I'm debating a cloud-computing expert about the use of the cloud for health IT. The debate focuses on issues of cost, security, complexity.
He started the discussion with this comment:
"Health care IT is moving from desktop application to complex multi-faceted Enterprise systems. The OS, wireless devices, and databases are much more sophisticated than even a few years ago. Enterprise security takes a skill set that is not readily available in much of the health care industry. Staff HIT most likely will not have the expertise to harden these systems. The needed skills very with system(s) and network. As the HIE rolls out, security will become more complex. But in saying that, many non technical requirement can be covered today with written policies and enforcement."
I replied: "Better yet ... Stick with desktop applications that exchange patient data via secure email using innovative decentralized peer-to-peer cyberarchitectures. See, for example, http://curinghealthcare.blogspot.com/2009/09/novel-way-to-exchange-patient-health.html"
And he responded:
Stephen, Interesting but I see desktop apps such as Microsoft Excel are giving way to Cloud computing. Desktops app no longer make financial sense from a maintenance standpoint.
A federated system is a great way to exchange data but we will have to see what HITSP, (for one) comes up with.
See this link for the rest of our conversation.