

Churn, when customers leave a business for another one, is most noted post attack in healthcare, leading at 6.7%, almost twice the average of all other industries.

Healthcare sits at the top of the list, at $408 per person-almost twice the next highest, finance.Īll breaches, including hacking and ransomware attacks, make recovery costly indeed. In fact, the 2018 Cost of Data Breach Study ranks each industry's cost per breach.

The cost for all types of data breaches is steep, and for no industry as high as healthcare. The other half of breaches are rooted in malicious intent or criminal behavior. About half of data breaches are the result of human error and system glitches. Security breaches also threaten electronic health records. The requirements to comply with HIPAA became an impetus to digitize healthcare records, as outlined in the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009, which then lead to the Meaningful Use incentive program. According to hhs.gov, this critical element of the Act is meant to, "assure that individuals' health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public's health and well being." Health plans, health care providers, digital clearinghouses, and even business associates and contractors such as billing, claims processing, and data analysis companies are responsible for meeting these privacy requirements. After a period of revision and comment, the HIPAA "Privacy Rule" was published in 2002. Further developments established privacy and security guidelines. The Healthcare Insurance and Portability and Accountability Act (HIPAA) was signed into law in 1996 with the intent to "improve the portability and accountability of health insurance coverage". How can a single facility not just meet these challenges, but exceed them? Operations managers face competitors who use sleek marketing campaigns to boast of increased inpatient flow and met operability targets. The IT Manager must keep all of this electronic protected health information (ePHI) secure. Medical directors must ensure better patient care, personalized to each patient and with individual information immediately accessible per HIPAA guidelines. Healthcare CFOs in hospitals, imaging centers, surgical centers, and more are under unrelenting demands to reduce costs as profit margins continue to narrow. Decisions around the suitability of cloud storage, the security of it, questions around compliance and responsiveness of cloud storage in light of possible cost savings add elements of possibility and uncertainty. Telemetry systems strain the capabilities of site based storage.

The ability to aggregate data from multiple sources is one factor for change, pushed by development and adoption of machine learning and artificial intelligence within the healthcare sphere.
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In addition to the aforementioned drivers for change exerting pressure on healthcare, big data permeates all discussions of growth and change. Compliance issues confound accessibility efforts, there is a lack of interoperability between applications, and a maze of privacy permissions to navigate. Meanwhile, large amounts of patient data are collected and stored, left to languish in servers hither and yon, unable to be accessed by databases structured to only hold specific information. Health care providers struggle to communicate across disciplines and across organizational lines in attempts to coordinate patient care. In most developed nations the cost of care continues to outpace inflation. Lifestyle choices of the past have come to reckoning today, while organizations work to educate and persuade patients to modify their behavior through wellness programs. Healthcare is in a state of flux, pressured by an aging population that requires increased care resources. How can organizations address issues around patient data portability, information transmissibility, communication between providers, privacy and security, and compliance? When constraints around trust and adoption of new procedures are likely, how can one area justify change that will ripple through an organization, creating new procedures and affecting the routines of front line providers? When it comes to healthcare, profitability goes hand in hand with managing the explosion of data required to make accurate decisions while remaining compliant.
