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Simpson RL, Lee JA, Li Y, Kang YJ, Tsui C, Cimiotti JP. Medicare meets the cloud: the development of a secure platform for the storage and analysis of claims data. JAMIA Open 2024; 7:ooae007. [PMID: 38344670 PMCID: PMC10856805 DOI: 10.1093/jamiaopen/ooae007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Revised: 09/05/2023] [Accepted: 01/13/2024] [Indexed: 02/18/2024] Open
Abstract
Introduction Cloud-based solutions are a modern-day necessity for data intense computing. This case report describes in detail the development and implementation of Amazon Web Services (AWS) at Emory-a secure, reliable, and scalable platform to store and analyze identifiable research data from the Centers for Medicare and Medicaid Services (CMS). Materials and Methods Interdisciplinary teams from CMS, MBL Technologies, and Emory University collaborated to ensure compliance with CMS policy that consolidates laws, regulations, and other drivers of information security and privacy. Results A dedicated team of individuals ensured successful transition from a physical storage server to a cloud-based environment. This included implementing access controls, vulnerability scanning, and audit logs that are reviewed regularly with a remediation plan. User adaptation required specific training to overcome the challenges of cloud computing. Conclusion Challenges created opportunities for lessons learned through the creation of an end-product accepted by CMS and shared across disciplines university-wide.
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Affiliation(s)
- Roy L Simpson
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, United States
| | - Joseph A Lee
- Harvard University, Boston, MA 02138, United States
| | - Yin Li
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, United States
| | - Yu Jin Kang
- Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA 30303, United States
| | - Circe Tsui
- Office of Information Technology, Emory University, Atlanta, GA 30322, United States
| | - Jeannie P Cimiotti
- Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA 30322, United States
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Naccarelli R, D’Agresti F, Roelen SD, Jokinen K, Casaccia S, Revel GM, Maggio M, Azimi Z, Alam MM, Saleem Q, Mohammed AH, Napolitano G, Szczepaniak F, Hariz M, Chollet G, Lohr C, Boudy J, Wieching R, Ogawa T. Empowering Smart Aging: Insights into the Technical Architecture of the e-VITA Virtual Coaching System for Older Adults. Sensors (Basel) 2024; 24:638. [PMID: 38276330 PMCID: PMC10818560 DOI: 10.3390/s24020638] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 01/11/2024] [Accepted: 01/17/2024] [Indexed: 01/27/2024]
Abstract
With a substantial rise in life expectancy throughout the last century, society faces the imperative of seeking inventive approaches to foster active aging and provide adequate aging care. The e-VITA initiative, jointly funded by the European Union and Japan, centers on an advanced virtual coaching methodology designed to target essential aspects of promoting active and healthy aging. This paper describes the technical framework underlying the e-VITA virtual coaching system platform and presents preliminary feedback on its use. At its core is the e-VITA Manager, a pivotal component responsible for harmonizing the seamless integration of various specialized devices and modules. These modules include the Dialogue Manager, Data Fusion, and Emotional Detection, each making distinct contributions to enhance the platform's functionalities. The platform's design incorporates a multitude of devices and software components from Europe and Japan, each built upon diverse technologies and standards. This versatile platform facilitates communication and seamless integration among smart devices such as sensors and robots while efficiently managing data to provide comprehensive coaching functionalities.
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Affiliation(s)
- Riccardo Naccarelli
- Department of Industrial Engineering and Mathematical Sciences, Polytechnic University of Marche, 60131 Ancona, Italy; (S.C.); (G.M.R.)
| | | | - Sonja Dana Roelen
- Institut für Experimentelle Psychophysiologie GmbH, 40215 Düsseldorf, Germany; (S.D.R.); (Z.A.)
| | - Kristiina Jokinen
- Artificial Intelligence Research Center, National Institute of Advanced Industrial Science and Technology (AIRC/AIST), Tokyo 135-0064, Japan;
| | - Sara Casaccia
- Department of Industrial Engineering and Mathematical Sciences, Polytechnic University of Marche, 60131 Ancona, Italy; (S.C.); (G.M.R.)
| | - Gian Marco Revel
- Department of Industrial Engineering and Mathematical Sciences, Polytechnic University of Marche, 60131 Ancona, Italy; (S.C.); (G.M.R.)
| | - Martino Maggio
- Engineering Ingegneria Informatica SpA, 00144 Roma, Italy; (F.D.); (M.M.)
| | - Zohre Azimi
- Institut für Experimentelle Psychophysiologie GmbH, 40215 Düsseldorf, Germany; (S.D.R.); (Z.A.)
| | - Mirza Mohtashim Alam
- Leibniz Institute for Information Infrastructure, FIZ Karlsruhe, 76344 Eggenstein-Leopoldshafen, Germany;
| | - Qasid Saleem
- Institute for Applied Informatics (InfAI), 04109 Leipzig, Germany; (Q.S.); (A.H.M.); (G.N.)
| | - Abrar Hyder Mohammed
- Institute for Applied Informatics (InfAI), 04109 Leipzig, Germany; (Q.S.); (A.H.M.); (G.N.)
| | - Giulio Napolitano
- Institute for Applied Informatics (InfAI), 04109 Leipzig, Germany; (Q.S.); (A.H.M.); (G.N.)
| | - Florian Szczepaniak
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Mossaab Hariz
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Gérard Chollet
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Christophe Lohr
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Jérôme Boudy
- Institut Mines-Télécom (IMT), 91120 Palaiseau, France; (F.S.); (M.H.); (G.C.); (C.L.); (J.B.)
| | - Rainer Wieching
- Institute for Business Informatics & New Media, University Siegen, Kohlbettstr. 15, 57072 Siegen, Germany;
| | - Toshimi Ogawa
- Smart-Aging Research Center, Tohoku University, Sendai 980-8575, Japan;
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