INTRODUCTION

The healthcare industry is undergoing a dramatic transformation from today’s inefficient, costly,
manually intensive, crisis-driven model of care delivery to a more efficient, consumer-centric, science-based
model that proactively focuses on health management.

WHAT IS THE DEPENDABLE SYSTEM?

Is the measure of the reliability, integrity, and performance of the system. The trustworthiness of a
computing system allows reliance to be justifiability placed on the service it delivers.

DEPENDABILITY is a measure of the extent to which a system can justifiably be relied on to deliver the
services expected from it.

DEPENDABILITY (6) ATTRIBUTES:

System Reliability – the system consistently behaves the same way.
Service Availability – required services are present and usable when they are needed.
Confidentiality – sensitive information is disclosed only to those who are authorized to see it.
Data Integrity – data are not corrupted or destroyed.
Responsiveness – the system responds to user input within an expected and acceptable time period.
Safety – the system does not cause harm.

A More practical approach to attaining dependability is to build tolerant systems that anticipate
problems; detect faults, software glitches, and intrusions; and take action so that services can continue and
data are protected from corruption, destruction, and unauthorized distribution.

There are five (5) Fundamental Guidelines that can help increase the dependability of healthcare
systems:
● Architect for Dependability
● Anticipate Failures
● Anticipate Success
● Hire Meticulous Managers
● Don’t be Adventurous

ASSESSING THE HEALTHCARE INDUSTRY

Healthcare clearly has a need for dependable systems both now and after the transformation, as the
industry becomes increasingly dependent on IT in the delivery of patient care.

HEALTHCARE ARCHITECTURE
For adherence to the first guideline “architect for dependability” the clinical care provider community
gets a barely passing grade of “D.” Healthcare organizations build or perhaps “compose’ their systems from
the top down rather than from the bottom up.

ADVENTUROUS TECHNOLOGIES IN HEALTHCARE

The fifth and final guideline “don’t be adventurous” is the most difficult to assess for healthcare. On the
one hand, healthcare givers typically are not early adopters. But on other hand, they seem to cast fate to the
wind or technologies that catch their collective fancy.

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPAA)

- It is a federal law that required the creation of national standards to protect sensitive patient health
information from being disclosed without the patient’s consent or knowledge.

8 REQUIRED ADMINISTRATIVE SAFEGUARD

1. Security management
- A security management strategy begins by identifying these assets, developing and implementing
policies and procedures for protecting them, and maintaining and maturing these programs over time.
2. Assigned security responsibility
 - Practice established by management to administer and supervise the execution and use of security
measures to protect data, and to manage and supervise the conduct of the workforce in relation to the
protection of data.
3. Information Access Management
- This means physically enabling and restricting access to various information, and also having the ability
to monitor who is accessing or has accessed what information, and when
4. Security Awareness and training
- Security awareness training is a formal process for educating employees and third-party stakeholders,
like contractors and business partners, on how to protect an organization's computer systems, along
with its data, people, and other assets, from internet-based threats or criminals.
5. Security Incident procedures
- The security incident management process typically starts with an alert that an incident has occurred
and the engagement of the incident response team.
6. Contingency Planning
- Contingency planning means preparing an organization to respond well to an emergency and its
potential humanitarian impact.
7. Evaluation
- Evaluation is a systematic and intentional process of gathering and analyzing data (quantitative and
qualitative) to inform learning, decision-making, and action.
8. Business associate contracts

THE FIVE SPECIFIED PHYSICAL SAFEGUARDS

1. Access control
2. Audit controls
3. Data integrity protection
4. The person or entry authentication
5. Transmission security

IT MANAGEMENT
- For dependability, one should use only proven methods, tools, and products that have been in
production, under conditions and at a scale similar to the intended environment.

ADVENTUROUS TECHNOLOGIES IN HEALTHCARE

- Good system administrators meticulously monitor and manage systems and network performance

SUMMARY
Healthcare clinicians, including nurses, historically and typically are very resistant to change, largely
because they are taught to be circumspect in considering new approaches, treatment protocols, and drug
regimens. Dependable healthcare providers take their responsibility deeper and have a greater concern for the
overall good of the community.

REFERENCES

● Next, P. J. R. O. P. (n.d.). Dependable Systems for Quality Care. prezi.com.

https://prezi.com/hrsj_4k_kwfq/dependable-systems-for-quality-care/?fallback=1
● Chapter 15 : Dependable Systems for Quality care. (n.d.). https://slideplayer.com/slide/8676145/
● Health Insurance Portability and Accountability Act of 1996 (HIPAA) | CDC. (n.d.).
https://www.cdc.gov/phlp/publications/topic/hipaa.html
● Nass, S. J. (2009). Overview of Conclusions and Recommendations. Beyond the HIPAA Privacy Rule - NCBI
Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK9575/
● R. (n.d.). Nothing found.
https://nursingfile.com/nursing-informatics/dependability-of-nursing-informatics-system.html?fbclid=IwAR39-43
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● Dependable System for Quality Care Chapter 15 ; Dependable System For Quality Care. (2015, May 19).
https://rosenov279575.wordpress.com. Retrieved February 14, 2023, from
https://rosenov279575.wordpress.com/2015/05/19/dependable-system-for-quality-care/?fbclid=IwAR2bIM82osat
7Q6uEI9WdmsWNr0TyvBZQwXcTGSU0ZCW9znJcJ6dSoP