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Peter Szolovits. Rudin, Robert (Robert Samuel) Massachusetts Institute of Technology. Technology and Policy Program. Massachusetts Institute of Technology. Engineering Systems Division Technology and Policy Program 2008-05-19T15:02:18Z 2008-05-19T15:02:18Z 2007 2007 http://hdl.handle.net/1721.1/41567 226296858 Thesis (S.M.)--Massachusetts Institute of Technology, Engineering Systems Division, Technology and Policy Program, 2007. This electronic version was submitted by the student author. The certified thesis is available in the Institute Archives and Special Collections. Includes bibliographical references (p. 72-77). Hurricane Katrina showed that the current methods for handling medical records are minimally resilient to large scale disasters. This research presents a preliminary model for measuring the resilience of medical records systems against public policy goals and uses the model to illuminate the current state of medical record resilience. From this analysis, three recommendations for how to make medical records more resilient are presented. The recommendations are: 1) Federal and state governments should use the preliminary resilience model introduced here as the basis for compliance requirements for electronic medical record technical architectures. 2) Regional Health Information Organizations (RHIOs) should consider offering services in disaster management to healthcare organizations. This will help RHIOs create sustainable business models. 3) Storage companies should consider developing distributed storage solutions based on Distributed Hash Table (DHT) technology for medical record storage. Distributed storage would alleviate public concerns over privacy with centralized storage of medical records. Empirical evidence is presented demonstrating the performance of DHT technology using a prototype medical record system. by Robert Rudin. S.M. 92 p. eng Massachusetts Institute of Technology M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. http://dspace.mit.edu/handle/1721.1/7582 Technology and Policy Program. Making medical records more resilient Thesis application/pdf Publication unknown unknown <Publication xmlns="https://www.openaire.eu/cerif-profile/1.1/" id="ce390682-5a3e-4c84-9608-6a9249728d10"> <Type xmlns="https://www.openaire.eu/cerif-profile/vocab/COAR_Publication_Types">http://purl.org/coar/resource_type/c_1843</Type> <Language>eng</Language> <Title>Making medical records more resilient</Title> <PublishedIn> <Publication> </Publication> </PublishedIn> <PublicationDate>2007</PublicationDate> <Authors> <Author> <DisplayName>Rudin, Robert (Robert Samuel)</DisplayName> <Affiliation> <OrgUnit> </OrgUnit> </Affiliation> </Author> </Authors> <Editors> </Editors> <Publishers> <Publisher> <DisplayName>Massachusetts Institute of Technology</DisplayName> <OrgUnit /> </Publisher> </Publishers> <License>http://dspace.mit.edu/handle/1721.1/7582</License> <Keyword>Technology and Policy Program.</Keyword> <Abstract>Hurricane Katrina showed that the current methods for handling medical records are minimally resilient to large scale disasters. This research presents a preliminary model for measuring the resilience of medical records systems against public policy goals and uses the model to illuminate the current state of medical record resilience. From this analysis, three recommendations for how to make medical records more resilient are presented. The recommendations are: 1) Federal and state governments should use the preliminary resilience model introduced here as the basis for compliance requirements for electronic medical record technical architectures. 2) Regional Health Information Organizations (RHIOs) should consider offering services in disaster management to healthcare organizations. This will help RHIOs create sustainable business models. 3) Storage companies should consider developing distributed storage solutions based on Distributed Hash Table (DHT) technology for medical record storage. Distributed storage would alleviate public concerns over privacy with centralized storage of medical records. Empirical evidence is presented demonstrating the performance of DHT technology using a prototype medical record system.</Abstract> <Access xmlns="http://purl.org/coar/access_right" > </Access> </Publication>