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Some draft rules for cloud computing:

Reblogged from JP Rangaswami (http://confusedofcalcutta.com)

The cloud, like the banking system, like any truly global system, is about openness and standards and transparency and trust and guarantees.

Here they are, ten guiding principles, in draft form:

  • Transparency: Companies that provide enterprise cloud computing platforms should explain their information handling practices and disclose the performance and reliability of their services on their public Web sites.
  • Use Limitation: Companies that provide enterprise cloud computing platforms should claim no ownership rights in customer data and should use customer data only as their customers instruct them, or to fulfil their contractual or legal obligations.
  • Disclosure: Companies that provide enterprise cloud computing platforms should disclose customer data only if required to do so by the customer or by law, and should provide affected customers prior notice of any legally compelled disclosure to the extent permissible by law.
  • Security Management System: Companies that provide enterprise cloud computing platforms should maintain a robust security management system that is based on an internationally accepted security framework (such as ISO 27002) to protect customer data.
  • Customer Security Features: Companies that provide enterprise cloud computing platforms should provide their customers with a selection of security features to implement in their usage of the cloud computing services.
  • Data Location: Companies that provide enterprise cloud computing platforms should make available to their customers a list of countries in which their customer data related to them is hosted.
  • Breach Notification: Companies that provide enterprise cloud computing platforms should notify customers of known security breaches that affect the confidentiality or integrity of their customer data promptly.
  • Audit: Companies that provide enterprise cloud computing platforms should use third-party auditors to ensure compliance with their security management system and with these principles.
  • Data Portability: Companies that provide enterprise cloud computing platforms should make available to customers their respective customer data in an industry-standard, downloadable format.
  • Accountability: Companies that provide enterprise cloud computing platforms should work with their customers to designate appropriate roles for privacy and security accountability.

Patient Centered Medical Home (NCQA):

Crossing the Quality Chasm: 10 Simple Rules for the 21st Century Health Care System

Crossing the Quality Chasm put forth “10 Simple Rules for the 21st Century Health Care System” to guide the redesign of the health care system. These rules underlie PPC and describe a system different from most health care today.

1. Care based on continuous healing relationships. Patients should receive care whenever they need it and in many forms, not just face-to-face visits.

2. Customization based on patient needs and values. The system of care should meet the most common types of needs, but have the capability to respond to individual patient choices and preferences.

3. The patient as the source of control. Patients should be given the necessary information and the opportunity to exercise the degree of control they choose over health care decisions that affect them.

4. Shared knowledge and the free flow of information. Patients should have unfettered access to their own medical information and to clinical knowledge.

5. Evidence-based decision making. Patients should receive care based on the best available scientific knowledge.

6. Safety as a system property. Patients should be safe from injury caused by the care system.

7. The need for transparency. The health care system should make information available to patients and their families that allows them to make informed decisions when selecting a health plan, hospital, or clinical practice, or choosing among alternative treatments. This should include information describing the system’s performance on safety, evidence-based practice and patient satisfaction.

8. Anticipation of needs. The health system should anticipate patient needs, rather than simply reacting to events.

9. Continuous decrease in waste. The health system should not waste resources or patient time.

10. Cooperation among clinicians. Clinicians and institutions should actively collaborate and communicate to ensure an appropriate exchange of information and coordination of care.

An eletronic health record (EHR) card is used at a patient sign-in kiosk  at the imedcenter of Danbury  to download a  patients medical  history, via a USB port, on Friday, September 24, 2010. The system  speeds up the time spent at a doctors office, and give doctors an up to  date medical history of the patient. 							Photo: Jay Weir 										/ The News-Times Freelance

An eletronic health record (EHR) card is used at a patient sign-in kiosk at the imedcenter of Danbury to download a patients medical history, via a USB port, on Friday, September 24, 2010. The system speeds up the time spent at a doctors office, and give doctors an up to date medical history of the patient. Photo: Jay Weir / The News-Times Freelance

Chief Technology Officer, Matt Meier, of imedcenter of Danbury,  demonstrates how a patient signs in and downloads their medical history,  with an  electronic health record (EHR) card on Friday, September 24,  2010. The EHR card speeds up the process of visiting a doctor’s office.  It also allows doctors to download the patients x-rays and MRI images  from any radiology center in the world. 							Photo: Jay Weir 										/ The News-Times Freelance

Chief Technology Officer, Matt Meier, of imedcenter of Danbury, demonstrates how a patient signs in and downloads their medical history, with an electronic health record (EHR) card on Friday, September 24, 2010. The EHR card speeds up the process of visiting a doctor’s office. It also allows doctors to download the patients x-rays and MRI images from any radiology center in the world. Photo: Jay Weir / The News-Times Freelance

Dr. Mike Gerstenfeld, right, of imedcenter of Danbury, and Chief Technology Officer, Matt Meier, right, look at an MRI of a patients  knee, on Friday, September 24, 2010. 							Photo: Jay Weir 										/ The News-Times Freelance

Dr. Mike Gerstenfeld, right, of imedcenter of Danbury, and Chief Technology Officer, Matt Meier, right, look at an MRI of a patients knee, on Friday, September 24, 2010. Photo: Jay Weir / The News-Times Freelance