Data Storage and Access Management
One of the most basic challenges arising from the increasing use of electronic data in both clinical practice and research lies in the design and implementation of storage solutions capable of accommodating modern demands. Complex organizational structure
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Data Storage and Access Management Michal Kouril and Michael Wagner
Abstract One of the most basic challenges arising from the increasing use of electronic data in both clinical practice and research lies in the design and implementation of storage solutions capable of accommodating modern demands. Complex organizational structures, which often cross clinical care and basic research, the often sensitive nature of data, and the ever growing volume of both structured or annotated and unstructured data all motivate innovations, e.g., in identity management, audit trails, monitoring and security, and permissions management. Clinical, translational, and health services research generate very large amounts of data and take place within a complex regulatory environment. Data management, proper placement, including long-term preservation of value, requires careful attention to security, ease of use and access, transparency, and compliance with numerous state and federal laws. It also demands close collaboration and mutual trust between of the IT group responsible for support of research and the IT group responsible for support of clinical care and business operations in a complex research intensive medical center. Keywords Access control • Audit trails • Data capture • Data management • Encryption • Identity • Security • Data sharing
M. Kouril, Ph.D. (*) Departments of Pediatrics and Biomedical Informatics, Division of Biomedical Informatics, Cincinnati Children’s Hospital Medical Center, University of Cincinnati College of Medicine, 3333 Burnet Avenue, ML-7024, Cincinnati, OH 45229-3039, USA e-mail: [email protected] M. Wagner, Ph.D. Division of Biomedical Informatics, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, ML-7024, Cincinnati, OH 45229-3039, USA Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA © Springer Science+Business Media Singapore 2016 J.J. Hutton (ed.), Pediatric Biomedical Informatics, Translational Bioinformatics 10, DOI 10.1007/978-981-10-1104-7_4
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M. Kouril and M. Wagner
Introduction
Many research-intensive medical centers struggle with an ever-increasing deluge of electronic data. While the per-unit cost of storage infrastructure has steadily and rapidly declined, there are significant costs (which can trump the hardware expenses) associated with the technical and managerial challenges of how to keep up with the growing storage demands. Furthermore, the trends of integration of storage with processing increases the complexity even further and puts additional strains on the expertise of the users. Questions are inevitable about the value of data and whether its long-term preservation is justified. At the same time, the increasing volumes of data increase demands on processes to ensure data integrity and security, including the need for audit trails on recording all access requests. Often the local resources are no longer sufficient or developing an expertise to store data on-site is impractical and organizations are
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