IT reform strategy and security guidelines of heal

Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009ITreformstrategyandsecurityguidelinesofhealthcaresysteminJapanRyuichiYamamoto,M.D.,PhDInterfacultyInitiativeInInformationStudies,theUniversityofTokyoJapaneseAssociationforMedicalInformatics2Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009BriefHistoryofHealthcareICTinJAPAN1970sComputerizedfinancialsystems1980sOrderEntrysystems1990sElectronicMedicalRecordsystemsJuststartedtodevelopingexperimentalsystems1999GovernmentdeterminedrequirementsforpaperlessEMR.2001Governmentmade“GrandDesignforHealthcareICTinJapan”2006Governmentmade“NewITReformStrategy”3Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009RequirementsforPaperlessEMRMinistryofHealthandWelfare,1999IntegrityandResponsibilityofEMRdataReadabilityofEMRdataKeeptheseforlegallyrequiredperiodPrivacyprotectionWithsuitabletechnologyandoperationConfidentiality?Availability?4Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009GrandDesignforHealthcareICT(2001)EMRIn2006,60%ofallmedicalinstitutionsshallimplementtheEMRsystems.ElectronicInsuranceClaim(NotOnline)In2006,70%ofallhospitalsshallimplementtheelectronicinsurancesystems5Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,20096Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009ElectronicDocumentsActforPrivateSector(2005)Legalbasefore-commerceBasedonDigitalSignatureAct(2004)InHealthcarefield,merereplacementof1999requirementsforpaperlessEMR.7Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009NewITReformStrategy(2006)RealizingUbiquitousandUniversalNetworkSocietyWhereEveryoneCanEnjoytheBenefitsofIT1.StructuralreformofhealthcarethroughIT2.Anenvironmentally-friendlysocietythatutilizesIT3.Theworld’sleadingsafeandsecuresociety4.Theworld’ssafestroadtrafficenvironment5.Theworld’smostconvenientandefficiente-Government6.EnhancedbusinesscompetitivenessthroughestablishmentofmanagementbyutilizingIT7.Prosperouslifestylethroughoutpeople’slifetime8Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009ActionPlan2006(Healthfield)MakeNewGrandDesignforHealthcareITCMHLWannouncedfirstdraftandemphasizingconstructingJapaneseEHRCommonInfrastructureHealthcarePKI,SecureNetwork,andHealthcaresmartcardITCBasedHealthcareNetworkRegionalandinter-regionalhealthcarenetworkGatheringnation-wideheathdata(EHR)andanalysis.DevelopinghealthcareterminologyandontologyFullOnlineHandlingofInsuranceClaims9Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009ActontheProtectionofPersonalInformation,2005-3c19cNowDutyofconfidentialityRightofprivacyRightofself-determination10Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009ActontheProtectionofPersonalInformation,2005Chapter1.GeneralProvisions(Articles1to3)Chapter2.ResponsibilitiesoftheStateandLocalPublicBodies,etc.(Articles4to6)Chapter3.MeasuresfortheProtectionofPersonalInformation,etc.Section1.BasicPolicyontheProtectionofPersonalInformation(Article7)Section2.MeasuresoftheState(Articles8to10)Section3.MeasuresofLocalPublicBodies(Articles11to13)Section4.CooperationbetweentheStateandLocalPublicBodies(Article14)Chapter4.DutiesofEntitiesHandlingPersonalInformation,etc.Section1.DutiesofEntitiesHandlingPersonalInformation(Articles15to36)Section2.PromotionoftheProtectionofPersonalInformationbyPrivateInstitutions(Articles37to49)Chapter5.MiscellaneousProvisions(Articles50to55)Chapter6.PenalProvisions(Articles56to59)SupplementaryProvisions11Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009ActsandGuidelinesforprivacyprotectioninJapan-Hardandsoftlaw-BasicActActforPrivateSectorsActforGovernmentActforNationalAgenciesLocalActforlocalgovernmentsGuidelinesforbanksGuidelinesfortelecommunicationsGuidelinesforHealthGuidelinesforeducationGuidelinesforxxxx12Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,2009SecurityGuidelinesforHealthInformationSystemsVersion1MHLW2005-10Chaptersand3Appendices,over100pages1.Introduction2.HowtoReadThisGuidelines3.Scope4.AboutSelf-responsibility5.InteroperabilityandStandardizations6.BasicSecurityGuidelinesforGeneralHealthInformationSystems7.RequirementsforfulldigitalsystemsIntegrityandResponsibility,Readability,Sustainability,andDigitalSignature8.RequirementsforOutsourcingofDataStorage9.ScanningorDigitizingofAnalogData.10.RulesforMaintainingandUsingHealthInformationSystemsAppendix1.SampleofrulesforBasicSecurityMeasurementsAppendix2.SampleofrulesforFullDigitalSystemsAppendix3.SampleofrulesforOutsourcingofDataStorage13Copyright:RyuichiYamamoto,InterfacultyInitiativeinInformationStudies,TheUniversityofTokyo,20