many of the Respondents considers’ themselves to have sufficient knowledge in fire security. Furthermore, the Respondents consider themselves to have sufficient knowledge about Landstinget in county of Värmland objectives with the fire education for personnel. The Respondents, who have undergone collaboration exercise with Rescue Service seems in a great extent to consider themselves and the department's competence sufficient in order to function in collaboration with the Rescue Service. The Respondents consider that both fire education and fire exercise has increased their ability to act during fire situation in a positive extent. A negative conclusion is that it seems to exist a tendency that the Respondents trust in a bigger extent more in the co-workers ability than their own ability to function in collaboration with the Rescue Service.

A suggestion on continued work is to use consequence questions to the respondents in order to identify both strength and weakness within the fire security as an aid in order to increase the personnel's experience of a safer work environment.

A major initiative in the U.S. healthcare care industry is to establish a nationwide health information network securing the sharing of information between all involved U.S. healthcare stakeholders. However, implementing an interoperability solution is a massive, complex, and enduring effort with significant challenges such as inconsistent technology and data standards, as well as complex privacy and security issues. The purpose of this qualitative, case study is to examine the impacts of interoperability initiatives involving the U.S. government and to provide an understanding of the information governance and security risk as standards that are vendor-neutral and trustworthy. This qualitative case study was conducted using federal participants who are health information management (HIM) and health information technology (HIT) professionals working in the Washington DC metropolitan area. The participants' interview data revealed nine major themes; patient identification matching, payment claims and auditing, information sharing, data stewardship, regulatory compliance, technology enhancements, training and certification, standards optimization, and value-based care. The implication of the study's themes showed interoperability is beneficial to the healthcare industry, but there is a greater need for technology and data standardization, information governance, data stewardship, and a greater understanding of federal and state data privacy and security laws. Future recommendation for practices discussed; policy and regulatory adjustments to enhance auditing and compliance, establish a healthcare data ecosystem to improve data and information governance, and technology alternatives such as master data management and white space data. Recommendation for further research included expanding the sample population to compare other federal organizations or the United Kingdom's HIT interoperability project initiative.

China is poised to introduce sweeping innovation and disruptive social change onto their national stage. As China’s leadership, economic power, and authority increase the country will be subject to increasing internal and external challenges. This study seeks to identify the significant internal social challenges China is most likely to confront along its path to global leadership. The purpose is to explore and discover the social challenges that are likely to face China and to predict the direction the country’s leadership will take over the next decade. The study approaches the problem by undertaking an initial 9-step process of investigating 6 environmental categories as influencers or drivers of change. This approach utilizes Schmieder and Mallette’s SPELIT Matrix Model; Saldana’s Themeing and Coding technique; and, Turoff’s Real-time Policy Delphi Method to identify these influential environmental categories and factors. The study then focuses on examining cultural ideologies, leadership, and organizational behavior as they converge to influence China’s social priorities. This study’s design and approach places emphasis on developing an extensive background and investigation into China’s historic, present, and future leadership ideologies as they are likely to drive the country’s social security and health care reforms. As a means of identifying critical themes and determining a valid focus, the study combines complex algorithmic analysis with a relevant Policy Delphi study to discover and confirm a set of valid policy reform predictions. This study assumes that China’s future challenges will be shaped by the country’s global growth, internal social environmental, transitioning ethnological, and intercultural ideologies as it shifts to a position of global superiority. This study’s findings and recommendations are significant in the context of assisting leaders, scholars, and analysts frame a subsequent narrative toward shaping policy decisions by addressing China’s present and future internal tensions due to a social security and health care crisis.

China is poised to introduce sweeping innovation and disruptive social change onto their national stage. As China’s leadership, economic power, and authority increase the country will be subject to increasing internal and external challenges. This study seeks to identify the significant internal social challenges China is most likely to confront along its path to global leadership. The purpose is to explore and discover the social challenges that are likely to face China and to predict the direction the country’s leadership will take over the next decade. The study approaches the problem by undertaking an initial 9-step process of investigating 6 environmental categories as influencers or drivers of change. This approach utilizes Schmieder and Mallette’s SPELIT Matrix Model; Saldana’s Themeing and Coding technique; and, Turoff’s Real-time Policy Delphi Method to identify these influential environmental categories and factors. The study then focuses on examining cultural ideologies, leadership, and organizational behavior as they converge to influence China’s social priorities. This study’s design and approach places emphasis on developing an extensive background and investigation into China’s historic, present, and future leadership ideologies as they are likely to drive the country’s social security and health care reforms. As a means of identifying critical themes and determining a valid focus, the study combines complex algorithmic analysis with a relevant Policy Delphi study to discover and confirm a set of valid policy reform predictions. This study assumes that China’s future challenges will be shaped by the country’s global growth, internal social environmental, transitioning ethnological, and intercultural ideologies as it shifts to a position of global superiority. This study’s findings and recommendations are significant in the context of assisting leaders, scholars, and analysts frame a subsequent narrative toward shaping policy decisions by addressing China’s present and future internal tensions due to a social security and health care crisis.

The American Recovery and Reinvestment Act (ARRA) requires the adoption of Electronic Medical Records (EMRs) for seventy percent of the primary care provider population by 2014. Furthermore, by 2015 providers are expected to be utilizing EHR in compliance with “meaningful use”[28] definition or they can face financial penalties under Medicare. In addition to this momentous task, EMR data has stringent security requirements. It is largely due to these security requirements that medical information is being digitized. However, sharing to entitled information is often slow or non-existent because of information silos. Fast Healthcare Interoperability Resources (FHIR) is an emerging information sharing standard that is designed to aid in the tearing down of these silos. The focus of this thesis is to show how FHIR can be further improved by allowing for cellular level security. Additionally, this thesis will introduce novel ways that vast amounts of FHIR resources can be stored and queried in real-time with Accumulo. It will do so by utilizing and improving on Dynamic Distributed Dimensional Data Model (D4M) [9] Schema to better allow for “real-time” REST queries of FHIR compliant data. Pagination is necessary for it to remain a real-time system since some queries can have millions or even billions of positive hits. To satisfy this requirement a new approach to Accumulo pagination is laid out that increases performance, flexibility and control. All tests are performed against a M4.2xlarge Amazon Machine Image.