Welcome!

Microservices Expo Authors: Liz McMillan, Pat Romanski, Elizabeth White, Charles Araujo, Flint Brenton

Blog Feed Post

Don’t Risk Your Health (Data) with Paper

Walk into your doctor’s office and you’ll likely witness the trappings of those last holdouts of the digital revolution.  As you enter, you will be dazzled by the patchwork curtain of color-coded manila folders behind the reception desk, each one plump with personal data, most of it outdated but all of it exposed to potential neglect, error or abuse. 

You’ll see a jar on the reception counter, brimming with ballpoint pens topped with plastic daisies. Pick one. You’ll need it for the next phase of your journey into the bureaucratic wilderness known as the healthcare system, where the tendrils of redundancy and inefficiency are strangling the quality of the relationship between physician and patient.

In 2014, when a visit to our trusted medical professional has to start off with a cold interaction with a 1940’s style clipboard, we know that healthcare is a prime candidate for a major update.  Physicians and their patients cannot tolerate the status quo.  In an era of consumerism and technological empowerment, the shift to a more service-oriented model is inevitable.

 

In fact, it may already be here.

 

Fortunately, the regulatory regime in the US anticipated the coming storm of consumer empowerment and technological change.  Back in 1996, Congress gave the nod to healthcare consumers (that’s us) with the passage of the Health Insurance Portability and Accountability Act, or HIPAA.  The idea was to give patients more power to manage, correct and assign their health records – at least as much power as a mobile phone subscriber has in keeping his cell number—and to impose greater responsibility on those who hold protected health information—or PHI, an industry term -- to keep it secure and accurate.

 

HIPAA was a great start.  But then, as they say, the Internet changed everything. 

 

In the 13 years that followed, online transactions took root and blossomed.  Personal Health Information was no longer limited to paper records tucked comfortably inside those manila folders; PHI had become data, moving within and between computer systems and subject to a whole new list of perils.

So in 2009, the Health Information Technology for Economic and Clinical Health (HITECH) Act was signed into law to promote the adoption and “meaningful use” of health information technology.  Subtitle D of the HITECH Act specifically addresses the privacy and security concerns that arise with the electronic transmission of health information.  HITECH also imposed greater responsibility on “Business Associates” (BA) – consultants and vendors of covered entities who touch health data in the course of providing their services—to adopt safeguards to keep PHI secure and available.  This requirement was codified in the 2013 HIPAA Omnibus Rule adopted last year.  This final reconciliation of the two laws notably imposed requirements for BAs to enter written agreements to protect health data.

If you have customers in the healthcare space, you’ll need to have a handle on HIPAA and HITECH requirements for treating and accessing PHI.  Standardized versions of the required BA agreement have been circulating for a while now; know what you are agreeing to before you sign.  Is your data security up to snuff?  Are you able to provide access and updates to personal health data if required?

 

The scene is set for a sea-change in the way consumers interact with the healthcare system.  We’re still waiting for the day when we can breeze into our physician’s office without the fear of contracting writer’s cramp.  But change is definitely in the air. 

If you are interested in learning about how DocuSign customers comply with HIPAA and HITECH, download our FAQ here.

Just don’t file it in a manila folder.

 

For digital solutions for the healthcare industry, click here for more information and opportunities. 

 

About the Author: 

Ken Moyle is Chief Policy Officer at DocuSign. Click here to connect with him on Twitter.

Read the original blog entry...

@MicroservicesExpo Stories
"I will be talking about ChatOps and ChatOps as a way to solve some problems in the DevOps space," explained Himanshu Chhetri, CTO of Addteq, in this SYS-CON.tv interview at @DevOpsSummit at 20th Cloud Expo, held June 6-8, 2017, at the Javits Center in New York City, NY.
You know you need the cloud, but you’re hesitant to simply dump everything at Amazon since you know that not all workloads are suitable for cloud. You know that you want the kind of ease of use and scalability that you get with public cloud, but your applications are architected in a way that makes the public cloud a non-starter. You’re looking at private cloud solutions based on hyperconverged infrastructure, but you’re concerned with the limits inherent in those technologies.
For organizations that have amassed large sums of software complexity, taking a microservices approach is the first step toward DevOps and continuous improvement / development. Integrating system-level analysis with microservices makes it easier to change and add functionality to applications at any time without the increase of risk. Before you start big transformation projects or a cloud migration, make sure these changes won’t take down your entire organization.
When you focus on a journey from up-close, you look at your own technical and cultural history and how you changed it for the benefit of the customer. This was our starting point: too many integration issues, 13 SWP days and very long cycles. It was evident that in this fast-paced industry we could no longer afford this reality. We needed something that would take us beyond reducing the development lifecycles, CI and Agile methodologies. We made a fundamental difference, even changed our culture...
In his session at 20th Cloud Expo, Mike Johnston, an infrastructure engineer at Supergiant.io, discussed how to use Kubernetes to set up a SaaS infrastructure for your business. Mike Johnston is an infrastructure engineer at Supergiant.io with over 12 years of experience designing, deploying, and maintaining server and workstation infrastructure at all scales. He has experience with brick and mortar data centers as well as cloud providers like Digital Ocean, Amazon Web Services, and Rackspace. H...
You often hear the two titles of "DevOps" and "Immutable Infrastructure" used independently. In his session at DevOps Summit, John Willis, Technical Evangelist for Docker, covered the union between the two topics and why this is important. He provided an overview of Immutable Infrastructure then showed how an Immutable Continuous Delivery pipeline can be applied as a best practice for "DevOps." He ended the session with some interesting case study examples.
Without lifecycle traceability and visibility across the tool chain, stakeholders from Planning-to-Ops have limited insight and answers to who, what, when, why and how across the DevOps lifecycle. This impacts the ability to deliver high quality software at the needed velocity to drive positive business outcomes. In his general session at @DevOpsSummit at 19th Cloud Expo, Eric Robertson, General Manager at CollabNet, will discuss how customers are able to achieve a level of transparency that e...
The Jevons Paradox suggests that when technological advances increase efficiency of a resource, it results in an overall increase in consumption. Writing on the increased use of coal as a result of technological improvements, 19th-century economist William Stanley Jevons found that these improvements led to the development of new ways to utilize coal. In his session at 19th Cloud Expo, Mark Thiele, Chief Strategy Officer for Apcera, compared the Jevons Paradox to modern-day enterprise IT, examin...
The taxi industry never saw Uber coming. Startups are a threat to incumbents like never before, and a major enabler for startups is that they are instantly “cloud ready.” If innovation moves at the pace of IT, then your company is in trouble. Why? Because your data center will not keep up with frenetic pace AWS, Microsoft and Google are rolling out new capabilities. In his session at 20th Cloud Expo, Don Browning, VP of Cloud Architecture at Turner, posited that disruption is inevitable for comp...
The next XaaS is CICDaaS. Why? Because CICD saves developers a huge amount of time. CD is an especially great option for projects that require multiple and frequent contributions to be integrated. But… securing CICD best practices is an emerging, essential, yet little understood practice for DevOps teams and their Cloud Service Providers. The only way to get CICD to work in a highly secure environment takes collaboration, patience and persistence. Building CICD in the cloud requires rigorous ar...
"This all sounds great. But it's just not realistic." This is what a group of five senior IT executives told me during a workshop I held not long ago. We were working through an exercise on the organizational characteristics necessary to successfully execute a digital transformation, and the group was doing their ‘readout.' The executives loved everything we discussed and agreed that if such an environment existed, it would make transformation much easier. They just didn't believe it was reali...
Your homes and cars can be automated and self-serviced. Why can't your storage? From simply asking questions to analyze and troubleshoot your infrastructure, to provisioning storage with snapshots, recovery and replication, your wildest sci-fi dream has come true. In his session at @DevOpsSummit at 20th Cloud Expo, Dan Florea, Director of Product Management at Tintri, provided a ChatOps demo where you can talk to your storage and manage it from anywhere, through Slack and similar services with...
Containers are rapidly finding their way into enterprise data centers, but change is difficult. How do enterprises transform their architecture with technologies like containers without losing the reliable components of their current solutions? In his session at @DevOpsSummit at 21st Cloud Expo, Tony Campbell, Director, Educational Services at CoreOS, will explore the challenges organizations are facing today as they move to containers and go over how Kubernetes applications can deploy with lega...
The “Digital Era” is forcing us to engage with new methods to build, operate and maintain applications. This transformation also implies an evolution to more and more intelligent applications to better engage with the customers, while creating significant market differentiators. In both cases, the cloud has become a key enabler to embrace this digital revolution. So, moving to the cloud is no longer the question; the new questions are HOW and WHEN. To make this equation even more complex, most ...
Learn how to solve the problem of keeping files in sync between multiple Docker containers. In his session at 16th Cloud Expo, Aaron Brongersma, Senior Infrastructure Engineer at Modulus, discussed using rsync, GlusterFS, EBS and Bit Torrent Sync. He broke down the tools that are needed to help create a seamless user experience. In the end, can we have an environment where we can easily move Docker containers, servers, and volumes without impacting our applications? He shared his results so yo...
Don’t go chasing waterfall … development, that is. According to a recent post by Madison Moore on Medium featuring insights from several software delivery industry leaders, waterfall is – while still popular – not the best way to win in the marketplace. With methodologies like Agile, DevOps and Continuous Delivery becoming ever more prominent over the past 15 years or so, waterfall is old news. Or, is it? Moore cites a recent study by Gartner: “According to Gartner’s IT Key Metrics Data report, ...
Kubernetes is a new and revolutionary open-sourced system for managing containers across multiple hosts in a cluster. Ansible is a simple IT automation tool for just about any requirement for reproducible environments. In his session at @DevOpsSummit at 18th Cloud Expo, Patrick Galbraith, a principal engineer at HPE, discussed how to build a fully functional Kubernetes cluster on a number of virtual machines or bare-metal hosts. Also included will be a brief demonstration of running a Galera MyS...
Enterprise architects are increasingly adopting multi-cloud strategies as they seek to utilize existing data center assets, leverage the advantages of cloud computing and avoid cloud vendor lock-in. This requires a globally aware traffic management strategy that can monitor infrastructure health across data centers and end-user experience globally, while responding to control changes and system specification at the speed of today’s DevOps teams. In his session at 20th Cloud Expo, Josh Gray, Chie...
Many organizations are now looking to DevOps maturity models to gauge their DevOps adoption and compare their maturity to their peers. However, as enterprise organizations rush to adopt DevOps, moving past experimentation to embrace it at scale, they are in danger of falling into the trap that they have fallen into time and time again. Unfortunately, we've seen this movie before, and we know how it ends: badly.
Agile has finally jumped the technology shark, expanding outside the software world. Enterprises are now increasingly adopting Agile practices across their organizations in order to successfully navigate the disruptive waters that threaten to drown them. In our quest for establishing change as a core competency in our organizations, this business-centric notion of Agile is an essential component of Agile Digital Transformation. In the years since the publication of the Agile Manifesto, the conn...