Case Study of Security in Teleradiology Reporting System for Management of Data from Multiple Enterprises
David Liu, Yue “Jeff Zhang”

Abstract
This paper is a case study that describes the methods used by a radiology practice in Southern California to address the specific security requirements for providing teleradiology service to multiple hospitals and clinics. The context of the case study revolves around the organization’s goal to achieve maximum efficiency in the usage of human capital for generating radiology reports while radiologists are geographically scattered across numerous locations. As background, this paper starts by describing how a radiology practice transitioned from the conventional transcription-based reporting method to one that allows the radiologists to create reports directly through the use of a hybrid speech recognition and structured reporting system. With HIPAA, healthcare providers are concerned about securing their patients’ health data. Healthcare providers are especially concerned when their patient health data are being stored outside their premise. The security challenges for this radiology practice stem from an environment where radiologists are doing interpretation from disperse locations and each radiologist can interpret for any of the healthcare providers under contract. The “efficient use human capital” by this radiology practice, hinges on how well they can mitigate the security concerns of the health care providers.

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