Health Infrastructures

1. Health Infrastructures Janos Sztipanovits, Vanderbilt University Ruzena Bajcsy, UC Berkeley

2. Program • Stratified Negation and HIPAA ComplianceJohn Mitchell (Stanford) • Learning Privacy from Audit LogsBrad Malin (Vanderbilt) • Guideline Driven Patient Management SystemsJanos Mathe, Jason Martin and Michael Hooper (Vanderbilt) • Body Sensors for In-Home Patient MonitoringPosu Yan (Berkeley), Yuan Xue (Vanderbilt) Health Infrastructures, J. Sztipanovits

3. IT and Health Care Health care is an information- and knowledge-intensive enterprise. In the future, care providers will need to rely increasingly on information technology (IT) to acquire, manage, analyze, and disseminate health care information and knowledge. William W. Stead and Herbert S. Lin (Eds): Computational Technology for Effective Health Care: Immediate Steps and Strategic Directions National Research Council, The National Academies Press, January 2009

4. TRUST Strategy Community view: What matters is clinical performance and not the insertion of IT per se. • Building experimental systems is essential. • Strategic partnership and extensive collaboration with major medical informatics research partners is required (Vanderbilt Medical School, EU Medical Informatics Programs). • Focus on specific research projects addressing key challenges • Privacy Modeling and Analysis • Architectures for Trustworthy Health Information Systems • In-home patient monitoring • Collaboration among TRUST partners and with external organizations to complement our resources. • Integrating research results into an experimental platform that is field tested and presented to industry for transitioning. Health Infrastructures, J. Sztipanovits

5. Collaboration partner: Vanderbilt University Medical Center • Guideline-Driven Patient Management System - STEEP • Patient Portal – MyHealthAtVanderbilt.com • In-home Patient Monitoring - CHF

6. Research Approach Experimental Systems TRUST Technologies • Patient Portals • Sepsis Management • Congestive Heart Failure Management • Privacy Modeling • Model-based design • Sensor networks • Policy • Formal representation of privacy policies • Semantic composition of architecture and policy models • Privacy preserving remote patient monitoring • Architectures for Trustworthy Health Information Systems Fundamental Challenges Health Infrastructures, J. Sztipanovits

7. Architectures for Trustworthy Health Information Systems (THIS) Vanderbilt (Ledeczi, Lee, Sztipanovits) investigates a formalized design approach to model-based development of Health Information Systems. • Formal system modeling • Formal policy modeling • Model verification for security and privacy properties of the modeled architecture • Model-based generation of run-time components • Model-based system integration Health Infrastructures, J. Sztipanovits