title: Security aspects of electronic data interchange between a state health department and a hospital emergency department.
abstract: Electronic emergency department reporting provides the potential for enhancing local and state surveillance capabilities for a wide variety of syndromes and reportable conditions. The task of protecting data confidentiality and integrity while developing electronic data interchange between a hospital emergency department and a state public health department proved more complex than expected. This case study reports on the significant challenges that had to be resolved to accomplish this goal; these included application restrictions and incompatibilities, technical malfunctions, changing standards, and insufficient dedicated resources. One of the key administrative challenges was that of coordinating project security with enterprise security. The original project has evolved into an ongoing pilot, with the health department currently receiving secure data from the emergency department at four-hour intervals. Currently, planning is underway to add more emergency departments to the project.
authors.affiliation: Office of Disease Prevention and Epidemiology, Oregon Department of Human Services, Portland 97232, USA. J.A.Magnuson@state.or.us
authors.forename: J A
authors.initials: JA
authors.lastname: Magnuson
authors.forename: Rocke
authors.initials: R
authors.lastname: Klockner
authors.forename: Stephen
authors.initials: S
authors.lastname: Ladd-Wilson
authors.forename: Andrew
authors.initials: A
authors.lastname: Zechnich
authors.forename: Christopher
authors.initials: C
authors.lastname: Bangs
authors.forename: Melvin A
authors.initials: MA
authors.lastname: Kohn
mesh_terms: D003195:Computer Communication Networks / Q000331:legislation & jurisprudence / Q000592:standards*; D016494:Computer Security; D003219:Confidentiality; D004636:Emergency Service, Hospital; D006751:Hospital Information Systems; D006801:Humans; D033183:Interdisciplinary Communication; D007373:Interinstitutional Relations; D016347:Medical Records Systems, Computerized; D009922:Oregon; D011159:Population Surveillance; D015397:Program Evaluation; D011635:Public Health Administration; D040442:Public Health Informatics; D014481:United States