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Access Controls and Healthcare Records: Who Owns the Data?

By CACM Staff
Communications of the ACM, July 2019, Vol. 62 No. 7, Pages 41-46
10.1145/3331142
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data silos, illustration — Credit: Getty Images

You need not be an expert with years of healthcare data-management experience to conclude the field is a hot mess. One visit to a hospital, clinic, or pharmacy can convince you of that. Burdened by legacy and fragmented into silos so alien from one another they can scarcely communicate, healthcare recordkeeping has for decades frustrated any and all efforts to unify it.

The underlying reason couldn't be more obvious: Each clinic, hospital, practice, and pharmacy operates its own isolated record-management system. The platforms and techniques vary from organization to organization, with almost no provisions having been made to share any of the information.

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