title: Multidimensional analysis: a management tool for monitoring HIPAA compliance and departmental performance.
abstract: Most RIS and PACS systems include extensive auditing capabilities as part of their security model, but inspecting those audit logs to obtain useful information can be a daunting task. Manual analysis of audit trails, though cumbersome, is often resorted to because of the difficulty to construct queries to extract complex information from the audit logs. The approach proposed by the authors uses standard off-the-shelf multidimensional analysis software tools to assist the PACS/RIS administrator and/or security officer in analyzing those audit logs to identify and scrutinize suspicious events. Large amounts of data can be quickly reviewed and graphical analysis tools help explore system utilization. While additional efforts are required to fully satisfy the demands of the ever-increasing security and confidentiality pressures, multidimensional analysis tools are a practical step toward actually using the information that is already being captured in the systems' audit logs. In addition, once the work is performed to capture and manipulate the audit logs into a viable format for the multidimensional analysis tool, it is relatively easy to extend the system to incorporate other pertinent data, thereby enabling the ongoing analysis of other aspects of the department's workflow.
authors.affiliation: Maine Medical Center, Portland, ME 04102, USA. colemr@mmc.org.
authors.forename: Robert M
authors.initials: RM
authors.lastname: Coleman
authors.forename: Matthew D
authors.initials: MD
authors.lastname: Ralston
authors.forename: Alexander
authors.initials: A
authors.lastname: Szafran
authors.forename: David M
authors.initials: DM
authors.lastname: Beaulieu
mesh_terms: D016494:Computer Security; D003219:Confidentiality; D019983:Guideline Adherence; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D019451:Information Management / Q000592:standards; D016247:Information Storage and Retrieval / Q000592:standards; D008330:Management Audit; D016347:Medical Records Systems, Computerized / Q000592:standards; D010349:Patient Compliance; D011872:Radiology Department, Hospital / Q000592:standards*; D011873:Radiology Information Systems / Q000592:standards; D014481:United States; D014584:User-Computer Interface